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"I feel the whole thing was an utter debacle"

About: North Devon District Hospital / Outpatients North Devon District Hospital / Radiology (X-ray)

(as a relative),

My mum received a letter telling her where to find the CT scanner and to report to the portacabin. The CT scanner was not clearly signposted but from a process of elimination (not the MRI scanner, which was very well signposted) we went to the portacabin next to the other mobile scanner.  This was empty and had no wheelchair access.

After hanging around in the rain, and another patient turning up and being lost like ourselves, a member of staff walked past and we asked them for help in locating the waiting area. They had no idea but were very helpful and took us through a staff only access door into the Ladywell Unit and after asking other staff members took us to the EEG department and a waiting room there.  Again no signs for this.  My mum had been dropped off by patient transport 5 minutes before we arrived and they had found the department so thankfully she was warm and dry.  

My mum then needed the toilet, as she was in a wheelchair we needed a disabled toilet.  The one in the waiting room was inaccessible and the staff member did not know where one was.  We made our way into the Ladywell reception, but again these toilets were not suitable.  (Mum is very frail and needs wheelchair right next to toilet and grab rails.) I went to the reception desk where the member of staff was on their mobile phone and I had to get their attention. They did not know of a disabled toilet but checked in the Gynae department for one and told us there was one in Petter Ward and left us to our own devices.  We went towards Petter Ward and thankfully came across a lovely nurse/nursing assistant who asked us if we needed help and actually took us to a suitable toilet.

When back in the waiting room the CT technician gave my mum a jug of fluid and told her to drink this and he would be back in an hour for her appointment. I explained that the letter said the appointment was for 2.30 and not 3.30 and we had patient transport booked for 3.30.  Their answer was that was what was on the system. They said she would be ready by 4pm so I had to then call patient transport and rearrange.  The letter is very ambiguous and should have stated that the arrival time was 2.30 and the appointment was for 3.30.  

My mum is elderly and suffers from pressure sores and had left home for this appointment at 13.40 and did not get home until 17.00.  If we had known the duration of time we would have prepared accordingly, bringing along cushions for her to sit on and pain relief.  We would also have known how long she would have been away from home for and would have been able to prepare her for this.

Therefore, from start to finish I feel the whole thing was an utter debacle. This really needs looking at from many different aspects. 

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Responses

Response from Gill Kite, Superintendent Radiographer/Radiology Governance Lead (Northern Services), Radiology, North Devon District Hospital (Northern Services), Royal Devon University Healthcare NHS Foundation Trust 12 months ago
Gill Kite
Superintendent Radiographer/Radiology Governance Lead (Northern Services), Radiology, North Devon District Hospital (Northern Services),
Royal Devon University Healthcare NHS Foundation Trust

I am a Diagnostic Radiographer with many years experience of working, and imaging patients, in all areas of the Radiology department. I am also responsible for the governance in Radiology and so make sure that we are compliant with the many ionising radiation regulations that dictate what we can and can't do in radiology, keep the patients and staff safe and ensure we are practicing safely. I also deal with our policies and procedures and oversee compliments, complaints and quality.

Submitted on 15/05/2023 at 10:10
Published on Care Opinion at 10:10


picture of Gill Kite

Dear Greenhouse76,

Sorry for the delay in responding to you; thank you for taking the time to leave feedback about your Mum's experience, I'm sorry that her experience of this service was so poor from start to finish.

The change of waiting rooms was arranged at short notice a couple of weeks ago as the new portacabin was delivered but had no ramp and so was not able to be used, however this signage and information should have been sorted out by now and I can only apologise for that; I am told that the ramp is being fitted today and so hopefully the waiting area will revert back to next to the scanner this week, however we will still have to ensure adequate signage.

Staffing of the scanner is by an external company and often bank support staff but again we should have ensured that they are all aware of where all of the appropriate access toilets are in the area as well as other facilities which again will be followed up today.

Often the appointments are booked by telephone and the information about timings of the scan and preparation time is given however this will also be looked at as is obviously missing from the letters sent out.

I really appreciate your feedback as we always strive to provide the best experience for our patients and its disappointing when this does not happen. I'm really sorry that your Mum had to sit for all of that time and was uncomfortable, I hope that she has recovered and will be reassured that we will be acting on your feedback today.

