NHS report

jaysay

jaysay

Resting in Peace
Overlooker
As some of you are now aware I've spent a few days in hospial this week and not caught ou nasty;)
Well here are my impressons of our health service
Ambulance, wonderful both going and coming home,
A and E, first class hardly any waiting, very clean and efficient.
Medical Assessment Unit very good, but could be cleaner, used bed pan in a toilet, had to tell staff who apologised
Ward C6 could not fault the consultants, doctors, or nurses, was very clean and lots of use of hand cleaning gels ect. food not bad for hospital, good choice served piping hot.
Down sides, Car Parking is a rip of (we've already discussed this on here) bedside TV and phone another rip off £2.90 a day, £50 a day with Satanta Sports, £7 for 3 days, £10 fo 5 days calls cost 10p per minute out going, but if people ring you on your own personal number its 48p peak time, 40p per minute off peak, but if someone rings you and is on for over 5 minutes you get an extra hour free TV, big deal.
now my main complaint, discharge, I was told I could go home on Thursday afternoon after lunch on friday 12-30pm we were told we would be transfared to the ew discharge loung at the Ambulance departure, where my tablets to take home would be brought to me, good I thought nealy home and dry, WRONG. arrived t this new loung at 12-40pm and sat waiting for my tabs, just a course of ani bios, and I waited and I waited and I waited. I enquired about 3pm how long would it be and was laughingly told about 5 hours, not funny. was still waiting at 4-15pm then I got annoyed not at the staff but at the system which was obviously flawed. I finally arrive home at 5.37pm a very unhappy bunny and will be writting to the Patient Care Manager today
 
Hells bells what a rip off for what to me are nesessities when in hospital ie the phone!!!! As for the after care and discharge that is a disgrace!!! If people have been ill then being happy and cheerful helps recovery but the discharge farce wont help one bit. Maybe it is time to look at the discharge part of a stay and have better controls in place. Based on what you went through Jaysay though I abhore targets and the guff that goes with it they might be need for discharge.:mad:
 
The TV/phone thing is a total rip off I agree. What happened to the good old 'day room' where you could sit and watch TV for free? and the pay phone that didn't cost the earth? If you want to make phone calls when you go into hospital take your mobile, but don't expect a great signal! Park Lee seems to have virtually no signal at all!
 
Hi Jaysay, wondered where you had gone ... would have brought you some grapes if I had known or the latest Tory bulletins to cheer you up..:D

I wonder why the prescription took so long ? Must be staff shortages or the system, e.g. does the prescription take time to get from the ward to the pharmacy after a patient is discharged (maybe waiting for doctor's signature) ? Do the chemists concentrate on getting drugs to the wards before discharged patients ? Is it closed at certain times of the day ? etc.

The nurse who informed you was going to be 5 o'clock, must have known why it would take some time because of how the system operates. Think does need an explanation though.

Suspect Jaysay would be in a ward where there is oxygen about, so he may not have been able to use his mobile ?
 
katex said:
Suspect Jaysay would be in a ward where there is oxygen about, so he may not have been able to use his mobile ?
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Me I would have technically redistributed for a better use a set of wheels (if able enough) and found some were I could use it. Can see it now Jaysay doing a Lewis Hamilton in the chair with nurses chasing him and winning the race to make a call. ;)
 
katex said:
Hi Jaysay, wondered where you had gone ... would have brought you some grapes if I had known or the latest Tory bulletins to cheer you up..:D

I wonder why the prescription took so long ? Must be staff shortages or the system, e.g. does the prescription take time to get from the ward to the pharmacy after a patient is discharged (maybe waiting for doctor's signature) ? Do the chemists concentrate on getting drugs to the wards before discharged patients ? Is it closed at certain times of the day ? etc.

The nurse who informed you was going to be 5 o'clock, must have known why it would take some time because of how the system operates. Think does need an explanation though.

Suspect Jaysay would be in a ward where there is oxygen about, so he may not have been able to use his mobile ?
Click to expand...
My script was ordered at 9am that morning and consisted of 1 item. This discharge loung idea is meant to speed up patient transport, which to a point it does, but not if your waiting for pills and potions. You would think that people siting in this loung would be given priority but they don't, it does ask the question when does patient care finish, when you leave the ward or when you leave the hospital and are home. In my case I had a nebuliser at 9am and was due another at 2pm, so by the time it got to 5-30pm was a little short of breath to say the least. The staff in this new unit were far from happy. infact the staff nurse was on the phone to some one just before I left saying that this was unacceptable. As for the mobile phone thing, there was oxygen on this ward and in constant use, but it didn't stop nearly everybody using the mobiles, although its not allowed. So next time i'm admitted my mobile is going with me, they can stick their 10p phone calls where monkey's shove nuts
 
We are now reaping the “benefits” of PFI and ancillary services being farmed out to private companies.

This government and the previous lot have been trying to privatise the NHS for ages but public opinion has prevented them. So they do it bit by bit instead.
 
We've had threads on Patientline before. Wasn't it Tony Blair who wanted every patient to have access to a tv and phone? Patientline are a private company who own and maintain all of the machines. They are sometimes nigh on impossible to contact, believe me, I have been trying to have our machines repaired and cleaned for the best part of 3 days and can't get hold of anyone to come and do it.

