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"Covid precautions inconsistent but ENT…"

About: Shepton Mallet NHS Treatment Centre

Lack of questions re recent covid infections from the booking centre when the initial consultation was booked. NO questions were asked. Routine PCR test carried out 3 days prior was +ve as the infection can remain for 12 weeks although potentially not infectious. Apparently if they were aware of recent covid, PCR test would not have been booked and LFTs accepted. We had -ve LFTs but weren’t accepted due to the +ve PCR. We did not know it was +ve until we turned up for the consultation and was ABRUPTLY told to go outside. Reception staff need to be more friendly.

Anyway raised the lack of questions around covid with Q&G Mgr who confirmed that the booking centre have not asked about recent covid infections and this has now been bought to their attention.

Another consultation appointment was booked for a few weeks later. On arrival, reception staff asked if we had brought evidence of LFT results with us. I said no as didn’t know we had to bring actual evidence with us and actually where is the evidence that the lateral flow test would be ours. She provided us with LFT which we did. We went through to the amber zone and infection control was evident with staff cleaning chairs when patients were taken through the hospital. Consultation was very thorough with ENT. We agreed to the procedure and went to the team who undertake the medical assessment. Waited for approx an hour before being seen; it wasn’t busy. Staff who had returned from lunch breaks queried why the few people were waiting. There was NO evidence of chairs being cleaned when patients left. I asked about a pre op covid PCR test as my son may show as still being +ve, to be told that he would still require one and regardless of the result, would be last on the list for the day of the operation. Having a PCR test seemed to be inefficient as they had already agreed for him to be last on the list.

Op was booked in for a few weeks later, however I asked if this could be bought forward. Ops Mgr would see what she could do. It was bought forward, thank you. A colleague updated me about this and again I queried the PCR test. Was told someone would ring me, this did not materialise.

A week or so before op, I was contacted about the pre-op assessment and I asked about the PCR test, I think it was at this time that I was told that it would not be needed and to do LFTs for 3 days beforehand. I did mention that this was the first time we were told about this. On arrival for the op, we were asked about covid symptoms etc but not for evidence of LFTs so this seemed to contradict our previous appointment a few weeks prior where we were asked for evidence. They didn’t even ask if we had done them for 3 days beforehand.

Son had operation and nurse spoke to me outside about the aftercare as son wasn’t really taking it in. Thank you to the nurse, I didn’t take her name.

Overall I would recommend Practice Plus but there are quite a few inconsistencies with covid precautions that need to be resolved.

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Responses

Response from Shepton Mallet NHS Treatment Centre 2 years ago
Shepton Mallet NHS Treatment Centre
Submitted on 24/03/2022 at 14:28
Published on nhs.uk at 16:05


Dear Caroline,

Thank you very much for writing this comprehensive review. I can acknowledge that you had a confusing pathway to the care eventually received. We had conversations relating to the question ‘have you had Covid?’ by the booking centre. To clarify the booking centre is off site at Bristol and is run centrally. I can confirm that your comments relating to this matter were forwarded and have been addressed by the booking centre since this incident occurred.

I understand that you were spoken to abruptly by some reception staff? Some staff have been made to feel very anxious by the Covid pandemic and this might explain their behaviour on that day. I sincerely apologise on behalf of the reception team for any offence this caused as it was unintended. We will provide your feedback to the team for reflection on this.

Shepton Mallet hospital is known as a ‘green site’ which means as far as possible we try to keep the Covid virus out of the centre. Frequent testing is crucial element in maintaining our COVID green status. LFTs seek to identify viral antigens at the time of testing, whereas PCRs are highly sensitive tests that enable us to detect minute amounts of COVID genetic material, and are known as the ‘gold standard’ for COVID testing. I can explain that each form of test can play an important role at separate points of a patient’s pathway, explaining why they are sometimes used together. During the period of time that you visited the centre, there was a national policy change to managing Covid in healthcare. We were trying to adopt these changes and to manage patients as safely and as quickly as possible.

You state that you had a long wait prior to the consultation. Sometimes events occur that are not visible to waiting patients that can take the time of the consultant; equipment may have being processed ahead of the consultation but it still does not excuse that we did not inform you of the wait and I am sorry you were not kept updated. I apologise for your extended wait for which you did not have an explanation and have fed back to the departments involved.

Finally we do try to provide an individualised service to our patients and are sorry that we did not fully explain our processes. I am pleased however to hear you had informative conversations with staff both from management and from the nurse who took time to provide information for the aftercare. The Covid pathways are changing again and we expect in the coming weeks we will be adapting and changing to accommodate these to keep our patients and staff safe. If you feel would like to discuss any part of our service further I am open to hear your comments either by letter, email or telephone. Jenny Apted │Quality and Governance Manager RN│Practice Plus Group Hospital, Shepton Mallet 01749 333743│ jenny.apted@practiceplusgroup.com

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