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"Standards need to improve"

About: Aberdeen Royal Infirmary Balfour Hospital / Accident & Emergency Balfour Hospital / General Medicine Balfour Hospital / General Surgery

(as a relative),

As a family, we have spent the majority of 2018 attempting to draw  the attention of NHS Orkney clinicians to my father’s health concerns.  It has been a particularly difficult time for my family.  My father fought hard to get the care he so desperately needed from NHS Orkney and NHS Grampian. 

After a period of being hospitalised when on holiday in early 2018, my father returned home to Orkney to experience what we feel was sub-standard communication and care from hospital doctors at the Balfour Hospital at NHS Orkney and his GP practice, Heilendi Practice in Kirkwall.  From April 2018, my father continually presented at his GP practice and attended hospital appointments at NHS Orkney and NHS Grampian.  Clinicians at these boards failed to provide appropriate diagnosis, medication, communication and continuity of care despite almost weekly presentations at his GP practice and hospital.  My father was badly let down by an inadequate healthcare system which removed him from vital medication for over a four month period; failed to accurately record or treat his symptoms; and provided a continual lack of joined up care and communication.  This situation is completely unacceptable.

We believe that the total lack of care my father received culminated in him suffering two strokes. He subsequently died in late August 2018.   NHS Orkney and NHS Grampian failed to provide my father with the appropriate standard of care.  This was despite my late father, mother, sister and myself continually chasing professionals based at NHS Orkney and NHS Grampian to seek their help and support.  Hospital doctors based in both NHS boards repeatedly told my parents everything was going to be OK with my father's health, yet completely failed to provide him the care and support he required.  Within an hour of leaving a hospital appointment having been told he was well, my father had his first stroke.  We were ignored by a health care system which we believe did not know what they were doing.

I have submitted a complaint about my father's care to the Scottish Government along with NHS Orkney and Grampian.  This has been followed up with another complaint to NHS Orkney over the treatment we as a family have received since my father's death.  The second complaint highlights the complete lack of care and compassion in recent communications from NHS Orkney. 

We believe standards need to radically improve at NHS Orkney.  My father was not some medication experiment. He was a patient who deserved the high quality of care we should expect as a basic human right.  Words will not bring my father back but I am determined to fight for his legacy.  I would not want anyone to go through what we as a family have experienced from NHS Orkney and NHS Grampian.  The situation has horrified and shocked us.  It has been a very stressful and anxious time for my family.  I will not stop until I see noticeable improvements in patient care in the North of Scotland: the people of Orkney deserve it.

 

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Responses

Response from NHS Orkney 5 years ago
Submitted on 21/09/2018 at 12:14
Published on Care Opinion at 17:00


Dear LRails

Thank you for taking the time to share your experience on Care Opinion. It is important for me to hear from our patients and their families and to address concerns they have about care and services provided here in Orkney.

I was very sorry to hear about the death of your father and would like to offer my sincere condolences to you and your family. I am deeply concerned to read of the experience of care you describe and I can confirm that there is an investigation underway to explore the concerns you have detailed. I will write to you as soon as I can to respond formally to your complaint. I hope that this review will help answer the issues you have raised with us and offer a resolution for you and your family.

Yours sincerely,

Gerry O’Brien, Interim Chief Executive

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Response from Linda Oldroyd, Chief Nurse for Surgery, NHS Grampian 5 years ago
Linda Oldroyd
Chief Nurse for Surgery,
NHS Grampian
Submitted on 21/09/2018 at 12:26
Published on Care Opinion at 17:00


picture of Linda Oldroyd

Dear LRails

Please allow me to pass on my condolences on the very sad loss of your father. I am very much aware of how distressed you and other members of your family must be as a result of both your loss and the poor experiences of care and communication you describe.

I understand that NHS Orkney is conducting a review of the care they delivered and NHS Grampian is part of that review.

Patient safety is, of course, a priority for all NHS establishments. Good communication is key to this. No words I can say here will ease your pain and sorrow however I would like to assure you that we will thoroughly review what happened with your father’s care and any learning will be shared across our systems and with your family.

If you feel that it would help to speak with staff from NHS Grampian then please get in touch. I can be contacted by telephone on 01224 559259 or by email at loldroyd@nhs.net

Once again, I am sincerely sorry for your loss.

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Update posted by LRails (a relative)

Thank you both for responding to my post regarding my late father's care.

As my first complaint to NHS Orkney and NHS Grampian was in July and we are now into late September, I would like to understand what stage you are at in producing a written response to the serious concerns I have raised with both boards?

I would also like to bring to your attention a section of the complaints procedure NHS Orkney sent to me which outlines:

"Staff will write to you with a full response within 20 working days of receiving your complaint at the investigation stage".

I don't need to affirm to you that we are now well over 20 working days and I am yet to receive a detailed response to the specific issues I have raised. This causes me some concern that you are now in breach of your own complaints process. I want to bring this to your immediate attention and have also contacted you directly via email.

Response from Linda Oldroyd, Chief Nurse for Surgery, NHS Grampian 5 years ago
Linda Oldroyd
Chief Nurse for Surgery,
NHS Grampian
Submitted on 27/09/2018 at 17:04
Published on Care Opinion on 28/09/2018 at 06:54


picture of Linda Oldroyd

Dear LRails

I understand you are anxious to receive the response to your complaints and I apologise for the delay. When complaints cross Board territories this can cause delays in collating an overall response. I think you have been sent an interim letter to explain this. I have asked that my colleagues respond to the NHS Grampian aspects of the complaint while we wait for the NHS Orkney review.

I am very sorry that we are adding to your distress with these delays but it is important that the issues are reviewed thoroughly.

Please get in touch if I can be of any help.

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Update posted by LRails (a relative)

Dear Linda

Thank you for responding to my further comments. I appreciate Significant Adverse Event Reviews take time to complete. Since your response, I have also received further clarification from NHS Orkney's Improvement team clarifying and reiterating their timeline to complete this review. In this letter they also stress the importance of family engagement in this process.

However, it is rather unfortunate the improvement team contacted me one week after my father's funeral to ask if I and my family were willing to engage with a panel of experts based at NHS Orkney. As me and my family were very recently bereaved, I think it was highly inappropriate to contact us so soon after my father's untimely death. This was particularly poor timing when six weeks had already gone by with no request from this panel of this nature.

I have subsequently complained to NHS Orkney to alert them to their lack of sensitivity in recent communication. I have also suggested this may be an area of focus for further improvement work so they can ensure they demonstrate the NHS values of care and compassion in all future communication with patient families.

I am sure we are both in agreement we want to make the Significant Adverse Event Review as robust as possible. We as a family are now in the process of securing a date to engage with the NHS Orkney panel of experts. We wish to fully contribute to discussions surrounding my late father's care. We are keen to hear your response and will then, as a family, consider potential next steps with the ombudsman.

I thank you for taking the time to respond to me.

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