"Fracture Clinic Consultation after ankle fracture"

About: Queen's Medical Centre

I found the fracture clinic efficient in processing me through their system, but I feel this is at the expense the consultation that I received. After my first visit on 2nd July 2015, there seemed to be some concern about the ankle joint and whether there would be a need to put a plate in to prevent arthritis in the future. After the consultant was brought in, they took 2 seconds to look at the x-ray and told me to return in 4 weeks to have the cast removed. No other explanation on the decision or reassurance that what they found was to their satisfaction and that the temporary cast I had on was holding the ankle in correct position to lead to a full recovery. This doctor was gone before I had chance to ask anything. On my return to have the cast removed, that was all that literally that happened. Cast taken off and on seeing the consultant, they asked me to move my ankle up and down, that was it, no explanation on what they were looking for and whether they were satisfied with the results. I was astounded no x-ray was taken to make sure the ankle had healed in the correct position. I had to ask the consultant if it healed properly, they mumbled something into a Dictaphone that I did not catch then sent me off to the physiotherapist. The physiotherapist ask if the consultant had said if I could put weight on the foot and I had to be honest and stated that they said nothing to me and I had no idea. I left with no reassurance on the short term diagnoses or the long term prognoses. I know the huge demands that you are under, but it does not take 2 minutes from the consultant to give a brief explanation on his decision, a short explanation of what he had seen and what I should expect on recovery. Most importantly the doctor should provide reassurance to the patient, I know I am just another fracture to be seen but to me my recovery is critical. At the very least I would like answers or to see notes on the diagnoses and prognoses for my recovery. On a positive note I found the nursing staff helpful and the plastering department was excellent in terms of information and patient care.

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Response from Nottingham University Hospitals NHS Trust

Thank you for taking time to leave such detailed feedback. I am sorry that you felt we didn’t take sufficient time to talk to you about your injury and your recovery. I will share details of your experience with staff so that we can learn from this. If you would like to discuss your injury or your concerns further, please do get in touch with me directly. You can contact me directly on 0115 924 9924 ext. 63610.

Kind regards,

Jo Manogue,

Matron, Elective Orthopaedics.