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"BSL interpreter accessibility"

About: Queen Margaret Hospital / Ophthalmology Victoria Hospital / Radiology

(as a service user),

I have had a difficult time with NHS Fife's BSL interpreter services. They do not seem to fully understand the challenges we face with hospital and eye test appointments. Let me explain in two parts.

Firstly, I recall several meetings with NHS Fife years ago, during which they agreed that my case notes or name in the system would have an alert indicating that a BSL interpreter is required for me. However, during a couple of appointments, they failed to provide an interpreter. I had to attend these important appointments without the necessary support. For instance, I underwent minor eye surgery without an interpreter. Despite waiting so long for the appointment, I decided to proceed, but I struggled to understand the information being communicated. This lack of communication meant I might have missed critical details, such as the risk of losing my eye during the procedure. Relying on written communication was time-consuming, and knowing how busy hospitals are, I just went ahead and hoped for the best, which is far from ideal.

Secondly, there is the issue of providing an appropriate BSL interpreter to match my needs. For example, a male interpreter for a private women’s appointment is not suitable, and the same goes for male patients needing privacy. However, they have not considered this, which could lead to potential embarrassment. I feel that they treat Deaf BSL users as if we have no individual needs, simply ticking boxes without considering patient requirements.

Lastly, NHS Fife has always refused to provide a BSL interpreter for NHS's free eye tests. During one appointment last year, I had to undergo the eye test without an interpreter. The test took about an hour, and I ended up with incorrect glasses that didn’t meet my needs, which was unfair to the optician as well. Recently, when I enquired, they told me I could use an NHS interpreter, but I would need to make the appointment and then check the availability of their in-house interpreter myself. This process would take forever, as it involves coordinating our availability. Moreover, I don’t want their in-house interpreter, as they struggle to understand me, so I requested a different interpreter, which they refused. I believe this is a breach of human rights, the Equality Act, and the BSL (Scotland) Act 2015.

Additionally, some of their communication feels like intimidation, as they seem to be pressuring Deaf BSL users like myself into accepting their in-house interpreter, even though many, including myself, have declined their services as they are not a suitable fit for my needs.

Additionally, I have made an official complaint to the patient team because I am fed up with talking to a wall. However, I gave up due to the complex English processes, which are difficult for a BSL user. The complaint process must go through the in-house interpreter, which is not appropriate as it presents a conflict of interest and lacks impartiality. For many years, NHS Fife did improve for a while, but they have recently gone downhill.

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Responses

Response from Isla Bumba, Equality and Human Rights Lead, Patient Relations, NHS Fife 9 months ago
Isla Bumba
Equality and Human Rights Lead, Patient Relations,
NHS Fife
Submitted on 20/08/2024 at 14:46
Published on Care Opinion at 15:01


picture of Isla Bumba

Hello NoFear, my name is Isla Bumba, I am the Equality & Human Rights Lead and also manage the interpreting service. I would firstly like to thank you for sharing your story with us. I am very sorry to hear of your experiences but hope I can offer some reassurance to you for your future engagement with NHS Fife. NHS Fife has made vast improvements to our BSL provisions over the last 18 months. We undertook a thorough review of our service and have made some drastic changes to our service delivery, some of which I will outline below. These changes to services have helped us move from what was a relatively rigid and inflexible system, to much more diverse and flexible provisions, with improved interpreter availability.

As you have said in your feedback, it is possible to note on your record that you require a BSL interpreter, which I can ensure is completed for you if you email us at fife.equalityandhumanrights@nhs.scot, and provide your name and DOB. It is however important that for any new referrals made by GPs (or other services) to the hospital, that you advise them to note that a BSL interpreter is required. The referral notes may override your hospital record and result in interpreters not being booked if this is not declared at that time. This is due to the primary care online systems being isolated from that of NHS Fife hospitals.

I am sorry to hear you had an eye surgery without an interpreter, this should not have happened. Whilst it is the services responsibility to book interpreters, we do recommend contacting the service directly or us by email (as previously listed), by text on 07805800005 or by BSL video call on 07483173477 (to our interpreter) to double check an interpreter has been booked, and if not, we will arrange this for you at this time.

With regards to requiring a same-sex interpreter for specific appointments, I am happy to confirm that NHS Fife have external partner agencies that we work closely with, in addition to our in-house interpreter, who are able to provide male or alternative interpreters, should the in-house interpreter not be appropriate. If you inform the service directly or contact my team, we will try to source an alternative interpreter to meet your needs.

Finally, I am sorry to hear you have found the complaints process challenging. However, I can confirm that whilst our complaints process defaults to English language, we offer face-to-face meetings to discuss your feedback/complaints in BSL, and we can do this with our in-house interpreter, or if required, we can also do this with an alternative interpreter through one of our partner agencies. We can offer BSL video calls to discuss and collect your feedback through our in-house interpreter or ContactScotlandBSL. If this is something you would like to explore further, please contact me. Additionally, I would like to offer reassurance that the NHS Fife BSL interpreter is NRCPD registered and works to their code of conduct so will always ensure impartiality.

