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"E-consult difficult to navigate"

About: General Practices in Grampian Royal Aberdeen Children's Hospital / Accident & Emergency (Emergency Care)

(as a parent/guardian),

I recently phoned my GP practice during opening hours for advice as my child had a minor injury following a bike accident and wanted to know whether to go to A and E or whether a video consult with GP may do.  Reception advised me to fill in the e consult form and look for the section 'Get help for my child'. I dutifully did look on there and found no reference to injury/accident.  My child was in pain and I should probably have trusted my instincts and gone straight to A and E which I did in the end. 

I eventually found an e consult form to complete on my child's behalf which took an absurdly long amount of time to complete, and anxiety provoking.  I submitted this and an hour later received an email advising that I should take my child to A&E.

In ordinary times if I phoned my GP practice reception staff would probably have used an algorithm to advise me over the phone what action to take. 

I can't fault my medical practice as my experience of them over the years has been excellent - extremely kind, caring, professional.  I just felt this e consult de-personalised the experience of care.

My child was checked over in A&E RACH and turned out to be fine.  The staff there including reception, nursing and medical were great and had a candid, professional manner which instantly put me and my child at ease.  In times of COVID19 the waiting areas were clean with clear social distancing signage.  We felt safe and were in and out within an hour.

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Responses

Response from Kirsten Dickson, Quality Improvement and Assurance Facilitator, Quality Improvement and Assurance Team, NHS Grampian 3 years ago
Kirsten Dickson
Quality Improvement and Assurance Facilitator, Quality Improvement and Assurance Team,
NHS Grampian
Submitted on 10/08/2020 at 16:37
Published on Care Opinion at 16:37


picture of Kirsten Dickson

Thanks for your story Marydog – I'm sorry it has taken me so long to get back to you!

I’m glad to hear you and your son's experience at RACH A&E was good and the staff there helped you both feel at ease with what was happening. They will be delighted to receive your feedback.

When your child is in pain and you are worried about them it can be tricky to know what to do for the best – and I can completely understand the need for clear information and a quick response. From your shared experience it feels like person to person contact was underestimated, and in this situation, directing you to the eConsult system was not the best way forward. I’m sorry it caused you further anxiety.

Interestingly, I notice 2 other people have had a similar experience and I have shared your story with the eHealth team for reflection. I also wondered if you would mind sharing the name of your GP Practice so I can share the story with them too? Most of the GP Practices in Grampian are independently run and don’t regularly access Care Opinion.

If you would like me to forward your story to them please get in touch with me by email: kirsten.dickson@nhs.net

Take care,

Kirsten

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by Marydog (a parent/guardian)

Dear Kirsten,

Thank you for the heartfelt response and for listening. It is reassuring to know that mine and others feedback on the experience of e consult is being listened to and acted on. I had a further 2 negative experiences since this story when it alarmingly directed my to A&E for no seemingly good reason on both occasions and ended up having to go through telephone screen with GP reception.

My medical practice is Peterculter on Coronation Road. I had a further experience of e consult today.

thanks again and for passing on my feedback to the hard working staff across the NHSG.

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