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"Massive improvement in A and E services"

About: Royal Devon & Exeter Hospital (Wonford) / Accident and emergency

I have unfortunately been in the A and E many times with my family over a period of 10 years, sometimes just leaving after treatment, sometimes being admitted to wards. I've noticed a huge improvement with the new facilities; it is not just that the waiting room is lighter and brighter and bigger, but the staff are welcoming, attentive and upbeat. This was not the case in the past, where the cramped conditions and the systems in place were very stressful for both staff and patients, and we often felt neglected or unsure what was going on. The new triage and treatment system is much better- I can see that the goal is not to have most patients have beds but be treated earlier in their pathway, by the nurses and GP, which makes sense for a lot of the reasons people attend A and E due to the weaknesses in primary care. This then frees the beds and doctors up for more serious cases; but again, treating injuries in cubicles such as putting on braces rather than trying to find beds. The other very sensible thing is to get as many tests done prior to seeing the dr as possible; it made no sense for a dr to be assessing someone without any tests and then waiting hours. This has streamlined the process. There are more staff on duty, the staff seem clearer on their roles, and the staff have had communication training you can tell, as they introduce themselves in a positive and welcoming way. I also notice the staff seem much happier and less harrassed and stressed than in the past. I sincerely hope never to need to come into A and E at Exeter again, but if I do, I feel more confident that the process will be much better.

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