"Concern about the lack of continuity of care"

About: City Hospital campus / General medicine

(as a relative),

I am extremely concerned about the lack of continuity of care on the ward. I have yet to see the same nurses working in the same bay during a 7 day period. When talking to staff I am told "I have only been here 6 weeks" "I will ask a doctor to speak to you"

The doctor did not know the patient as she was new. The locum doctor for the week-end who was not from nottingham knew more, as he had read the notes!

The ward seems to have a lack of fans. I asked if the bay had more than 1 fan, to be told that the other bays had 2 each but this one has 1 and another could not be found. As these patients are on a stroke unit and as such immobile this is unacceptable.

It is time surely for the estates department to consider air-conditioning.

I also find it short-sighted that the kitchens are not equipped with an ice making machine. The bay area reached Temperatures of 36 degrees during the week even staff and visitors were finding it unbearable.

I am more than happy to speak to anyone about any of the above.

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Response from Nottingham University Hospitals NHS Trust

Thank you for getting in touch. I’d like to look into each of your concerns more fully, please. As you suggest, it might be a good idea if you and I discussed this so I can find out which ward you refer to (we have three stroke wards) so that we can provide a comprehensive response to each of the points you have raised with us. If you wish to contact me you can do so on 0115 9691169 ext. 75031 or email Helen.gergory@nuh.nhs.uk. I look forward to hearing from you.

Kind regards,

Helen Gregory.

Matron, Stroke.

  • oscar111 thinks this response is helpful
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Update posted by oscar111 (a relative)

I am meeting Matron,Stroke today

Update posted by oscar111 (a relative)

I have left my response for 4 weeks to see if any improvements are made.

I was told that Senior management were aware of nursing issues on the ward and from the discussion that the issues were a "work in progress".

The continuity of care in the bays appeared to improve as we saw the same staff for a few days but this did not seem to carry on for long.At the week-end the same staff were in the bay but during the week this did not always continue.

I have had staff say to me that the lack of continuity makes it difficult for them.

The general nursing care is improving and the general running of the bays.

Delighted to see portable air-conditioning units in the bays.

Discussed with the Matron the ice machines and explored ways of obtaining funding.