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"Treatment of scarlet fever"

About: NHS 24 / NHS 24 (111 service)

(as a service user),

I called 111 in June as I was concerned about my young son..

He started having fever of around 100 degree Fahrenheit from the Friday night. On Saturday morning, we noticed extensive rash on neck, chest, back, face. He had a fever of 100 degree Fahrenheit at that time as well. I spoke to the nurse and they advised me to continue giving paracetamol and said they did not see the need to attend out of hours GP services. The Nurse also gave the option of taking him to the pharmacist to check the rash. The pharmacist said that they were not sure of the type of rash but advised us to attend out of hours GP.

My son had about 102 degree Fahrenheit temperature when he was seen by the doctor and gave him ibuprofen immediately. He was then prescribed with penicillin and a diagnosis of scarlet fever and tonsillitis was made.

The Doctor said that it was good that he has been diagnosed at an early stage. I understand that the scarlet fever can have various complications with long term effects.

On hindsight, I feel that we should have been advised to attend out of hours GP services immediately because of the combination of the typical rash and high fever.

 I think it is important that the triage nurses should be made aware of these clinical signs and symptoms to avoid potential complications and risks to young children. My child could have potentially been put to risk and harm if he was left with this for a few days.

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 4 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 05/07/2019 at 12:16
Published on Care Opinion at 12:16


picture of Shona Lawrence

Dear Couragegj88


I am very sorry to learn your young son has been unwell with a diagnosis of scarlet fever and tonsillitis, and I appreciate that this will have been a worrying time for you. I do hope he is doing much better.

I read your story with concern and I have shared this with NHS 24 senior clinical staff. We are very keen to explore this further.

Following an assessment of a patient's symptoms by NHS 24, some patients are suitable for referral to a Pharmacist initially. Should the Pharmacist decide that the patient requires follow on care, they can refer directly to the Out of Hours service. In your son's case, we are keen to review this to understand if the referral to the Pharmacist in the first instance was appropriate. Therefore, if you would be kind enough to contact me and provide some additional detail, I can arrange a review your call to 111 to establish if there is anything we could have done differently or better. I can be contacted on 0141 337 4597 or by email at Patient.Experience@nhs24.scot.nhs.uk

I do hope to hear from you further.

With kind regards

Shona

Shona Lawrence

NHS 24 Patient Experience Manager

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