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"Concerns Around Response and Discharge Delays"

About: Royal Victoria Hospital / Accident & Emergency

(as a parent/guardian),

My son had a motorbike accident one recent Saturday and was taken in by sports medic ambulances following his crash. And that experience was extremely traumatic in itself because they were following a head injury and being knocked out and confused. They were going to just move him off the track and pull his helmet off. And that was extremely scary. The little knowledge that I have was that they shouldn't have done that.

When we come into A&E, there was nine ambulances ahead of us and there's many in behind. And the sports medics didn't seem to know that they could go in. He was also told that he would be discharged. He was going to sign himself out, but he was told he would be discharged pre-12 o'clock on the following Sunday. As we sat there, it got to around 3 and there was no sign of medication. They want us to go downstairs to pharmacy and we're still waiting on doctor's letters even before we can leave here.  So the wait to be discharged while there's another major trauma waiting on this bed is ridiculous.

The emergency dept needs support and they need to get some things happening a bit quicker so that there's a turnaround that's a bit slicker. This is part of the major delays in the whole service, the discharge and the admissions. And this is really, really, really slow and slowing up some poor person in pain in A&E to get into this ward. There are many lessons that I fear will be repeated again and again as the NHS is struggling to meet basic care needs and inefficiency is slowing things that need more effectively trained staffing. 

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Responses

Response from John Barron, Service Manager, Urgent & Emergency Care, Belfast Health and Social Care Trust last week
John Barron
Service Manager, Urgent & Emergency Care,
Belfast Health and Social Care Trust

Service Manager Adult Urgent and Emergency Care

Submitted on 06/10/2025 at 10:04
Published on Care Opinion at 10:04


Dear Motocross mum,

I’m John Barron, Service Manager for Urgent and Emergency Care. Thank you for taking the time to share your experience following your son's motorbike accident. I am sorry to hear about your experience and the delay with regarding the nine ambulances ahead of you.

I apologise for the delays you experienced in A&E, particularly around discharge and access to medication.

There are a lot of checks involved for discharging patients - notes are reviewed by the appropriate medical specialties and final checks completed to ensure the patient can be safely discharged. Letters are also written to other medical professionals such as GPs or other referrals which can take some time. Any discharge medications are prepared by the hospital pharmacy, another very busy department. Unfortunately completing all these steps for discharge can take some time. I understand how frustrating and exhausting it must have been to wait for hours.

I hope your son is making a good recovery.

Best wishes

John

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