The discharge procedure sounds like it could do with speeding up a bit (it's different where I work). Maybe Grego will be able to explain a bit better as she knows the pharmacy system. The one thing I can say is that pharmacy is as short staffed as everywhere else. They have to stock every single ward, every individual inpatient and discharge prescription, outpatient prescriptions (where the people waiting for them often become abusive). They also deal with the preparation of the specialised baby feeds for NICU and Paediatrics, Parenteral feeds for the adult wards, all intravenous fluids and gases such as O2, CO2, Entonox, Nitrous Oxide and Medical Air.
 
lettie said:
We've had threads on Patientline before. Wasn't it Tony Blair who wanted every patient to have access to a tv and phone? Patientline are a private company who own and maintain all of the machines. They are sometimes nigh on impossible to contact, believe me, I have been trying to have our machines repaired and cleaned for the best part of 3 days and can't get hold of anyone to come and do it.

The discharge procedure sounds like it could do with speeding up a bit (it's different where I work). Maybe Grego will be able to explain a bit better as she knows the pharmacy system. The one thing I can say is that pharmacy is as short staffed as everywhere else. They have to stock every single ward, every individual inpatient and discharge prescription, outpatient prescriptions (where the people waiting for them often become abusive). They also deal with the preparation of the specialised baby feeds for NICU and Paediatrics, Parenteral feeds for the adult wards, all intravenous fluids and gases such as O2, CO2, Entonox, Nitrous Oxide and Medical Air.
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I understand what your saying lettie, but when they are putting a new system to work you would have thought that the first thing that had to be put into the equation was the well being of the patient, most patients wer in and out in around half an hour, which is great, but if your waiting for medications its plain stupid. To me he well being of all patients must come 1st 2nd and 3rd, or is it just a case of a bed manager saying get rid as soon as possible we need that bed. maybe it will cake a serious mishap with this new system to make people take notice, then of course it will be nobobies fault, or what they cll a break down it communications. The only trouble is it will be some unfortunate patient who will have to suffer to make these people take notice, then its to late
 
A friend of mine was discharged from hospital and a nurse meant to come round next morning to administer medication - but no nurse turned up because they had not been informed, so a patient needing morphine was in severe pain for hours until the nurse finally found out and turned up with the meds.

There does seem to be a breakdown in communication somewhere and although it isn't excusable I can see why some people waiting hours for their prescription before they are able to leave end up getting abusive. It doesn't solve anything though.
 
jambutty said:
We are now reaping the “benefits” of PFI and ancillary services being farmed out to private companies.

This government and the previous lot have been trying to privatise the NHS for ages but public opinion has prevented them. So they do it bit by bit instead.
Click to expand...

Yes and in doing so they think we won't notice.
 
Two weeks ago I attended an operating unit in Preston to have a cataract removed.
The operating staff were from a private set up called Netcare.
The procedure from start to finish, walking in to walking out, was exactly two hours.
When the operation was finished I was offered a cup of tea, as was my wife and medication for after care for one month.
I was seen by three doctors in that short period and can not fault the system whatsoever.
The following morning I received a phone call from a nurse on behalf of netcare to see if everything was all right and who was putting the eyedrops into my eye 4 times a day, when told it would be my wife she was quite satisfied.
Netcare is paid by the NHS...I qualify for this treatment as the initial diagnosis was made prior to me moving to Spain and is recognised as ongoing to conclusion.
As a pensioner I qualify for free medical treatment in Spain.
I have put this rider on because some anon clown gave me a red and said "I would soon be running back to the UK if I needed the NHS"

John I'm sorry I didn't know you had been in Hospital....All the best Pal.
 
Royboy39 said:
Two weeks ago I attended an operating unit in Preston to have a cataract removed.
The operating staff were from a private set up called Netcare.
The procedure from start to finish, walking in to walking out, was exactly two hours.
When the operation was finished I was offered a cup of tea, as was my wife and medication for after care for one month.
I was seen by three doctors in that short period and can not fault the system whatsoever.
The following morning I received a phone call from a nurse on behalf of netcare to see if everything was all right and who was putting the eyedrops into my eye 4 times a day, when told it would be my wife she was quite satisfied.
Netcare is paid by the NHS...I qualify for this treatment as the initial diagnosis was made prior to me moving to Spain and is recognised as ongoing to conclusion.
As a pensioner I qualify for free medical treatment in Spain.
I have put this rider on because some anon clown gave me a red and said "I would soon be running back to the UK if I needed the NHS"

John I'm sorry I didn't know you had been in Hospital....All the best Pal.
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Thanks Roy. I have to say that I had both cararacts done in 2003 at BRI and both my Ops were performed exactly as Roy described to the letter, pre, during and after care, including the home phone call. In all the medical side of the NHS is very good, its when things are taken out of the hands of the clinitians and targets have to be achieved where the problems start. It is hardly any wonder that that doctors and nurses get so frustrated having decisions taken out of their hands by pen pushers
 
The NHS is too top-down and political. The people on the ground understand the problems, and a lot of them understand how they could be fixed. Therefore they are ignored by the powers that be.

Politics affects it with targets, targets, targets. I've had terrible experiences with the NHS. Waited months to see a consultant, err.. registrar, only to be shoved back out the door 5minutes later with medication I'd already tried. Problem not solved, target met.

Hope you're feeling ok Jaysay!
 
The Discharge Unit sounds like somewhere to dump unwanted patients so their beds are free for the next set o inmates. In and out, quick as can be lets not have any nasty patients cluttering up the wards, numbers up patients out!
 
They can't even get appointments right!
My dad phoned for an appointment at the limb centre in preston and recieved a letter last thursday morning saying he could come and see them tuesday,2 days beforehand!
Now he has to wait for a new one and really needs to see them ASAP but god knows when he will get one now!
Hope you are feeling better Jaysay
 
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