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"Virtual Accident & Emergency Process Minor Injury"

About: NHS 24 / NHS 24 (111 service) NHS Greater Glasgow & Clyde / Flow Navigation Centre

(as a relative),

My Dad is in his 80s and recently gave himself a bad cut/gash while putting away a hedge trimmer. I knew it wasn't an emergency as such so no need for A&E, however he would need to see a nurse practitioner in minor injuries clinic as I thought it needed glued/butterflies.

I called 111 to find out the process. I called @ 130pm, advised on automated system, there was a waiting time of approx 25 minutes on the phone for a call handler. This was fairly accurate and my call was handled by Neil, who was lovely and very friendly & efficient and helpful and put me at ease that I was onto the correct process and that he would get me to a nurse on the phone soon.

I waited a further 20mins for said Nurse, who then listened to the situation and said Dad would need to be seen as he is on blood thinners and I would get a call regarding an appt.

It is now 3:30pm and I am waiting on a call back.  Gets a call back within 20 mins to be told they would send a link for a virtual appt via a Teams Link.

My dad is in his 80s and has no understanding of technology. I am not sure what the process would have been if I wasn't with him and able to help with this part of the process.

Anyway, dials into the virtual appt at the time given, 5:20pm. Nurse was lovely/friendly/chatted to dad on the video and agreed he had to see someone in person but all face to face appts for Minor Injuries were gone for the day.

I wasn't best pleased, the majority of my afternoon spent on the phone to NHS 24/nurses/etc,  however, as it wasn't an emergency we agreed an appt time in the morning @ 11:00am...

Dropped Dad off at the door of RAH Accident & Emergency at 10:45am so I could park car.  At approx 11:45, yes 1 hr later, I asked at reception regarding said appt as I was now over 1 hour since said appt, only to be told there is no appt system for Minor Injury Clinic, it's just sit and wait your turn. 

I was absolutely raging by this point.... not at the staff on reception/hospital but for the people I had spoke to previously who failed to advise this. I spoke to 4 people the previous day and not one of them advised that the new process was not appt based... I was led to believe I had an appt time therefore my expectations were not met.

Dad was eventually seen @ 12:30 - over 1.5 hours since his appt time. Yes that is rather quick if in Accident & Emergency, but not when your expectations are an appt at 11. 

I can't fault any of the staff at the RAH, they were all so helpful, friendly & caring. However, whoever in the offices that has designed this process has to make sure that patients are not misled into thinking they have an appt... it's not like the old Out of Hours dept that was once over in the other part of the building, you were given a time slot and seen as best you could to that time. 

This new Virtual Minor Injuries process is a great idea, however, it's on the back of a very under staffed and very busy Accident & Emergency dept, therefore if the nurses in Minor Injuries clinic are required in A&E they are used and the queue in MIU is then building up.  Patients are not advised of this and led to believe it's separate to Accident & Emergency...

The caring waiting area that is spoken about in the advert is not the case... Your still sitting in a vulnerable Accident & Emergency Waiting area that needs to be staffed by Cleaners regularly.... sick bowls & paper towels lying all over the place and not picked up in the 2 hour slot I was there.  

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Responses

Response from Edward Pool, Lead Advanced Nurse Practitioner, Flow Navigation Centre, NHSGGC less than an hour ago
Edward Pool
Lead Advanced Nurse Practitioner, Flow Navigation Centre,
NHSGGC
Submitted on 11/08/2025 at 12:44
Published on Care Opinion at 12:44


picture of Edward Pool

Dear Lynn273,

Thank you for using Care Opinion to let us understand you experience of using our services. First of all, I'm sorry to hear of your Dads injury. The injury from the hedge trimmer sounds really unpleasant and the added stress of being on blood thinners would only add to the impact for both of you. I hope that the injury is healing well without any further problems.

I would also like to thank you for following the advice to contact NHS24 and attempting to access care in a scheduled way. You have raised concerns around processes that are valuable for us to hear. I'd like to let you know a little information and update around some of them.

First of all, it is really helpful for the clinicians in the Flow Navigation Centre, who conduct the video consultations, to be able to see patients to assess their wellness and also to visualise any injury. We appreciate that this isn't always possible and that not every patient will be able to fully engage with a video consultation. In these cases we will make contact by telephone and progress from there. We would still have made contact with your dad and provided a consultation, your ability to help with the video call would almost certainly have elevated the level of consultation.

The Flow Navigation Centre are working closely with the Minor Injury service at the RAH. I see you were given an appointment time to attend. I can reassure you that this was issued in good faith by both services. I can only apologise that this process did not work out for you in the way that we all would have hoped. Can I also apologise for any mixed messaging you received.

As a result of you feedback we are reviewing appointment availability with the managers, clinicians and admin teams at the RAH, and also taking steps to avoid any future patient receiving mixed messaging. I agree that the experience for you and your dad was not what we would have hoped for and I would like to apologise for that. I am confident that we can improve appointment availability and the overall process for future users of our service, thanks to you feedback.

If you would like to have further discussion around your feedback or any other aspects of your experience then we are very open to this. I can be contacted by email edward.pool2@nhs.scot, should you wish to arrange a time to speak.

Please pass your dad my best wishes and thank you once again for making contact.

Best wishes

Ed

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