"Lack of Clinical Oversight - Ward 8."

About: Leicester Royal Infirmary

I observed a lack of clinical oversight, during my stay in Ward 8. The focus was more on training junior staff, raising personnel status rather than providing patient care. Highlighted by the fact I only spoke to medic/clinician for total on 10 minutes during a 32 hour stay. (10 includes initial assessment, right thru to discharge). On day 1, I was confronted by 8 junior doctors following there mentor on a ward round, I was not informed this many people would be present at an introduction, pesronalky I would have liked to be given the option to not take part in a training round, as I prefer to be treated as a patient not an exhibit on a training tour. I was admitted via AE for abdominal pain and possible infection, due to raised WBC. By the time I was admitted to ward 8, the pain had improved and was negliable. I was still admitted to ward 8 and started on IV antibiotics due the possible infection. However at discharge I asked if blood count would be repeated to see if the WBC had returned to normal, at which point the discharging clinician said the raised WBC was insignificant, when I questioned then why I was given IV antiibiotics, I was told it was 'standard practice' . Given that antibiotic resistance is a known issue,I am suprised at this definition of 'standard practice' During my stay, I noticed a fundamental waste of time, resources mainly due to a lack of clinical oversight, Given the constant claim that the NHS is under funded i wanted to flag these to the trust. As such,I called the ward soon after discharge to obtain the names of the discharging clinicians, The nurses who answered the call did not know. I called back the next day and one of the junior clinicans present at discharge was in the process of providing the names, when mid call another clinician took the phone from the junior and said 'they were busy and did not have time to answer my questions" and then promptly hung up on me. I understand that clinicians have a fixed amount of time for ward/ training round. However my intention was not to disrupt any schedules, a simple and polite can you call back later or I will have someone call you back would have been appreciated. I have flagged this to the duty manager and am waiting to hear back In summary, I observed a waste of resources and time, clinicans being more focused on building there personnel reputations, not taking the time to understand patients histories and following definitions of 'standard practice', without applying logic.

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Response from Leicester Royal Infirmary

Dear BM, Thank you for taking the time to post your comment. We are really sorry to hear about your recent experience on ward 8 at the Royal – this does not reflect the high standard of care we expect our patients to receive. It appears that your concerns are already being looked into by one of our duty managers, but if you would like to discuss your concerns further, please email me: michael.nattrass@uhl-tr.nhs.uk with your details. Kind regards, Michael Nattrass Deputy Head of Operations for CHUGGS Leicester's Hospitals

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