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"It was left to me to decide whether treatment could be delayed"

About: Forth Valley Royal Hospital / Accident & emergency Forth Valley Royal Hospital / Minor Injuries Assessment Service NHS 24 / NHS 24 (111 service)

(as a service user),

I accidentally dropped a plant pot on my foot causing a deep laceration. This is my experience with NHS24 and FV Health Board:

Telephoned 111 as per national guidelines. Call cut off.
NHS 24 returned call and over the next 7 minutes an overview was obtained of my injury and a nurse agreed with my opinion that I should not attend the Emergency Department as the injury did not fall within their remit of suspected stroke or heart attack, serious illness or injury, collapse, but I should wait at home where I would be contacted by FV Minor Injuries Unit & invited to attend an appointment that evening. I made clear I was lying on my kitchen floor with my foot raised on a stool attempting to stem the flow of blood from my foot.
 
Telephoned at home by Forth Valley Minor Injuries Unit. The caller opened the conversation by stating the call was being taped and then informed me there were no available evening appointments and offered an appointment the next day. There was no review of the medical assessment made by NHS 24 that I should be seen that evening. I stated my injury in my opinion could not wait and I would have to attend the Emergency Department and the wait for the call back had caused unnecessary delay in me receiving treatment. I pointed out for the benefit of the taped call that this was in my opinion a system failure and the process was just unnecessary layers of bureaucracy. The call lasted 1 minute.
I Arrived at Forth Valley Emergency Department, and was discharged after treatment. The treatment I received whilst in ED was first class. The Doctor, nurses and support staff could not have been kinder or more professional.
I appreciate dynamic risk assessments are made of all patients, but the fact remains that at a time when the public are being told to avoid attending FV Emergency Department unless you fall within their aforementioned remit there was nowhere else for me to go.
I lay on my kitchen floor for over an hour waiting for an appointment. No medical re assessment was made and it was left to me to decide whether treatment could be delayed until the next day. To be honest, if there is a next time I’ll just go straight to ED and cut an hour off my wait time.
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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 10 months ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 08/06/2023 at 11:21
Published on Care Opinion at 11:21


picture of Shona Lawrence

Dear Resucsi Annie

Thanks for sharing your experience on Care Opinion. I'm so sorry to learn of the injury to your foot and I hope by now you are well on the mend.

I read your story with concern. I reply specifically in relation to your contact with NHS 24. I am sorry you were cut off, however I'm pleased to see we called you back. From what you have shared, following assessment of your injury, we passed your details to NHS Forth Valley for onward care. It would be good however to have an opportunity to review your call to us. From your story, it appears we set an expectation that you would be seen that night, however appointment capacity and availability are determined by the local Health Boards. Therefore, a review of your call would help us to understand if there is any learning for us. If you would be kind enough to contact me directly with some additional detail, then I would be pleased to arrange a review of your call. You can telephone me on 07814 29944 or email Patient.Experience@nhs24.scot.nhs.uk

NHS Forth Valley are best placed to respond to the other issues raised in your story.

I hope your injury is not preventing you from enjoying the recent good weather.

Best wishes

Shona

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Response from Tracey Archibald, Lead Nurse for Advanced Practice ED/MIU, Emergecy Departement/Minor Injuries Unit, Nhs Forth Valley 10 months ago
Tracey Archibald
Lead Nurse for Advanced Practice ED/MIU, Emergecy Departement/Minor Injuries Unit,
Nhs Forth Valley
Submitted on 17/06/2023 at 19:56
Published on Care Opinion at 19:56


Good evening Resucsi Annie

Firstly I apologise for the delay in responding to your recent care opinion. I am sorry to read your story and despite following the advice of calling NHS 24 we were unable to appoint you into our service on this occasion.

It would be good to have a chat to discuss the areas raised in your care opinion, please call me next week on 01324 566612. Hopefully I can explain how on this occasion by contacting NHS 24 you were unable to obtain a minor injury appointment, but also the benefits of using this service.

I am pleased to read that you did eventually have your wound treated and assessed in ED and I hope you have recovered fully.

Look forward to hearing from you

Best wishes

Tracey

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