"no bed after waiting 10 hours"

About: The Royal Liverpool University Hospital

my husband and was sent to the surgical assessment unit with symptoms of an abscess and told he would need an urgent op and would be admitted . he signed the consent form and was given a wrist band. he arrived at 11 30 am and at 5 was told to go home and return as a day case the next day as there were no beds. i objected as this had happened before and he had become very unwell at home, and if this was the case why was he kept in a waiting room all day . the surgical registrar saw us and agreed that he should be admitted and observed while awaiting theatre. They left to request the bed manager found a bed. we then were introduced to the bed manager who informed us that no bed was available and they advised that we should go home, saying the dr agreed, in contrast to our recent conversation. They went on to say that he might wait longer for the operation as he would not be on day list and being admitted could delay the operation . i pointed out that this felt like emotional blackmail and did not fit with the hospitals duty of care . we were so intimidated by this person that very reluctantly we felt we had to leave, with me concerned about him again having a rigor . before he left the sister took routine obs and then agreed that he needed to stay as he had a high temperature .a bed was found we are still left with the information that there could be a delay,although he will now be observed and action taken if his condition worsens. i do not feel a bed manager should intimidate patients and their carers, nor was their discussion of capacity helpful. the medical and nursing staff were very professional, caring and tried to meet the need but the system clearly is not able to cope with demand at least at times and has no way of requesting additional capacity from another hospital so it seems were pushing for a man who had been told he should stay in to go home and come back to A and E if necessary(adding pressure to another department)We had a very bad experience previously when my husband was sent home and became very unwell and today has been made worse than it needed to be by the system and the information by the bed manager who just seemed to want to not have to find a bed and use fear tactics to get us to agree to go away rather than follow the original care plan made many hours earlier..

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Response from The Royal Liverpool University Hospital

Thank you for your comments. We are sorry to hear that you didn’t have a good experience in Broadgreen's Surgical Assessment Unit. We would like to find out more from you so we can investigate your concerns properly. If you would like to contact the Patient Advice and Liaison Service (PALS), they will be able to help. You can contact them by phoning 0151706 4903/2265, via complaints@rlbuht.nhs.uk or typetalk 18001 0151 706 4903/2265.