Text size

Theme

Language

"This is far from the experience one might have hoped for"

About: St Andrews Community Hospital / Rheumatology Trauma & orthopaedics / Orthopaedic Outpatient Service

(as the patient),

Following a referral in May 2024 by my rheumatology physiotherapist for an appointment to Orthopaedics - with regard to osteoarthritis in my hip and knee and assessment and discussion regarding the possibility of joint replacement - neither my rheumatologist nor I heard anything at all. My rheumatologist sent a copy of the original referral in August 2024 and still we heard nothing. I believe that a third copy was sent in late October 2024.  

In March 2025 I eventually received a text message with an absolutely dreadful 'portal'-type link to a new system, probably still Beta testing, which I duly followed. It seemed to relate to the referral but was very unclear. On completing the fields at the link there was no confirmation or any on-screen acknowledgment indicating that my response had been received or logged, so I phoned the orthopaedics department myself. 

They told me that the referral had only reached them in November 2024 and, given that there was a six-month waiting list, I should hear something by May, one year, not six months, from the original referral.

In mid June 2025, during another appointment which I had with the Rheumatology Physiotherapist who had originally made the referral, over a year previously, they phoned the Orthopaedic department and received no answer, so left a voice message.

I have been very happy with the rheumatology department and with my rheumatology physiotherapist, who has been very helpful and understanding.

I have not been at all satisfied with the lack of response from the Orthopaedics service.

My condition has vey significantly deteriorated during the past year and my mobility is very much further impaired, pain and discomfort increased, sleep, mental well-being, emotional state and personal relationships affected etc. and I still have heard nothing regarding the original referral. I'm also aware that, following any appointment with a consultant and on the assumption that any joint replacement is recommended, the waiting list for joint replacements is likely to be significantly long as well.

Not only the long delay but also the lack of communications, to say nothing of the original referral and second copy of same apparently 'going astray somewhere in the system' is far from the experience one might have hoped for.

I did not regard my experience with respect to the service from the Orthopaedics department as at all satisfactory, given that there has been no progress with my referral and no communication from them whatsoever in  13 months.

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Paula Dowie, Advanced Physiotherapist, Rheumatology, NHS Fife 2 weeks ago
Paula Dowie
Advanced Physiotherapist, Rheumatology,
NHS Fife
Submitted on 20/06/2025 at 14:32
Published on Care Opinion at 14:32


picture of Paula Dowie

Thank you for taking the time to feedback about your experience. I am really sorry that there has been a significant delay between referral and review in orthopaedics. The rheumatology department have been in contact with orthopaedics recently regarding our referral process. We did previously send referral letters to orthopaedics and are changing to an electronic referral system. I hope that this prevents this happening again. I am pleased to hear that you have otherwise had a positive experience with our physiotherapist and Consultant. If you would like to discuss this further please get in contact 01592 643355 extension 21294.

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Andrea Bendowski, Clinical Nurse Manager, Planned Care, NHS Fife 2 weeks ago
Andrea Bendowski
Clinical Nurse Manager, Planned Care,
NHS Fife
Submitted on 23/06/2025 at 09:32
Published on Care Opinion at 09:32


picture of Andrea Bendowski

Hi Evansu039,

I'm sorry to hear about the difficulties you have had with your referral to the Orthopaedic Service.

Can you get in touch with me so I can look into this further for you?

Andrea Bendowski

andrea.bendowski@nhs.scot

01592 643355, Ext: 20937

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Andrea Bendowski, Clinical Nurse Manager, Planned Care, NHS Fife last week
Andrea Bendowski
Clinical Nurse Manager, Planned Care,
NHS Fife
Submitted on 27/06/2025 at 18:03
Published on Care Opinion at 18:03


picture of Andrea Bendowski

Hi Evansu039,

Thank you for getting in touch and for highlighting your concerns. I hope this has helped to make things a little easier for you.

Please don’t hesitate to reach out again.

Best wishes

Andrea Bendowski

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Opinions
Next Response j
Previous Response k