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"Doctor made no mention of the paramedic's notes"

About: London Ambulance Service NHS Trust NHS England London

(as a friend),

My friend is in her late eighties and lives alone. She had been feeling weaker and experiencing falls she could not explain. Her daughter lives away, but she was visiting her Mum one night when she experienced a fall & seemed to be unconscious.
Her daughter rang 111 and a team of paramedics arrived swiftly and revived her. They were very professional and reassuring and filled the appropriate forms in great detail of their tests and conclusions. They said a copy of the form would go to the GP and that the patient would be invited to the surgery to discuss her case further and also to arrange more care and facilities like summoning help quickly and getting taxis to hospital etc. They did not suggest she required hospital treatment.

 The patient's daughter returned to her home reassured. 10 days passed & the patient heard nothing. Finally she telephoned for an appointment & got one for - to which I drove her. I am an old friend and I was upset by how handicapped she had become - hardly able to walk, though perfectly lucid. When eventually the appointment was over she came out clutching some forms & pamphlets about what she was entitled to but she had not had a physical exam of any sort. She had to leave the taxi service application form (which the doctor had helped her fill in) at the reception desk. My friend was anxious that the doctor made no mention of her falls or what the paramedics had recorded. Indeed the only question the GP asked her was whether or not she would want to be resuscitated if she fell seriously ill...So I took her home.
 A day or two later the surgery telephoned my friend to say the taxi forms were not properly filled in & she must return to do so. It could not be done over the telephone. Another friend took her to this appointment & we hoped that the GP had realised they had not discussed why the patient was experiencing falls & further treatment for the problem...But no the appointment only concerned the forms; it was not a doctor's appointment.
The patient's daughter will call from Dorset to find out more information about her mother's condition and especially why she has had no physical examination whatsoever or discussion on possible courses of treatment. I am elderly and never in my lifetime has the NHS let me down in the way that I feel this lady, who basically only desires a diagnosis, some treatment and a prognosis, has been let down. The paramedics did their job swiftly and considerately. I find it so very worrying because I think the service has been failed by the GP. Practice.

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