Kind regards

Gill

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Response from Lisa Townsend, Patient Feedback Lead, Patient Experience Team, Royal Devon University Healthcare NHS Foundation Trust 12 months ago
We are preparing to make a change
Lisa Townsend
Patient Feedback Lead, Patient Experience Team,
Royal Devon University Healthcare NHS Foundation Trust

I take patient feedback and work with all departments at Royal Devon University Hospital NHS Trust to implement service change and improve the patient experience.

Submitted on 15/05/2023 at 15:12
Published on Care Opinion at 17:05


picture of Lisa Townsend

Dear Greenhouse76

I am sorry to hear that your Mum and yourself had a difficult experience when you recently visited. I wanted to let you know that the Trust will be working in partnership with AccessAble to improve experiences like this in the future.

If you haven’t heard of AccessAble, the company was introduced following the founder’s own experiences as a wheelchair user. Details of the organisation are here: https://www.accessable.co.uk/pages/about

Trained surveyors from AccessAble will be visiting our services to review each area and provide a detailed guide. Guides will include important information for each department including how to get here, parking, distance to the department and information on ramp access and disabled toilets. Photos and measurements are included to allow you to plan your visit, reducing the stress involved of attending unfamiliar surroundings.

Work will be starting very soon and taking place over the Summer. Once the guides are complete they will be available online and via an app. Details will be included in appointment letters.

Please be assured that we take your feedback seriously and whilst we cannot change the experience of your last visit we hope that this will help in the future.

Kind regards

Lisa

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Response from Gill Kite, Superintendent Radiographer/Radiology Governance Lead (Northern Services), Radiology, North Devon District Hospital (Northern Services), Royal Devon University Healthcare NHS Foundation Trust 10 months ago
We have made a change
Gill Kite
Superintendent Radiographer/Radiology Governance Lead (Northern Services), Radiology, North Devon District Hospital (Northern Services),
Royal Devon University Healthcare NHS Foundation Trust

I am a Diagnostic Radiographer with many years experience of working, and imaging patients, in all areas of the Radiology department. I am also responsible for the governance in Radiology and so make sure that we are compliant with the many ionising radiation regulations that dictate what we can and can't do in radiology, keep the patients and staff safe and ensure we are practicing safely. I also deal with our policies and procedures and oversee compliments, complaints and quality.

Submitted on 03/07/2023 at 13:33
Published on Care Opinion at 13:36


picture of Gill Kite

Dear Greenhouse76,

Just to let you know that following your feedback above we have made a change; our waiting room for the mobile CT scanner is now in the new portacabin with improved access for wheelchairs and extra signage to direct patients, all new and bank staff are also made aware of where to find the nearest facilities such as accessible toilets etc. Our admin team are also ensuring that they give information to patients when they arrange appointments over the phone to ensure that they are aware how long they will be in the department/mobile scanner and we are also improving the wording on the patient letters to ensure that its clearer regarding prep time and scan time for CT scans.

Thank you again for highlighting these issues so that we have been able to improve our service for our patients.

Kind regards

Gill

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Response from Lisa Townsend, Patient Feedback Lead, Patient Experience Team, Royal Devon University Healthcare NHS Foundation Trust 9 months ago
Lisa Townsend
Patient Feedback Lead, Patient Experience Team,
Royal Devon University Healthcare NHS Foundation Trust

I take patient feedback and work with all departments at Royal Devon University Hospital NHS Trust to implement service change and improve the patient experience.

Submitted on 15/08/2023 at 16:41
Published on Care Opinion at 16:41


picture of Lisa Townsend

Dear Greenhouse76

Thank you for recently leaving feedback on Care Opinion. I wanted to reach out to ask if you would be interested in sharing your experience further? Our Engagement team share a monthly story with the Board of Directors. The aim is to allow our executive and non-executive directors to understand the issues they are discussing from the perspective of the patient. The stories normally take the form of a five minute video interview that is pre-recorded.

Your story has been identified as one that the Engagement team would like to explore further as it may be suitable for featuring in a patient story. If you are interested in being involved and would like to find out a little more, please would you email me your name and contact details with the ref:1064106 to me privately at: rduh.patientexperience@nhs.net.

With your consent I will put you in touch with the Engagement team who will find out more about your experience and consider whether it might be suitable for a patient story interview.

Once again thank you for leaving feedback. It really does make a difference to our services.

Kind regards

Lisa

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