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"Told to go elsewhere or come back tomorrow"

About: Victoria Hospital

I arrived at minor injuries at 7.30pm (08/08/2017).

I was surprised that the receptionist did not book me in, instead asking me what was wrong and saying they were going to get a nurse to 'assess' me.

A nurse came out to reception and asked me what was wrong. I said that I thought I had cellulitis again, possibly from an insect bite. They asked where it was and I said my toe. The nurse told me I was unlikely to have cellulitis in my toe. I asked if they wanted me to remove my shoe so they could see, which they declined. The nurse asked me why I had left it so late to come to the department. I explained that what I believed was an insect bite did not initially require treatment but that in the last hour or so, a red line had started to track across and was now half way up my foot. The nurse said that the department closes in half an hour, that there are others waiting to be seen and that they need to shut the department at some time and was unlikely to finish on time tonight and they would probably need to stay there until 9. The nurse suggested that I should have come earlier and that my options were to go to A&E, phone 111, come back tomorrow or book to see my GP tomorrow. All this without even leering my foot!

I phoned 111 when I returned home and was advised that I need to be seen within 6 hours and an appointment was made for me to be seen at Kent & Canterbury Hospital at 10pm. I was diagnosed with an infection in my left foot as a result of an insect bite and prescribed a 7 day course of antibiotics. My heart rate and temperature were also checked. I was advised on pain relief and the importance of keeping my foot raised to reduce swelling. I was in and out in 5 minutes and would have happily waited for as long as it took just to be seen.

I would never have dreamt of leaving this infection until tomorrow as suggested by the nurse for fear of developing Sepsis! I am fortunate that I have the means to travel elsewhere and know that medical advice was needed, others may have felt their concerns had been trivialised and not had the means to travel elsewhere that late.

I have visited minor injuries at Deal on 2 previous occasions, once when I had a previous case of cellulitis and once when my son injured his ankle. On both those occasions I absolutely could not fault the friendliness and service. My experience last night was quite shocking really. I felt patronised and throughly told off like a naughty child and in front of my own children... I'm 47!. It's now 3am and I'm writing this review because my foot is itching intensely and woken me up but the red line is thankfully subsiding. I appreciate that your department is busy and that staff need to go home, but the nurse could have been a little more pleasant about it and honestly if she had spent that time looking at my foot instead of just telling me off and dismissing me with a flea in my ear, I probably wouldn't have felt quite so aggrieved.

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Responses

Response from Victoria Hospital 8 years ago
Victoria Hospital
Submitted on 11/08/2017 at 16:52
Published on nhs.uk at 17:32


Hello

Thank you for taking the time to review your experience at Deal MIU on the evening of 8 August.

The Matron/Senior Nurse Practitioner has investigated your comments and would like to sincerely apologise that the staff were unable to see you on this occasion.

The Unit was particularly busy that evening with patients waiting in the department, as well as in the waiting room and there was a necessity to prioritise which patients could be seen. There is a policy that is followed from 7.30 pm when it becomes clear that there are more patients than it is physically possible to see in the time available.

As you had an illness that could be treated by a GP, rather than a minor injury that needed urgent attention, the staff made the decision that it would be in your best interests to re-direct you.

As you are aware from your two previous visits the staff work very hard and they would like to take this opportunity to apologise for the way you were made to feel. It was certainly not their intention to upset or patronise you in any way. On a less busy evening you would of course have been seen.

We are pleased to learn that you phoned 111, were seen promptly at Kent & Canterbury Hospital and given the course of antibiotics you needed. We hope you are feeling much better now.

Once again please accept our sincere apologies on behalf of the staff at the MIU. We trust this explanation has helped you to understand the reasons for their actions and the team there hope to be able to treat you and your family again in the future should the need arise.

Best wishes

Customer Care Team

Kent Community Health NHS Foundation Trust

Tel: 0300 123 1807 Email: kcht.cct@nhs.net Website: www.kentcht.nhs.uk

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