Once again, I am sorry you have had some negative experiences with NHS Fife, this must be frustrating and disappointing for you. I hope that my response has helped improve your confidence in the flexibility of our new and improved BSL provisions. Should you wish to discuss any aspect of your complaint further, or would like support completing your formal complaint, please reach out to me on any of the above listed contacts and we would be happy to meet with you face-to-face with an interpreter. I would like to thank you once more for providing us with your personal feedback as it helps us learn and develop our services, to improve and enhance our patients journeys. We continue to work closely with our Patient Experience Team to ensure all patients have the opportunity to share their stories.

Kind regards,
Isla

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Response from Stacey Arnott, Senior Charge Nurse, Cataract Unit, Queen Margaret Hospital, NHS Fife 9 months ago
Stacey Arnott
Senior Charge Nurse, Cataract Unit, Queen Margaret Hospital,
NHS Fife

Senior Charge Nurse within Ophthalmology

Submitted on 20/08/2024 at 15:50
Published on Care Opinion at 15:50


picture of Stacey Arnott

Dear NoFear,

My name is Stacey Arnott I am the Senior Charge Nurse for the Ophthalmology service within NHS Fife. I would like to thank you for taking the time to share your experience within Ophthalmology NHS Fife and I would like to look further in to the concerns you have raised regarding your appointment for your minor eye surgery, if you are happy to contact me on fife.communitysharedcareprojectadmin@nhs.scot or 01383 623623 extension 24080 if appropriate to discuss the concerns you have raised regarding your appointment.

Kind regards

Stacey Arnott SCN Ophthalmology

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Update posted by NoFear (a service user)

Hello, thank you for your response. I am pleased to hear that NHS Fife is making positive changes; however, this has not been reflected in my own lived experience. I hope that my Deaf counterparts have had a better experience, but this has simply not been the case for me.

Whilst I appreciate that your in-house BSL/English interpreter is registered with NRCPD, this does not change the fact that she struggles to understand me. Communication is difficult, and I do not need the additional stress of attending an appointment with the fear of being misunderstood or misunderstanding what is said. With respect, as a hearing person, you are in no position to determine the quality of the interpretation. It is offensive that the views of hearing staff members are given more weight than the perspective and lived experience of the Deaf community.

I believe it would be beneficial for me to meet with the Patient Team separately from the Fife Equality Team to discuss my concerns with an external BSL interpreter due to the conflict of interest, as the in-house interpreter is employed by NHS Fife. Additionally, the Patient Team should communicate with me directly and arrange a BSL interpreter independently of the NHS Equality Team.

Response from Siobhan Mcilroy, Head Patient Experience, Corporate Services, NHS Fife 9 months ago
Siobhan Mcilroy
Head Patient Experience, Corporate Services,
NHS Fife
Submitted on 23/08/2024 at 11:20
Published on Care Opinion at 11:20


picture of Siobhan Mcilroy

Dear NoFear

My name is Siobhan McIlroy, and I am the Head of Patient Experience. We welcome all feedback, so thank you for taking the time to post your story on Care Opinion. Your insights are incredibly valuable, and we sincerely appreciate your effort in helping us understand your experience better. Through feedback like yours, we can continue to improve and provide the highest quality care to all our patients, learning from what went well and what could have gone better.

I am sorry you have been experiencing difficulties with our BSL interpreter services and your challenges are not being fully understood. I am pleased that our Equality team have reached out to you to describe our new service and all the improvements we have been making and I know there are more to come.

The patient experience team are planning to do some work to explore how we gain feedback from all our communities within Fife that use our services. I would love to understand more about your experience in greater detail. Please contact me directly if you wish to discuss your story further, and we can explore how we can use your insights for even wider learning and sharing across our services. You can email me at siobhan.mcilroy@nhs.scot and provide me with your contact details.

Your experience truly matters. Best wishes, Siobhan

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Update posted by NoFear (a service user)

Can I contact you over the phone today, please, if possible?

Response from Siobhan Mcilroy, Head Patient Experience, Corporate Services, NHS Fife 9 months ago
Siobhan Mcilroy
Head Patient Experience, Corporate Services,
NHS Fife
Submitted on 28/08/2024 at 15:11
Published on Care Opinion at 15:11


picture of Siobhan Mcilroy

Dear NoFear

Unfortunately I have no availability this afternoon or tomorrow, but I am free this Friday between 10:30-13:30hrs and you can contact me on 01592 643355 Ext 29710. Hope to speak soon. Siobhan

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