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"Dirty facilities and no anaesthetic"

About: Manchester Royal Infirmary / Accident and emergency NHS 111 North West Ambulance Service NHS Trust / Emergency ambulance

(as the patient),

First I want to say how lovely the staff are, and I would like to make special thanks to a young man in A&E  this week who was an absolute credit to you, he was kind, helpful, understanding, happy, and I could not praise him enough, sadly I don't know his name.

Sadly that is the praise over, I am not well enough to write a lot, but the experience of my visit to A&E was horrific, all that was wrong was pain and swollen knee meaning I could not walk, sit or lie down.

Calling 111, I was asked over and over again the same questions, by different people, call backs etc, why? when you are unwell that is the last thing you need, little wonder people misuse 999. I do not live in Manchester, so have no Dr in Manchester.

The ambulance came as expected non urgent but 1 hour 10 min to go around the corner to the hospital! ! The crew were great, but why make them use Sat Nav if it takes you the longest way possible?

I was put in a cubical by the ambulance crew and just left, the ambulance crew took away the pain relief gas, I could not walk, or get on a bed (the crew had to clean and make the bed first) and was just left, no one came to see me, no buzzer, no water, no toilet.

I have Asperger's, chronic depression and CH, and cannot be in or deal with public places, so the experience was horrific, when I finally got to see someone, I was kindly moved to a side room, but that was filthy dirty.

I waited and waited to see a Dr, and was sent to X Ray another nightmare, I knew it would need an x ray before I left home! ! waiting rooms, strange places, people are all a big problem and very upsetting for me.

Anyway I then got a Dr who planned to aspirate my knee, I have had this done before, no problem, the Dr was nice, but I do have to say, I don't think they had any clue what they were doing.

They had me in such an uncomfortable position, one leg on the floor, one on the bed, bent as it was against the wall, no back rest, so I had to try and hold my body up, which increased the pain, no anaesthetic, yes, no anaesthetic, imagine sitting in this bad position, in terrible pain, then they stick the needle in my knee and starts poking about, I was screaming, I had to stop them, THEN they said they would give me anaesthetic! ! I am no expert, but one would think the anaesthetic came before the pain, not after? They had the anaesthetic in their tub on the bed all the time. By now it was too late.

After that they could not even get the needle in, they did not know how to move / work the bed so my legs could go straight, or the back rest could come up. They gave up as I said I could take no more, the dirty needles with blood were not disposed of properly either.

Anyway the Dr agreed a prescription of Morphine etc and a return appointment on Friday. They gave me some morphine, and the prescription to be collected the next day.

I could not return, I could still not walk, so a friend kindly came to the hospital to get the prescription, he queued up, only to be told it was wrong, and I would have to return to see the Dr, thankfully my friend protested and went in a hospital search of the Dr, who was not on duty, after much hassle another Dr kindly agreed to speak to the pharmacy, and change the prescription.

Another long queue and my friend was told again the prescription was wrong again, how can so many things go wrong?

I won't go on, but I need to return to the hospital again, when I cannot walk, and in fear of the hospital, people, place and maybe have to go through all this again, or even worse be referred to another appointment.

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Responses

Response from Patient Experience Team, Manchester University NHS Foundation Trust 7 years ago
Manchester University NHS Foundation Trust
Submitted on 20/12/2016 at 13:35
Published on Care Opinion at 16:15


Mrs Catherine Bartlett, Lead Nurse for Urgent Care at the MRI and Dr Rosemary Morton, Clinical Director for Urgent Care are sorry to read your comments regarding your attendance to the MRI Emergency Department (ED).

In response to your concerns relating to the environment in the ED, Dr Morton is very sorry that you had a difficult time during your visit. She acknowledges that the MRI department is very small; having been built 25 years ago for 50,000 patients per year, the department now sees 110,000 patients a year. Dr Morton also acknowledges that some of the rooms are very small and, especially when you have to wait, they can make you feel isolated. She advises that the Trust is currently reviewing the ED environment with plans to renovate it in the future.

Lead Nurse Bartlett was also sorry to hear that your experience was not as positive as she would have expected, particularly in relation to the cleanliness. The cleanliness standards that you note were unacceptable and not in line with the high standards that the department aims to provide. The department is used constantly throughout the day and night therefore it is important that we monitor cleanliness closely. Clearly, during your visit it was evident that additional cleaning was necessary. We recognise that cleanliness and hygiene are critical and maintaining constant vigilance to maintain standards is a priority. Lead Nurse Bartlett is sorry we did not meet these standards at the time of your attendance. Following your feedback, she continues to monitor compliance to ensure that we provide healthcare in a clean and safe environment.

Lead Nurse Bartlett also notes your concerns about not being greeted on your arrival, and that you were left without a drink. She advises that the ED have recently recruited several Patient Liaison Support Workers who are employed to support patients while they are in the department and to ensure all their needs are met; this includes offering refreshments to patients as allowed. The role involves escalating to the nursing staff any issues which would include reporting any cleanliness concerns. The department has now recruited three permanent members of staff to work throughout the department. Unfortunately the Patient Liaison Support Workers do not work overnight. However arrangements are in place for the team to escalate any cleaning concerns.

Lead Nurse Bartlett also acknowledges that your attendance to the ED was particularly distressing for you given your Asperger's. She hopes to reassure you that as part of the ED redesign, there are plans to create a "quiet room" that can be utilised for patients such as yourself, or those who have autism or specific learning disabilities. The intention is for this room to provide a cubicle type waiting space for such patients who we appreciate would find it difficult to wait in a noisy and busy environment. She is sorry that during your attendance such facilities were not available and that staff did not try and make any provision to support you. She hopes that this information reassures you that going forward; efforts are being made to fully support all our patients.

Your concerns have been shared with the ED team so that they are aware of the impact your experience had on you and in order for improvements to take place. We therefore hope that if you do have cause to attend the MRI ED in the future, you have a more positive experience.

We are very sorry that your experience of our services was unsatisfactory and have left you fearful of returning to the hospital. We would welcome the opportunity to investigate your concerns fully to enable us to fully understand what occurred and to learn from your experience so that it does not happen again. If you would like to provide us with further detail, please contact our Patient Advice and Liaison Service on 0161 276 8686 or by e-mailing pals@cmft.nhs.uk

Update posted by westerton (the patient)

Thank you for your response, which was informative an helpful, yet I am still very concerned about the lack of mention of the "Dr" and his treatment, with lack of pain relief or anesthetic, incorrect prescription, inability to even operate the bed or back rest to help with the pain and treatment which has still not been done weeks later.

I hope for all visitors that the work on the A&E will be sooner rather than later, but appreciate how hard you work and how busy you are and that funds are always limited. I have contacted PALs as suggested

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