"The early pregnancy unit being ..."

About: Tameside General Hospital

(as the patient),

What could be improved

The early pregnancy unit being open past office hours. I think its appauling that I had to sit in the waiting room in a&e bleeding and crying.

How the doctors break the news to you in a&e.

Check pregnancy tests more accuratly before giving people false results.

Anything else?

I had bleeding followed by pain at 5+4 days pregnant and i had to sit in a&e knowing that we were loosing the baby. It just wasnt practical as i was in tears and felt everyone was looking at us. We waitied in the waiting room for over an hour and a half and all we wanted to do was be alone and grieve. Then when we finally got into a room, the doc asked me to do a urine sample and told me it came back as negative for pregnancy, i wasnt pregnant. He didnt really seem to see why we were upset. The docs changed shifts and we got a lovely doctor who told me my blood test results... my hcg was over 300. So maybe get the docs to check the tests before giving people bad news like that. The doc refered us for a scan and more bloods done a few days later. My hcg levels did drop. Sadly we did loose the baby.

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Response from Tameside General Hospital

Dear Mrs Harrop

I am sorry to hear that you had concerns about your attendance at the A&E department, at what must have been a very distressing time for you. I apologise that the first member of the medical team in A&E seemed to not to understand your concerns or distress, especially in contrast to the second member of the medical team who clearly knew and understood what pathway to follow.

All our medical staff must attend training on conveying bad news to patients so I apologise if you felt that the doctor did not do this in a sensitive way.

The Gynaecology dept is currently developing plans to move to a new location in the hospital as an integrated service. The whole service is being redesigned and different models of care are being explored to improve the services for women. Your suggestions on how to improve the service will most definitely be considered. The improvement in service that you are suggesting would involve either the setting up of an Emergency Gynaecology Assessment Unit which would operate 24 hours a day or the development of a separate, more private area in A&E to accommodate women attending with women's health problems. Our current service comprises the EPAU, which is open Monday to Saturday and the Emergency Gynaecology Clinic which runs Monday to Friday from 10:30am to 15:00pm. Women who attend the clinic are referred either by their G.P, A&E, gynaecology medical staff or midwives. The clinics are nurse led with the support of a doctor who also covers the gynaecology unit and is also called to A&E to see women who have been initially assessed by the A&E Team.

Should you wish to discuss any of her concerns further then Lesley Tones, Head of Midwifery and Women's Services can be available at a mutually convenient time for this to be arranged.

Lesley Tones

Head of Midwifery and Women's Services

Tel: 0161 331 6179/6152

Philip Dylak

Director of Nursing

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