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"I felt this was not the appropriate advice"

About: NHS 24 / NHS 24 (111 service)

(as a parent/guardian),

My daughter was recently assaulted. I knew how busy the hospital is so contacted NHS 24 to enquire about her being seen as I was worried she may have had a broken bone. I assumed they would arrange an appointment for her at Minor Injuries.

I waited over 40 minutes to speak to a call handler who then passed me to a nurse. I had to wait a further 20 minutes to actually speak to the nurse, to be told someone from FVRH would phone back.

2 hours later a Clinical Nurse adviser called me say they needed to speak to my daughter directly and advised theywould call back in 10 minutes. 3 1/2 hours later they still hadn't called back. After a further 15 minute wait to get through to NHS 24, we were told the advice was to take her to A&E, although they warned us that there was an 8-10 hour wait so we should only go if we really needed to. The whole point of phoning NHS 24 was to avoid taking up valuable A&E time and to avoid sitting there for 10 hours with my traumatised daughter. 

As a nurse myself, I explained to NHS 24 that I had assessed my daughter and felt she needed an x-ray so could they maybe arrange an appointment at MIU as I knew you were not supposed to attend without an appointment. I was then given the same advice about attending A&E where we would face an 8-10 hour wait, so we should only go if it was urgent.

As I had explained, I didn't feel it was urgent enough to warrant an A&E admission, however I did feel she needed an x-ray, I felt this was not the appropriate advice.

With FVRH in the crisis, precarious situation it is in, I feel there could have been a better option than just telling us to go to A&E. What is the point in triaging through NHS 24 if their advice is just to pass it to the already over capacity A&E and encourage people to sit there for in excess of 10 hours?

Surely a better answer would have been to arrange a MIU appointment or even a rapid access x-ray which could then have been followed up at FVRH if appropriate?

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Responses

Response from Stephanie, Patient Experience Officer, Nursing and Care, NHS 24 2 months ago
Stephanie
Patient Experience Officer, Nursing and Care,
NHS 24

Manages patient feedback

Submitted on 26/02/2024 at 16:39
Published on Care Opinion at 16:46


picture of Stephanie

Dear kayla2022

I'm sorry to learn you required to contact NHS 24 on behalf of your daughter, this sounds like a very worrying time for you both. I do hope she is recovering well.

NHS 24 are aware that at times, due to demand, wait times to access the 111 service are longer than we would like and absolutely appreciate this is not a good experience when people are worried or anxious about their health or that of a loved one. Please be assured we are working hard to improve this by ensuring our systems and processes are as efficient as possible. Patient safety and a positive patient/caller experience remain our top priority.

It may be helpful to explain that after contacting NHS 24, any onward care, including phone calls and appointments, are organised by a Hub which is managed by your local Health Board, therefore NHS Forth Valley would be best placed to respond in regards to your call back.

I understand your frustrations regarding your second call to 111 and if you would be kind enough to email our Patient Experience Team with some additional detail we would be keen to explore this further. You can reach us at Patient.Experience@nhs24.scot.nhs.uk

Thank you for sharing your story on Care Opinion.

Best wishes

Stephanie

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