"Community gynaecology service"

About: St Mary's Hospital / Gynaecology Watford General Hospital / Gynaecology

(as the patient),

I have for a long time been struggling to get pregnant. over and over again people told me to keep trying and I did. But I was struggling with painful period and irregular bleeding. I went to my g. p and they advised having a scan. But I couldn't get a scan at my local hospital as I was working (I work for the nhs).

I decided to pay myself for my own scans - and this showed I had fluid or blood in my fallopian tubes.

At this point I went back to the g. p who then referred me to the community gynaecologist. At this appointment I had to have another scan. but this appointment didn't go well. I have to wait 15 mins. I had all my history typed out for the doctor and I had all my previous information. However the doctor didn't want to listen to me. They read the info from the G. P which was slightly incorrect and told me to lie down to have the scan. I wasn't able to fully discuss my story with them.

At the end of the scan the doctor said - well we need to look inside - you could have multiple diagnoses.

I thought - of course I could have multiple diagnoses, because all you have done is scanned me and not listened to me and my problems.

They scheduled me for surgery but I didn't feel comfortable - the doctor also told me he wouldn't be the one doing the operation 'laparoscopy' so it could of been anyone on the day who didn't know me.

I wasn't happy with this care and asked my g. p to refer me to my local hospital.

Here the doctor listened to me did another scan and has also scheduled me for surgery - same outcome but I feel confident in his surgical skills as I feel he knows me better.

the community service was provided as part of west hertfordshire community gynaecology service.

The hospital that I feel I have had better care at was st marys hospital london.

But I think so much saving could of been made here for the nhs.

I paid for my scans- which gave me a diagnosis - but I had to have 2 more scans for the consultant to be happy. I think doctors need to learn to trust there colleagues more in their practice.

I always needed the laparoscopy - I would of been happy with a skype consultation with a consultant and then to be scheduled for the procedure. saving time and resources. - technically this could of been done in the community service - but it was the care and attention lacking from the doctor and nurse here.

I am yet to have the surgery and waited now since november to have it, the scheduled date was the june - but has been rescheduled for a month later. Again this isn't great when I have a progressive condition that is reducing my fertility. My initial list to my g. p was august last year. so it will be a year I have been awaiting for an outcome to treatment.

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Response from St Mary's Hospital

Imperial College Healthcare NHS Trust is sorry to hear that you have had some issues with a community clinic provided through West Hertfordshire Community Gynaecology Service.

We understand this service isn't part of Imperial.

For the Trust to understand your concerns, from an Imperial point of view, we would encourage you to contact Patient Advice and Liaison Service (PALS) covering Imperial on 0203 313 0088 or email pals@imperial.nhs.uk.

Your feedback is very important to us.

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Update posted by Gupta (the patient)

This is not a compliant at imperial but a well done, the service the gynaecology deptartment provided was that only of what is great healthcare.

The consultant listened to me and was able to reassure me on what the next best treatment would be for me.

I was given the options and the risks and given time to make my decisions. In a long journey this was like a light at the end of a tunnel.

Thank you