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"An unpleasant experience"

About: Aberdeen Royal Infirmary / Radiotherapy

(as a service user),

Belonging to another Health Authority I had been advised I would need to attend Aberdeen Royal Infirmary for treatment not available at my normal care provider hospital. Initially, I was advised by my own Radiotherapy team that they had been contacted by Aberdeen stating I had missed an appointment. I was shocked as never received an appointment letter or telephone call.  It transpired that Aberdeen were using an address over 20 years old to send appointments to. This has now been rectified and after emailing their feedback team I had a productive conversation with the head of Radiotherapy and have now been reassured that the practice of not checking addresses against referrals has now been changed. Staff member only checked CHI number. I did feel concerned that not checking my address could mean that other areas of my treatment would not be properly checked.

Arriving at an unfamiliar hospital without written appointment and directions was challenging. I had been given some directions via telephone. It was an extremely long walk from the front of the hospital ( I have a struggle walking far due to side effects of chemotherapy) to the relevant department.

Once on department corridor I could see the sign for Brachytherapy but had been told to go to pretreatment area. Another very long walk but no signs as to where to go. No-one around to ask. I just wanted to turn and go home. I had travelled 3 hours to the hospital and was extremely fatigued. Luckily a friend had driven me. It was extremely daunting going into the unknown and for a procedure that was quite frightening to even think about given some previous medical issues. On arriving at pre treatment, there was no reception or directions to take a seat. I sat as was exhausted. A gentleman was about to leave this area and asked if I needed assistance. I said I was there for an appointment. He took my name and advised he would let staff know I had arrived. I confess to being quite distressed by this time and was then taken to the CT room with quite a few people(staff) there. Remember I had not met any of them before and was about to undergo a very intimate procedure. Names were given but went straight over my head. 

I was asked  name and date of birth. I raised issue of wrong address and was advised the person only checked the CHI number. A small discussion was had and I was then asked to remove my lower clothing and given a small sheet of paper to cover myself. A gown would have been a better option. Due to nature of procedure it would have been nice to have been offered a light sedative to relax me, especially given previous issues of a similar examination. I felt most uncomfortable in the surroundings especially that I was not acquainted with all the staff present and did tell a staff member that I didn't want to come back. It appeared this was quite normal and no one seemed concerned that I may find this distressing. Treatment itself did not take place after initial examination and insertion of probe and quick scan as I found it incredibly painful. 

I was advised that I would need to return the following week for 3 treatments in Brachytherapy suite. I needed to stay at the Clan centre which I booked. 

I did indeed after much soul searching return for the treatment the following week. ( Had I been local, treatment would have been once a week for 3 weeks instead of 3 in one week)  Again on my return I was extremely apprehensive 1. Because of the pain and 2 would I again be exposed to more new staff and 3 would the treatment be correct ( as they couldn't get my address right initially) . 

The two staff were friendly enough, but again no gown given. I was advised once all the equipment in place that they would leave the room to check a couple of details but would speak to me over the tannoy into room to advise what was happening. This did not happen and I was left feeling apprehensive all over again as to what was happening. I did ask at end if they had spoken to me as I had not heard anything. I was told no.

Please please do what you say! Everyone is different with varying levels of anxiety! It was horrible to be lying on a hard table half naked with no one to reassure me. I fully understand staff cannot be in room at time of treatment.

The next 2 treatments whilst still an unpleasant experience were better as I knew what to expect.

I can only hope that following my experience and advising of my journey at an unfamiliar hospital that some changes may be made to make this necessary cancer treatment slightly more pleasant and not quite so distressing for others.

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Responses

Response from Nicola Redgwell, Radiotherapy Manager, Radiotherapy, NHS Grampian 3 months ago
Nicola Redgwell
Radiotherapy Manager, Radiotherapy,
NHS Grampian
Submitted on 02/04/2025 at 10:03
Published on Care Opinion at 11:21


Dear Jewelpuss,

Firstly, it is so good to see that you’ve been able to write up your personal experience of attending our Radiotherapy Service on Care Opinion. As I’d said to you on the phone ahead of sending you the link for this, it is invaluable to hear all our service users’ voices speaking about their individual experiences. This way we know exactly how we can go further, making everyone’s journey through our Department better!

I was so sorry that you’d been caused additional stress and worry though, by having your initial appointment sent to your previous address of over 20 years ago. It absolutely should not have happened, and I can only apologise again. The good thing about healthcare processes these days is everything is moving towards paperless practice, removing so many historical errors from moving bits of paper around. In Radiotherapy we are almost entirely electronic, apart from patient letters. The problem you faced with the appointment letter that came from our Department was caused by using a historical sticky address label, printed ahead of your address change. As I explained to you, it was checked that the CHI number was right, for you being the right patient, it was just not checked against the electronic record to see your address was the same. This check is now in place for the letters we send out.

I can absolutely reassure you though that once you are in our Department, due to the nature of our work, all areas related to your treatment would always be thoroughly checked at every stage by at least two people. When a patient arrives with us, before any individual clinical procedure is carried out, the patient’s identity has to be verbally confirmed with them by 3 checks, address being one. This is because, as with any Radiotherapy Department in UK, our services are heavily legislated and also quality assured by external inspectors. Two key external inspectorates are those related to the enforcement of Ionising Radiation (Medical Exposures) Regulations and also those monitoring safety in healthcare practice, The British Standards Institution (BSI). This is external confirmation that our checks meet the high standards of practice expected within the healthcare setting.

Beyond your initial complaint though, when I spoke with you on the phone, I could hear in your voice that we could have done more to help your journey through our service. I did not want to lose any of your insight, which is why I signposted you to Care Opinion. Now I have your whole story here, I can look to fix the parts which would have made it better for you, and likely a good number of other people attending our service too. Signposting is an easy one, to make the corridors seem less long and daunting. We can also definitely look again to see what more might be possible, especially with regard to making our clinical procedures more comfortable, also feeling like more dignity is preserved. Where we ultimately can’t change these processes, due to the nature of the clinical procedures, we can ensure that we communicate what will happen and why in a format that is more easily understood by each patient.

I really do hope you can find some comfort in this reply, and feel more reassured now than you were. We are always looking to improve so can’t thank you enough for taking the time as you have to let us know about your experience. If you think of anything else, please don’t hesitate to contact me on my e-mail address: nicola.redgwell@nhs.scot. Sending you our very best wishes!

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