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"Can't they just offer care and support without a heavy hand"

About: Community Services / Home Assessment Recovery Team (HART) Perth City Occupational Therapy / Community Rehabilitation (Perth City) Trauma & Orthopaedics / Trauma Admissions Unit (Ward 18)

(as a relative),

My dad was released from Ninewells hospital at the end of September after a fall and a hemiarthroplasty. The discharge team deemed him suitable to be released. My siblings were not called to say he was being taken home in an ambulance - and a neighbour who had a key, had to let him in. He is in his 90s and lives alone! My neighbour had to call me to say he was home.

On release the care package was only for a morning and tea time support.  He was left with a zimmer and no support to get him into a bed and sat in a chair for 2 days until the assisting aid to support his leg into bed was delivered. He had no support to use the toilet for at least a few days - and was eventually provided with a frame around the toilet. He was and is still unable to wash himself and dress himself and has lost all confidence in the home. At this time he was forgetting to take his medication and became incontinent.

His care package was changed to 4 times a day - thankfully - but I work full time and still find myself having to wash and change my dad in between carers visiting. No physiotherapist has arrived at yet to to go through his exercises and he is struggling badly. And he was not shown how to get in and out of bed until OT arrived. Lesley has been a life saver.

He feels very anxious that the carers are pushing him to do too much and he has only been out of the hospital not even 2 weeks. He is confused as to what they are expecting as we were told he would receive care for 6 weeks to support him with recovery and gain confidence. I appreciate the service is stretched but I am not impressed with what seems a catalogue of disasters, and why do they have to push my dad and make him feel stressed about his abilities. Before this fall my dad was extremely independent and we would all like him to be back to his old self - but please can't they just offer care and support without a heavy hand.  

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Responses

Response from Kelly Barrett, Clinical Care Group Manager, Orthopaedics, NHS Tayside last month
Kelly Barrett
Clinical Care Group Manager, Orthopaedics,
NHS Tayside
Submitted on 13/10/2025 at 10:17
Published on Care Opinion at 10:19


Dear KAngus,

I am sorry to hear of the challenges your dad has faced since his discharge from hospital, can I ask you to contact our feedback team at tay.feedback@nhs.scot including name & chi number or date of birth to allow us to review what has happened with the relevant teams?

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Response from Karen Blackwood, Admin Services Manager, Orthopaedics/TORT, NHS Tayside last month
Karen Blackwood
Admin Services Manager, Orthopaedics/TORT,
NHS Tayside
Submitted on 13/10/2025 at 10:23
Published on Care Opinion at 10:23


Dear Kangus, I am extremely sorry to hear of the concerns you have raised and it would be helpful if you could contact me directly with further details so that the team can investigate this further.

Kind regards

Karen Blackwood

Admin Service Manager

Trauma and Orthopaedics

(01382) 496342

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Response from Perth & Kinross Council last month
Submitted on 13/10/2025 at 11:21
Published on Care Opinion at 11:29


Good morning

I am sorry your father has not had a great experience on discharge. Hart and Community Rehab team are involved and working with your father. His package of care was increased to support his needs, when issues were highlighted. We at Hart are a Reablement team and will encourage your father to do as much for himself as possible to regain the independence he had prior to hospital admission, if possible. If your father is finding this a bit much we are happy to have a chat to resolve any issues. Please do not hesitate to contact your father's key worker or Coordinator to discuss further.

kind regards

Jackie

Response from Julia Cangulen, Occupational Therapist (Team Lead), Occupational Therapy, NHS Tayside last month
Julia Cangulen
Occupational Therapist (Team Lead), Occupational Therapy,
NHS Tayside

Community Rehabilitataion Team covering Perth City

Submitted on 13/10/2025 at 12:55
Published on Care Opinion at 13:17


picture of Julia Cangulen

Dear Kangus

Sorry to hear you have had a difficult experience with your fathers discharge.

Now that the care package has increased and Lesley (OT Support Worker) continuing work with your father he will hopefully get back to his pre-admission level with his day to day activities. Lesley is very experienced and will ensure that any changes will be communicated with you as she supports your fathers recovery journey.

Kind Regards

Julia

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