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"Basic lack of care"

About: East Of England Ambulance Service NHS Trust / NHS 111 Holbeach Medical Centre Pilgrim Hospital / Accident and emergency Pilgrim Hospital / General medicine

(as a relative),

My sister was admitted to Pilgrim Hospital, after a 5 hr wait for an ambulance ordered by NHS 111 service, which never arrived, so taken in by her son - initially let down by her GP practice, after suffering constant vomiting for 3 weeks.

She was taken onto a ward the same evening, but nothing was done over the weekend she had to wait until Monday before being properly assessed, and told she was to be given anti-sickness medication & discharged after a scan for which she already had an appointment booked as an out-patient.

Her son was unhappy with this, so put a report in to PALS, due in his opinion, to the lack of care she was receiving, and also the lack of communication to him concerning her treatment.

After contacting PALS they actually started treatment, she finally had her scan, followed by endoscopy and biopsies a few days later, but she's still waiting for them to decide on a course of treatment. In the meantime, my sister is getting progressively weaker with very low blood pressure due to lack of fluids because of the vomiting. She will never complain to hospital staff herself, if asked how she is, her standard reply will be "I'm OK" even when she's feeling very ill.

Over a week later, totally unrelated to the reason she was admitted (but another health issue of hers), she phoned her son up to say she thought her hip had "popped out".  Followed by another call at 2am, crying in excruciating pain and feeling very scared and lonely.  Her son tried to call the ward, but no one answered. Later that morning he called the ward for an update, to be told his mother had "had a comfortable night"! So he told the nurse he knew differently, and was fobbed off with excuses about having been given the wrong info. They rang him back and told him his mother had been feeling sick earlier the previous evening; so still incorrect information as she's been feeling sick and actually vomiting for almost 2 months now, but there was no mention of the pain from her hip, at that time! Seems that no one wants to take responsibility!

The whole family are getting increasingly concerned for her welfare, she's not answering her phone or replying to texts, and if she does, she sounds like she's literally giving up the will to live, because she believes that no one there cares about her.  

She's now been in there just over 3 weeks, and I feel she's actually deteriorating due to no one making a decision on a course of treatment for her. Her condition should not be a life-threatening one in normal circumstances, and if by any chance she has any underlying conditions which are holding treatment up, then why is her son not being kept informed? We don't believe there are any reasons, but can't be sure.

Obviously due to Covid restrictions no one can visit, but surely that makes it even more important than ever that family are kept informed with decisions, which her son isn't being. 

Everyone understands how much pressure the hospital is under at the moment, it's a worrying time for everyone, but all that we're asking for is basic care, adequate medication & pain management, and to be kept informed, which I don't believe she is getting.

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Responses

Response from Sophie Crofts, Practice Manager, Holbeach Medical Centre 3 years ago
Sophie Crofts
Practice Manager,
Holbeach Medical Centre
Submitted on 26/11/2020 at 12:32
Published on Care Opinion at 16:30


We are sorry to hear that your sister did not receive the standard of care you would expect from Holbeach Medical Centre.

If you would like to contact us directly we can look into this for you, however please do be advised that we would need to have permission from your sister to be able to discuss her care with a family member.

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Response from Sharon Kidd, Patient Experience Manager, Patient Experience, United Lincolnshire Hospitals NHS Trust 3 years ago
Sharon Kidd
Patient Experience Manager, Patient Experience,
United Lincolnshire Hospitals NHS Trust
Submitted on 27/11/2020 at 14:04
Published on Care Opinion at 14:04


picture of Sharon Kidd

The experiences your sister, your family and you are clearly not good and we are extremely sorry; there were a number of failings and issues we would like to pick up and discuss these with you in order to take these forward and ensure we learn and improve as a result. We would be grateful if you could make contact with our PALS team again via pals@ulh.nhs.uk so we can speak to the ward team and address some of the issues you have raised.

Thank you for leaving your feedback; and again our sincere apologies.

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Update posted by Worried sis (a relative)

Thank you for responding. As I am not my sisters next of kin, unfortunately I do not have the authority to discuss her case. I don't even know all the full details, I was receiving update texts from her son, and odd words from my sister because she felt so ill, but these signified that her care was not as I would expect for a family member. This was my reason for initially posting this, along with the fact that I knew my nephew had already put in a complaint to PALS in the 1st few days after her admission. (I'm not sure whether this was ever followed up, though I did advise him to keep it "open" until, all treatment was satisfactory. The information I have stated was sent to me on texts from either my sister or her son.

She has now been discharged - last week - and was apparently informed that she is medically fit, not sure what that term means as she has been told she has undiagnosed nodules on her lungs, (to be rescanned in 6 months time), hiatus hernia, ulcer on the oesophagus and a cyst on her liver (to be scanned in 10 weeks).

In addition to all of that she apparently tested positive for COVID whilst in the hospital, (test done approximately mid Nov), but doesn't think she had another test to prove she was clear before being discharged, she said she'd not actually had another test, but her temperature was normal (ten days later), but I would have thought if the hospital were arranging a care package for her return home, she would need to be diagnosed as COVID free to protect the carers that are going in to see her 3 times a day, maybe my assumptions are incorrect on that?

Response from Joanna Wells, Patient Experience Manager, East Of England Ambulance Service NHS Trust 3 years ago
Joanna Wells
Patient Experience Manager,
East Of England Ambulance Service NHS Trust
Submitted on 30/11/2020 at 10:24
Published on Care Opinion at 15:26


I am sorry that you have had cause to raise concerns about East of England Ambulance Service failing to attend to your sister.

I would like to investigate the concerns you have raised and would be grateful if could email feedback@eastamb.nhs.uk quoting JW3011 with the date and the location we attended so that we can trace the call and begin an investigation to find out what happened.

Thank you for leaving your feedback and I hope your sister makes a full recovery soon.

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