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"NHS24 & A&E waiting times"

About: NHS 24 / NHS 24 (111 service) Royal Infirmary of Edinburgh at Little France / Accident & Emergency Scottish Ambulance Service / Emergency Ambulance

(as a relative),

One morning my grandad had a fall outside his garage and split open his head. A neighbour had found him lying on the ground and helped him inside the house and called NHS24 to receive some advice on the best action to take. The member of staff who answered the neighbour's call, advised him that he should take my grandad, who is 86 and with an open and heavily bleeding 6 inch wound on the back of his head, to his local GP. I am not an NHS specialist however I am fully aware that taking an elderly man who has fallen and split open his head to his GP would not be the most appropriate action. His neighbour however followed the staff members advice and got a taxi with him to the surgery.

When he arrived, the doctor, as predicted, said there was nothing he could do and that stitches/staples would be required as well as further tests. The on call doctor cleaned the wound as much as possible and said that he would need to go to hospital but sent him home to wait on the ambulance which they apparently called. I don't know why the ambulance couldn't have been called to the surgery.

By this point, my grandad's neighbour contacted my mum and myself to let us know what had happened and that they were at home, waiting on the ambulance. Both myself and my mum left our work early and arranged to meet my grandad at the hospital. However 4 hours later, an ambulance still hadn't turned up and my mum had to take him to A&E herself. Once they arrived at A&E, my grandad was left to sit for a further 5 hours until his wound was cleaned and stapled. At about 9pm at night after waiting over 10 hours on proper treatment, he was eventually checked over and we were informed that he wouldn't be able to be alone in the house for the next 24 hours due to his head injury and therefore my brother had to stay with him that night.

Given his age and the size of the wound, I find it hard to believe that someone with a broken finger was more of an emergency than a head injury. I am absolutely disgusted in the lack of urgency and the length of time it took for my grandad to have proper treatment and also with the service received from NHS24.

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 6 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 07/09/2017 at 16:01
Published on Care Opinion at 16:10


picture of Shona Lawrence

Dear Aprilll

Thank you for sharing your granddad's experience via Care Opinion. I was very sorry to learn of his accident and I fully appreciate why you have felt the need to share his story with the services involved. I do wish your granddad well and hope that he is on the mend.

From an NHS 24 perspective, we are keen to fully explore your grandfather's contact with our service. Some additional detail from you would enable us to review the call made by your neighbour. Should learning be identified for us, then please be assured that this would be progressed. Therefore, I would be pleased if you could contact our Patient Affairs Team directly on 0141 337 4597 or by email at patientaffairs@nhs24.scot.nhs.uk

The other areas of your granddad's care relate to NHS Lothian and the Scottish Ambulance Service and I am sure my colleagues in each Health Board will read your comments with concern.

I appreciate that this will have been a traumatic experience for you all. I do wish everyone well and look forward to being able to explore your comments further.

With kind regards

Shona

Shona Lawrence

NHS 24 Patient Affairs Manager

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Response from Jeannette Morrison, Head of Patient Experience, NHS Lothian 6 years ago
Jeannette Morrison
Head of Patient Experience,
NHS Lothian
Submitted on 07/09/2017 at 16:26
Published on Care Opinion at 16:30


Dear Aprilll

Thank you very much for sharing your experiences with us about your grandad's fall and like Shona l was really sorry to read what happened. I appreciate that this has been an anxious time for everyone and hope that your grandad is feeling better.

I am sure the clinical team would be keen to hear more about your grandad's experiences whilst he was in the Emergency Dept and if you feel comfortable would be grateful if you can please contact the Patient Experience Team so that we can get some more details about your grandad:

Email: feedback@nhslothian.scot.nhs.uk

Telephone: 0131 536 3370

In the meantime l have shared your feedback with the team at the Royal Infirmary who I am sure will be disappointed to read what has happened and once again can l say how sorry I was to read what has happened.

Kind regards

Jeannette

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Response from Martin Esposito, Consultant Paramedic - Major Trauma, Clinical Directorate, Scottish Ambulance Service 6 years ago
Martin Esposito
Consultant Paramedic - Major Trauma, Clinical Directorate,
Scottish Ambulance Service
Submitted on 07/09/2017 at 16:33
Published on Care Opinion at 16:41


picture of Martin Esposito

Dear Aprilll


I was really sorry to read about your granddad's experience after his fall. It sounds like it must have been an extremely frustrating experience for him and for the rest of the family. We do work hard with our other NHS partners to try and ensure a joined up approach to health care. I am so sorry that this does not appear to have happened for your granddad.

Similarly to Shona, I would be really interested to look into this case in more detail so that I can try and find out what happened, give you some answers and ensure we learn from this case.

If you are able to provide some more details you can me on 0131 314 0003 or at martinesposito@nhs.net

I do hope that your granddad is making a good recovery.

Take care

Martin.

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