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"Provision of BSL interpreting services"

About: Glasgow Royal Infirmary Golden Jubilee National Hospital Queen Elizabeth University Hospital Glasgow

(as a relative),

My mother is profoundly deaf and reliant on BSL. She has had three serious medical events this year, each of which led to emergency admittance to hospital and in-patient stays. Each time she has gone into hospital, I have had to explain the process for booking BSL interpreters, rather than them knowing or being aware of the process.

Staff have commented that pen and paper should suffice for communication; however, this is completely inappropriate beyond simple questions. It is ignorant to assume that a Deaf person would be able to understand medical terms and discussions written on paper and passed to them. 

Overall the experience of NHS services for Deaf people is incredibly poor and more needs to be done to improve deaf awareness amongst staff and services.

Staff skills

Staff skills

One on occasion my deaf brother (who has some hearing and speech, but struggles to keep up in conversations) was asked by a member of the medical staff to attend hospital to interpret, as a BSL interpreter could not be sourced. This is completely inappropriate for obvious reasons that he himself uses interpreters for formal or complicated situations.

My father and brother are also deaf, meaning I am the only hearing family member. On numerous occasions I have been asked to interpret, which was inappropriate as I was very upset and worried about my mother, but was not left with much choice.

Furthermore, staff were not aware that they can use a Chromebook/iPad to contact an interpreter on screen for ad hoc discussions in the absence of an in person interpreter. Not one staff member knew about this or was able to facilitate it. At weekends or public holidays it is incredibly difficult to get in person interpreters and there appears to be no process in place for these circumstances, such as the use of the aforementioned equipment.

Furthermore, there was publicising earlier in the pandemic of medical masks with clear windows being made available to medical staff so that the mouth can be seen - we did not see these masks once and no one knew about them when we asked. Therefore, staff had to remove masks when communicating with my mother, placing her at a higher risk of contracting Covid-19 as an inpatient than hearing patients due to poor communication and inadequate PPE. It is baffling how some medical staff are completely unaware and naïve to what being profoundly deaf means and the impact it has on communication - e.g. shouting at my mother, as if she is going to hear something when she is completely deaf.

This is a much simplified version of what happened and is not limited to just the hospital stays, but has been going on for years. As a child, I was used as a BSL interpreter by medical staff etc.
Being listened to

Being listened to


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Responses

Response from Hollie Smith, Risk and Feedback Facilitator, Clinical Governance, NHS Golden Jubilee about a year and a half ago
Hollie Smith
Risk and Feedback Facilitator, Clinical Governance,
NHS Golden Jubilee
Submitted on 11/10/2022 at 10:35
Published on Care Opinion at 17:25


Dear Paprikadr84

Thank you for your feedback. I am sorry to hear about your families experience. I would like to help you seek a solution to this matter.

Can you please call us on 0141 951 5864 to discuss this? Alternatively you can email us at feedback@gjnh.scot.nhs.uk.

I look forward to hearing from you.

Kind regards

Hollie Smith

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Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde about a year and a half ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 18/10/2022 at 12:07
Published on Care Opinion at 12:07


picture of Nicole McInally

Dear Parikadr84

Thank you for sharing your feedback on Care Opinion. Please accept my apologies for the lack of awareness and understanding about how to book a BSL interpreter. We have a responsibility to make sure that a BSL interpreter is provided for people when they use our services and family members should not be used as interpreters.

As you have mentioned, we have a BSL online interpreting service which means that Deaf patients are able to communicate with staff while waiting for a face to face interpreter to arrive. BSL Online is accessed through special laptops which come ready to use with instructions for staff. I am sorry that staff were unaware of this service.

To increase staff awareness of the need to book BSL interpreters, we has produced two videos for staff; one to show how and when to book interpreters for BSL users, the other a guide to using online interpreting. We also run regular training Deaf Awareness Training sessions for staff.

We also have a BSL Mediator, and members of the Deaf community can contact Janice to check they have an interpreter booked for NHS appointments and to highlight any issues they have during their NHS treatment. You can contact Janice on 07811 994895.

However, from your feedback it is clear that we need to do more. We will reiterate to staff the importance of arranging BSL interpreters and the availability of the BSL online interpreting service. We will also check that all areas have the ‘How to book interpreters flow chart’.

Please pass on my apologies to your Mother.

Kind Regards

Nicole

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