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"Lack of compassion and increase anxiety"

About: Lanarkshire Community Services / GP Out of Hours service NHS 24 / NHS Inform - COVID Helpline University Hospital Wishaw / Maternity Care (Wards 21-24)

(as the patient),

I phoned  NHS24 due to testing positive for Covid, being Immuno-compromised and also 9 weeks pregnant. NHS24 was extremely busy and was on hold for 2 hours before I spoke to a call handler, who was very understanding of my call and spoke to the nurse at NHS24, who advised that they would like a Dr to phone me back due to symptoms and current situation.

A doctor phoned me back. They were very understanding and showed compassion towards my situation, which was a very stressful time due to covid, Immuno-compromised and also 9 weeks pregnant. Due to the symptoms I was experiencing, this doctor wanted me to speak to a consultant from the covid department and ensure antiviral treatments were safe during pregnancy. They asked me to call the Hub in the morning due to public holiday and time this evening.

The doctor phoned me again to see how I was, and to ask if I had spoken to consultant yet. I can’t thank this doctor enough for how they dealt with this situation and care and compassion showed towards me at such a stressful time. 

A Dr from Covid helpline called me back. They didn’t realise I was pregnant as they were going through a questionnaire for antiviral medication. I was advised that treatment was very different when pregnant. Dr asked me how I knew I was pregnant, which I advised I had taken a early pregnancy test and was nearly 9 weeks pregnant at this point. Dr advised that they were going to speak to an obstetrician and phoned me back.

When this Dr from the Covid helpline phoned me back they were then talking about how things can naturally terminate, and also asked me if I could go and take a pregnancy test to see if it’s positive or negative, as if it’s negative they would be able to prescribe antiviral medications. I explained that I was definitely pregnant as I had been for a private scan as well to prove this. I said to this Dr that I am sorry to interrupt but I hope I am still pregnant, to which the Dr said they congratulate me on this.

The obstetrician referred me to have a scan to validate my pregnancy. Due to speaking to this consultant, I was very nervous after conversation. I was told this day that I was having a silent miscarriage and lost my baby 3 weeks ago. 

I found the Dr from the covid line to be very inappropriate saying statements in this sense when a women is very early pregnant and is aware that miscarriage happens but to add additional stress on when already having a stressful and upsetting time and panicking because of current situation.
 

I don’t feel like this was dealt with appropriately and after phone call with this Dr, I was upset and annoyed. I felt like I had to tell my story so this Dr acknowledges how they dealt with my situation and doesn’t cause other pregnant women to worry and anxiety that is unnecessary. 

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 15 months ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 11/01/2023 at 16:22
Published on Care Opinion at 16:22


picture of Shona Lawrence

Dear learningpm45

Thank you for sharing your story on Care Opinion. Firstly, I am very sorry to learn that you lost your baby. I hope you have support at this time and I wish you well. I appreciate this will continue to be a difficult time for you.

I reply in relation to your contact with NHS 24. I am very sorry to learn you waited two hours for your call to be answered. We absolutely appreciate that a lengthy wait time would have been worrying for you at an already anxious time. We have been managing an exceptionally high call demand recently, however, I appreciate when you were already concerned about your health, this would have added to an already stressful situation.

I was pleased to learn that our Call Handler was understanding, sought advice from a clinical staff member and your care was referred by NHS 24 to colleagues within NHS Lanarkshire. If you wish to share any further detail in relation to the NHS 24 element of care, it would be good to hear from you. You can call me on 07814 299944 or by email at Patient.Experience@nhs24.scot.nhs.uk

I see you have expressed that you feel upset and annoyed at your journey of care. Thanks again for taking the time to share this with us. Stories such as yours are hugely important for us to see.

Take care meantime.

Shona

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Response from Karen Jamieson, Patient Safety Co-Ordinator, Quality Improvement Team, NHS Lanarkshire 15 months ago
Karen Jamieson
Patient Safety Co-Ordinator, Quality Improvement Team,
NHS Lanarkshire
Submitted on 13/01/2023 at 16:22
Published on Care Opinion at 16:22


Dear learningpm45

Thank you for sharing your story on Care Opinion. I am sorry to hear of the wait and the anxiety you experienced. I was saddened to hear of the loss of your baby and sorry to hear of your experience of the Dr from the covid line.

All feedback is of value to us to help inform learning and improvement, so again thank you for sharing. If you wish us to look further into any further aspects of your care can I, please invite you to contact us at Patient Affairs.

PatientAffairs.Primarycare@lanarkshire.scot.nhs.uk Tel no. 01698 752800 Option 2

Kind Regards, Karen

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