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"Unsafe Discharge Planning"

About: University Hospital Wishaw / General Surgery (Wards 16-18)

(as a relative),

My mother is registered blind and has very poor mobility and also had delirium and was discharged home from ward 17 without a care package in place and no medication.  The ward staff did not know who was providing the care package as the therapist had not informed them. The ambulance arrived before the medication and she was sent home without it.

 When I contacted the care provider who previously attended mum, they had not received any referral from the OT. I contacted the out of hours social work team who stated no referral had been received from  the occupational therapist or ward.  The out of hours duty worker arranged for emergency carers to put mum to bed. The volunteer service Saving Lives delivered her medication.
I live 110 miles away and if I didn't come you see how she was, mum  would have spent all night in her armchair where the ambulance staff left her.
 
This was a very poor and unsafe discharge which could have been avoided with clear communication between agencies and ourselves and  careful scrutiny that care was in place before discharge from hospital was implemented. 

I feel extremely let down by the therapist who was coordinating her care and hope no one else has this experience, and the ward can improve on its processes and involve relatives in the discharge process.

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Responses

Response from Kim Brown, Senior Nurse for Surgical & Critical Care Services, University Hospital Wishaw, NHS Lanarkshire 2 years ago
Kim Brown
Senior Nurse for Surgical & Critical Care Services, University Hospital Wishaw,
NHS Lanarkshire
Submitted on 27/04/2022 at 11:18
Published on Care Opinion at 11:18


picture of Kim Brown

Dear Celticreiver104

Thank you for taking the time to feedback to us about this situation. Firstly, I would like to offer my sincerest apologies for the worry and distress this has caused both you and your mum due the miscommunication surrounding her discharge and the delay to her medications being available. This is not the standard of care we strive to deliver to patients who are being cared for by our teams here at University Hospital Wishaw. I am keen we do review the events you have described and ensure there is learning that will prevent this from happening in the future. I plan to link with both our Occupational Therapy colleagues and the Senior Charge Nurse to conduct a case review and make recommendations for the future. I will ensure that this is reported through our governance structures within the hospital to ensure wider learning also takes place. Should you wish to discuss with me further then please do not hesitate in contacting me directly through the hospital switchboard.

With kind regards

Kim Brown

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