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"Paediatric hospital admission"

About: Adult Health & Support Services / Primary Care Out of Hours Airdrie Locality Support Service / Health Visiting Team General practices in Lanarkshire Wishaw General Hospital / Paediatrics wards (19 & 20)

(as a parent/guardian),

My nearly 3-year-old son was experiencing what appeared to be cold/general viral symptoms. I did as we parents are always told, and followed NHS Inform guidelines, checking temperature regularly, administering Calpol for temperature, and giving fluids and rest.

After several days, I accessed the Pharmacy First service and received a linctus for his cough, more Calpol and eye drops for bad conjunctivitis. My son's symptoms worsened steadily but I feel now (and I am certain I am not alone) that the general rule of thumb is don't bother the GP with a virus - it will get better on its own.

Eventually, I could not wait any longer and called NHS24, because symptoms were persisting too long and getting worse. We presented at Hamilton Out of Hours, where my son was examined (I use that word loosely because all that the doctor did was take his temperature and query when he last had Calpol). He was found to still have a temperature so was given ibuprofen. They did not check his oxygen saturation.

The doctor was sufficiently worried so they attempted to contact Paediatrics at Wishaw General, without success. Then it was suggested that we might be sent to face an horrendous wait at A&E. Finally the Out of Hours doctor got through to Wishaw Paeds and we were told to present at Ward 19, Wishaw General.

I am a lone parent and was there alone with a very unwell child. I had to ask for assistance to watch my son while I brought the car round at Out of Hours, so that my son didn't have to walk too far again. I then drove us to the hospital, and we had to walk from the car park because I could not carry him that far.

The Nurse who first examined him was shocked to discover that his oxygen saturation was below 90. Doctor diagnosed pnemonia and flu, and said my son would be admitted into isolation in ward 20, on oxygen via nasal cannula, antibiotics and antivirals. We should have been brought there in an ambulance.

While I must say that many of the nurses on the ward were very good (especially the admitting Nurse in Ward 19, who was wonderful, gentle and kind), there was a frighteningly lax policy of leaving the medicines with family to administer, while recording it as having been taken. I feel this is unacceptable. More than once my son refused the medication and we were offered no help to administer. Then nurses seemed surprised later when medicine had not been taken.

One day I asked the rounding doctor if I could use the ward bath to bathe my son (he had not agreed to be washed for days, which is unusual). My son is given a bath every day at home but is scared of the shower. She agreed, as did a nurse the following morning. When the bath was run, I then received admonishment from a health care assistant who stated we should not be using the ward bath when my son has flu A and they would have to clean the room afterwards.

As an ex student nurse, I fully understand the importance of infection control. But my son had been through enough, and surely the request should have been denied in the first place if it was such an inconvenience. They seem to stick to whatever protocols suit at the time.  I have a disability and asked for assistance to stay there with my son (without worsening my own symptoms by sleeping on the parent cot), but none was forthcoming. I also had a chest infection (my cough was noticed and commented on by staff) but I was neither examined or treated until I got home and called my GP, who is always very helpful.

My son was finally discharged nearly a week later and has displayed utterly unmanageable symptoms of PTSD ever since. He will barely let me near him to change a nappy. He screams, shouts and kicks when anything to do with basic needs arises. I called my GP and spoke with a doctor who first rubbished my concerns regarding trauma, stating it had only been a few days. I persisted and finally they gave me the number for Infant Mental Health, which they said would accept self-referral, and stated that it is the only applicable service. I called the number and IMH said my son is too old for the service and in any case, they do not accept self-referral. I called the health visiting team and still await a call back.

As parents, we are continually reminded that early intervention is key for adverse childhood experiences, but when they occur, it appears that there is no help. I am, in the main, absolutely disgusted with the sequence of events which occurred here, and the damage to my son which may well be irrevocable. I expect a full reply, as well as signposting to some assistance for my son's trauma. 

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Responses

Response from Jackie White, HV Team Leader , Airdrie Health Visiting Team, NHS Lanarkshire 2 months ago
Jackie White
HV Team Leader , Airdrie Health Visiting Team,
NHS Lanarkshire

Health Visiting Team Leader

Submitted on 09/02/2024 at 15:35
Published on Care Opinion at 15:42


Thank you for sharing your experience with us. We appreciate your feedback and apologise for any negative experiences you have had. We understand the importance of providing support, especially during challenging times for lone parents like yourself.

We take this feedback seriously and have investigated the matter to ensure that appropriate steps are taken to rectify any shortcomings in the health visiting service. Thank you for taking the time to speak with me when I called and I believe your named health visitor has now been in contact to offer support, our goal is to continuously improve the service we provide to our families, and your feedback helps us in that process.

If you would like to discuss this matter further or have any additional concerns, please do not hesitate to reach out to our office on 01698 753101. We are committed to addressing any issues and ensuring that you receive the support you need. Thank you once again for bringing this to our attention.

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Response from Marie McCardie, Deputy Associate Director of Nursing, Ward 19 & 20 UHW, NHS 2 months ago
Marie McCardie
Deputy Associate Director of Nursing, Ward 19 & 20 UHW,
NHS
Submitted on 09/02/2024 at 16:31
Published on Care Opinion at 16:45


Thank you for taking the time to share your experience. I am sorry to hear how you and your son felt whislt in the care of our paediatric ward. Feedback is greatly appreciated and we are currently investigating your concerns and will liaise with our patient affairs department to get a response back to yourself. Thanks once again for bringing this to our attention.

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Response from Pamela Buddy, Service Manager, South Lanarkshire Health & Social Care Partnership 2 months ago
Pamela Buddy
Service Manager,
South Lanarkshire Health & Social Care Partnership
Submitted on 09/02/2024 at 17:09
Published on Care Opinion at 17:10


picture of Pamela Buddy

Sorry to hear about your recent experience when your son was unwell and you had to attend the Primary Care Out of Hours Centre at Douglas Street, Hamilton.

Thank you for taking the time to share your story and I believe this is being picked up by our Complaints and Enquiries team.

I hope your son's condition is improving, take care.

Regards, Pamela.

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Response from Jennifer Montgomery, Improvement Coordinator, Quality Directorate, NHS Lanarkshire 2 months ago
Jennifer Montgomery
Improvement Coordinator, Quality Directorate,
NHS Lanarkshire

Operational Lead for Care Opinion in NHS Lanarkshire

Submitted on 15/02/2024 at 00:16
Published on Care Opinion at 00:16


picture of Jennifer Montgomery

Dear KaMc33,

Thank you for sharing your experience on Care Opinion of your GP practice.

I am sorry to hear that you feel your concerns about your son were initially dismissed by the GP. I am also sorry that incorrect information was given to you about age of children seen by Infant Mental Health and being able to self refer. I am glad you have reached out to the health visiting team and I hope you receive a response soon and can get support for your son's sudden change in behaviour.

GP’s are independent contractors and are responsible for investigating and responding to any concerns a person may have about the service; they are not registered to respond directly to feedback through Care Opinion. Can I please invite you to contact the Practice Manager if you would like a direct response about the service.

I hope your son is recovering well.

Kind Regards,

Jenni

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