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"Lack of community resources, bed blocking and unsafe bed space"

About: Royal Cornwall Hospital (Treliske) / Trauma and orthopaedics

(as a service user),

Have had 7 operations on my hand and been on antibiotics since October. Staff on trauma, in theartre and hand clinic have been amazing. Had my finger amputated to stop spread of infection. Infection finally identified and further surgery. Treatment to be IV antibiotics  3 times a day. I am completely mobile and self caring. Consultants plan for me to go home with meds administered by Acute Care at Home. They do not do 3 visits a day and so no community or primary care services will do this. I am therefore an inpatient on trauma 2 at RCHT, where I am blocking a bed. 

My bed has been fitted into the middle of the ward in front of a fire exit. It has no privacy for either myself or those in the other beds on the ward. There is nowhere to sit, no light over the bed and no equipment in case of an emergency.

This is very unsafe, not just as a patient but for staff as the space for them to work is so restricted.

This is my 3rd admission in 3 months. Each time I have been in the same bed on the same ward so this is not looking like a temporary measure.

The acute care I have received has been great and the staff amazing, but the facilities and the conditions the staff are expected to work in are terrible. They should not be firefighting and dealing with crisis intervention all the time.

The hospital in under so much pressure  which management seem to pass on to the staff. The approach needs to change and some joint working with primary care and community services needs to be a priority. 

I have been in and out of hospital on numerous occasions. I have never seen it this bad, patients being moved around wards all night long in order to try to create space, including some very poorly patients being transferred to the discharge lounge when they are clearly not going to be fit to discharge, often with the families even being consulted or informed.

The safeguarding issues alone are unbelievable.

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Responses

Response from Michaela Johnson, QI Manager, Quality Improvement, Royal Cornwall Hopitals NHS Trust 2 months ago
Michaela Johnson
QI Manager, Quality Improvement,
Royal Cornwall Hopitals NHS Trust
Submitted on 11/03/2025 at 11:33
Published on Care Opinion at 11:43


picture of Michaela Johnson

Dear Fingersaga,

My name is Michaela, and I am a Quality Improvement Manager here at Royal Cornwall Hospital’s NHS Trust. Firstly, thank you for taking the time to share your story and I apologise for the delay in getting back to you. I am pleased to read that you have received great care from colleagues within Trauma, Theatres, and the Hand Clinic. However, I am sorry to hear that you were in a bed on the Trauma Unit in the middle of the ward meaning you and others had no privacy.

Like many hospitals, due to the need to support more patients needing acute care we as a Trust made the difficult decision to open temporary beds such as you describe, and we are fully aware this is not providing the care that we aspire to give all our patients and makes it difficult for our staff also. I would like to reassure you that although this is not how we would want to provide care to patients, all of the temporary bed spaces have been fully risk assessed and our colleagues ensure that any patients admitted to these beds will be safe and we do our upmost to try to ensure that they are not in that particular bed for the duration of their stay.

I am currently working with many clinical colleagues throughout the hospital to reduce and close all our temporary beds, as this was not a decision that was made to be permanent but to help our staff care for more patients during a time of greater need. We have also been working collaboratively with our community partners to support patients being discharged home as soon as they are fit to do so with the right support for them in place once home.

None of the above is a quick fix for the situation you described but I would like to assure you that everyone is working hard to make things better, ensuring our staff can continue to support our patients by providing the care they deserve.

I would be happy to discuss further if you would like to and provide additional information on how we are progressing in reducing and removing these bed spaces; if this would be helpful then please do contact our Patient Experience Team by emailing rcht.patientexperience@nhs.net, noting this story and they can share your details with me.

Thank you again for sharing your feedback and I hope that you are continuing to recover well from your operations on your hand.

With kindest regards,

Michaela

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