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"Differing information"

About: Queen Margaret Hospital / Paediatrics

(as a parent/guardian),

My children were referred for blood tests to screen for coeliac disease  at Children and Young People's Unit Queen Margaret Hospital.

We were early and met by two members of staff (light blue uniform). We were only offered a cold spray before they had their blood taken. Our hospital letter did not have any information about being able to collect numbing cream before our appointment.

We were told by the staff that the cream takes an hour to work and therefore the children could not have it before their bloods. Although we had arrived early. It seemed like they were keen to finish the appointment early. One child managed to have bloods taken and the other did not. It was really not a good experience for either of them. They only allowed the child who had blood taken to choose a toy from the box. 

The staff member advised I could collect numbing cream from a pharmacy before our next appointment. However, when I visited a pharmacy they assured me they did not provide this. When we received our appointment letter this letter did contain an information sheet. The sheet told us we could collect the cream from the children and young person's unit at Queen Margaret. 

Before our follow up appointment, I visited the clinic and the staff seemed surprised I was there. After a short wait I was given the cream. Their next appointment was very smooth. There was a play worker at this appointment and both children had a better experience and crucially they managed to take blood from both children. 

The youngest child required a second appointment to have blood taken. I phoned the children and young peoples unit the week before and was told just to pop in and collect the cream. When I visited  there was no prescriber on the unit that day. There was a storm meaning appointments had changed. However, I got the impression there was not always a prescriber present in the unit anyway. 

The frustration came as the member of staff (in light blue) did not believe that the information sheet (I received in the appointment letter) said that I should visit the Children and Young People's Unit at QMH to collect the cream. The unit's dietitian believed I should get a prescription from the GP. 

This has been resolved and they are managing to get the cream for us before our appointment. This was very helpful and we are grateful. 

My main issue is the differing information we have been given along this process both in person and in print. Some staff members are not aware of the information patients families are being given. 

My child who did manage to have her blood taken at the very first appointment's bloods indicated coeliac disease. I received a phone call from a doctor who said she was confirmed coeliac and I should contact her GP. However when I contacted the GP they had to refer back to the hospital as she would need another blood test in order to diagnose the disease. 

This is another example of us being mismanaged.

Although none of this has caused actual harm, I feel I have to draw attention to this unit. 


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Responses

Response from Pauline Hunter, Senior Charge Nurse, Paediatrics, NHS Fife yesterday
Pauline Hunter
Senior Charge Nurse, Paediatrics,
NHS Fife
Submitted on 14/08/2025 at 14:28
Published on Care Opinion at 14:28


Dear Chrissy263,

Thank you for taking the time to share your detailed feedback regarding your children’s recent experiences at the Children and Young People’s Unit at Queen Margaret Hospital. I truly appreciate you bringing these concerns to my attention.

Firstly, I am very sorry to hear that your initial visit to the unit was distressing for both you and your children. I understand how important it is for children to feel safe and supported during medical procedures, and we regret that this was not your experience on that occasion.

I acknowledge the confusion and frustration caused by the inconsistent information you received regarding the availability and collection of numbing cream. It is clear that there was a breakdown in communication between staff and the printed guidance provided to families. We are currently reviewing the information included in appointment letters and ensuring that all staff are fully aware of the correct procedures, so that families receive clear and consistent advice.

I also regret the misunderstanding around the follow-up appointment and the availability of a prescriber. While the storm did impact staffing on that day, I recognise that this added to your frustration and that clearer communication could have helped manage expectations.

Regarding your child’s coeliac screening, I are sorry for the confusion surrounding the diagnosis and the referral process between the hospital and your GP. I understand how important it is for families to receive accurate and timely information, and we are working to improve coordination between departments to prevent similar issues in the future.

I am pleased to hear that your more recent appointments have gone smoothly and that your children had a more positive experience with the support of the play worker and appropriate pain relief. I am grateful for your recognition of the improvements and your kind words about the staff who assisted you.

Your feedback has been shared with the relevant teams and will be used to inform service improvements. We are committed to providing compassionate, child-centred care, and your insights are invaluable in helping us achieve that goal.

If you would like to discuss your experience further or have any additional concerns, please do not hesitate to contact us directly.

Kind regards,
Pauline Hunter

Senior Charge Nurse Children's unit VHK/QMH

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