"NO joined up thinking"

About: Medway Maritime Hospital

Went to A&E and the department was not at all busy, just a 1 hour wait. I had injured my knee a few days previously and the pain only started to be severe that day. It requires investigation and instead of starting that process I was referred to MEDDOC and they informed me they couldn't do anything, including an x-ray as they were not A&E and X-ray was not available to them. I went to my own doctor the next day who wrote me up for an x-ray immediately and has referred me to a consultant for an MRI as there is clear damage to the knee. I know there are many pressures on A&E, but until the NHS start thinking about joined up care, they will continue to hemorrhage money. Let's take that one scenario, I don't get treatment so I continue to walk and damage my knee irreparably. The cost of replacing my knee with all of the care involved would have been infinitely more expensive than providing some urgent care now, rather than palming it off to another area when you aren't even busy. The problem is that the departments, A&E especially are silo-ed in their approach and this does not equate to good care.

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Response from Medway Maritime Hospital

We are really sorry that your experience in our A&E department has not been good. As we do not have any information about your case it is difficult to investigate further and to learn from any mistakes. Patients are normally sent from main A&E to MedOCC based on certain criteria irrespective of the level of activity at any specific time. I will share this with the operational management team at MedOCC as general feedback and also confirm with them that they do have access to X-ray services based here in the Trust, as you have advised that you were informed otherwise when you attended MedOCC. Unfortunately, we do not have necessary information to look into the clinical details relating to MedOCC’s input with you, however, please accept our sincere apology for any inconvenience caused to you. Ram Seesarun Divisional Operations Manager

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