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"Multiple courses of antibiotics"

About: Fife Community Services / Rapid Cancer Diagnostic Service (RCDS) General practices in Fife NHS 24 / NHS 24 (111 service) Queen Margaret Hospital / Out-of-Hours

(as a service user),

During november I discovered green mucus leaking from my ear, the ear was exceptionally painful. Due to this I contacted NHS24 and was on hold for over 90 minutes. After eventually being connected my call was cut off after several minutes! I had to call again later (no call back received from NHS 24 to me) and was, again on hold for around an hour.

After explaining my symptoms several times to different triage, I was about to be prescribed antibiotics over the phone. I stated I wished to be seen as I could not hear. As a result I was directed to out of hours at Queen Margaret. I duly attended there and was advised I had an ear infection and was prescribed antibiotics.

I duly completed the course of antibiotics however on ending the course my ear was still discharging and painful. I made contact with the local medical practise and if I recall correctly I received a phone call from the nurse whereby a second course of antibiotics was prescribed. I completed that course. 

I can't remember exact dates or order of events as I was, at the same time, sent for a bone scan due to ongoing raised liver enzymes. Unfortunately the bone scan came back with something suspicious on my spine and as a result , I was called into the surgery to see a doctor to discuss these results. At that time they explained to me suspicions of cancer and that I was to be sent urgently for CT scan of my abdomen, lungs etc. I think it was during this appointment that I also informed them that my ear infection had still not cleared up. The doctor thereafter took a swab from my ear to identify the bacteria. A few days later I was contacted to be told I was to take a specific antibiotic for the ear infection owing to the results of the swab. During this time as I say, I was under tremendous stress and was at the ECDC to have CT scan carried out.

I finished the 5 day course of antibiotics prescribed by the doctor for my ear infection however, by day 6, the infection was clearly back. Just to confirm this was now 3 courses of antibiotics I had been prescribed. I then saw or spoke with the doctor again and explained the ear infection was still ongoing. I think this was during a phone call letting me know that the CT scan was clear and I had no cancer 

At that time the doctor prescribed now my 4th course of antibiotics for my ear infection. Again I completed the course. Again the infection has not cleared up. In January, I phoned the medical practise on two occasions, both times I explained to the reception staff that I had already had four separate courses of antibiotics but my ear infection had still not cleared up. On both occasions no offer to be seen at the practice was forthcoming instead I was told I would be phoned by the nurse.

I missed the call back from my first phone call as I had phoned in the morning but wasn't called back until afternoon by which time I was at work. No voicemail was left. Due to this a couple of days later I again called the surgery, I again explained that I had now had 4 courses of antibiotics and my infection had still not cleared up. I requested that I be called before 3pm and was advised I would be. Unfortunately I was not called back until after this time and was at work unable to take the call. 

During the night I was in excruciating pain due to what was clearly infection now in my thumb. I was in too much pain to be able to be on hold for an hour to NHS 24 so instead waited until morning and called my surgery. I again explained about my ear infection and now my thumb. I was advised nurse would call me shortly. 

A nurse did duly call me a short time later. I think I again explained that I had already had 4 courses of antibiotics for my ear infection and that now I also have infection in my thumb. Sadly it felt like that the nurse calling was basically working her way through a list of people to call and was very brusque in the call, asking little or no questions and prescribing flucloxicillin before hanging up. I felt absolutely no care was given 

The next day I again called the surgery. I spoke with someone there. Yet again I explained the infections I have and that I was now on my 5th course of antibiotics in as many weeks. I also explained how ill I was feeling and I wasn't accepting a phone call, I wished to be seen. Despite all the information I gave her, they simply advised I call back again between 8/11.30 the following day. Yet again i felt like no duty of care was being given, no appointment was opened up for me to attend and I am fully aware this could have been done.

The next day I was feeling so unwell due to awful side effects of the antibiotics, in the morning I managed to call the surgery 

I again explained my situation and advised that someone had told me the previous evening that I would get an appointment that day. I was shocked beyond words when the reception staff asked if the number I was calling from was the best number to get me on. !! I again explained that I needed to actually see someone! Having already said that at the beginning of my call! thankfully I saw the nurse today!

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 2 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 31/01/2022 at 11:22
Published on Care Opinion at 11:22


picture of Shona Lawrence

Hi novemberxj79

Thanks for sharing your experience on Care Opinion. Thanks also for the level of detail you have provided. It sounds as though you have had lots going on in recent weeks and I'm sorry to learn that the prescribed antibiotics didn’t help your ear infection. At the time of sharing your story, I note you saw the Nurse that day and I do hope that by now your ear issue has resolved, or at least is improving. I appreciate this would have been extremely painful and no doubt made you feel very low.

I am very pleased to see however, that your CT scan was clear, which is good news.

I respond to you specifically in relation to your contact with NHS 24. I’m so sorry to learn of your experience when trying to contact 111. We absolutely appreciate that waiting an extended time for your call to be answered would have been frustrating, however to get through and then subsequently be cut off sounds hugely exasperating. I am keen to understand more about why this happened. If you would be good enough to make direct contact with me, then I could explore this in more detail. You can get me on 07814 299944 or by email at Patient.Experience@nhs24.scot.nhs.uk

There have been times in recent months when its taking longer than we woud like for calls to our service to be answered. We have experienced an exceptional rise in call demand recently. Please be assured we are working hard to ensure patients and callers can speak to us as quickly as possible. I look forward to hearing from you further.

Thanks again for sharing your experience. I wish you well for the future.

Kind regards

Shona

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Response from Lynnette Marshall, Head of Nursing, Community Care Services - Inpatients, NHS Fife 2 years ago
Lynnette Marshall
Head of Nursing, Community Care Services - Inpatients,
NHS Fife
Submitted on 31/01/2022 at 12:26
Published on Care Opinion at 16:58


Good morning novemberxj79,

Thank you for sharing your recent experience via Care Opinion, it sounds like a frustrating few weeks and I hope that your symptoms start to improve.

As the lead nurse for Urgent Care Service Fife (the out of hours centre) I would be keen to hear more about your experience of our service, I am sorry you felt no care was given during your most recent call with us. In order to explore the concerns you have raised I wonder if you could contact me to discuss this further, my email is lynnette.marshall2@nhs.scot.

Kind regards,

Lynnette

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Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 2 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 14/02/2022 at 09:43
Published on Care Opinion at 09:43


picture of Shona Lawrence

Hi novemberxj79

Thanks so much for getting in touch with me directly which meant I was able to explore the NHS 24 element of your Care Opinion story further. It was a pleasure corresponding with you and I hope you are doing much better.

Our review of your contact with NHS 24 has found that when calling our service initially, our telephone menu advised callers that the wait time for calls to be answered may be in excess of 20 minutes. It appears you waited just over 15 minutes and the call was terminated. You called back a short time later when you were advised that the wait time was in excess of 30 minutes. Your call was answered just after 28 minutes, however when the Call Handler was seeking advice on how best to manage your care, the call terminated. However, the Call Handler called you straight back and your call lasted just under 7 minutes. I understand NHS 24 made arrangements for your onward care to be passed to NHS Fife.

Thanks for explaining that your poor phone signal may have caused termination of the calls your end. I appreciate you have no control over this and this would have been frustrating.

Thanks again for sharing your experience. It's always good when authors get in touch with us directly to enable us to understand their experience fully.

Take care meantime

Shona

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