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"Staff were great, receiving & discharge could be improved"

About: Queen Elizabeth University Hospital Glasgow / Accident & Emergency Scottish Ambulance Service / Emergency Ambulance

(as the patient),

I had a major gastric bleed and collapsed. My wife phoned for an ambulance. I'm not sure of the timings exactly, but it was probably a couple of hours before it arrived. However the dispatchers had confirmed essential details so I'm sure there were higher priorities as I was no longer bleeding and appeared stable. When we got to QEUH I had to wait in the corridor with my ambulance crew for another hour or so. Again, I didn't mind the wait though I was disappointed that the crew had to wait with me. There were a lot of paramedics hanging round with their patients and it seemed a waste of their time. I realise they can't just dump us, but I feel there has to be a better way of doing this. Once I was allocated a cubicle I was very well looked after. I didn't get a drip quite as soon as I would have wanted, but they were really, really busy and I was stable. The following day I had an endoscopy which confirmed that Ibuprofen had stripped my stomach lining and that I had multiple ulcers. I was kept overnight. There were no beds so a day ward was pressed into service. The following day I persuaded the staff that I didn't need yet another night in hospital more than they needed the bed I was occupying. When I was discharged it took a long time for my medicines and discharge letters to arrive. That was a pain

Throughout the treatment from staff was great. Despite the pressure they were under they were attentive and even humorous. The care was excellent and I'm now  much better, though still recovering. The only bum note was one doctor who presumed that my collapse was due to alcohol! He was a bit sniffy. But given that it was the holiday season, and he'd probably had to treat about 3000 collapses due to alcohol I can forgive this presumption. 

So - main points are

- that the receiving at QEUH could be more efficient, although I have no idea how. However the ambulance staff did say it was slicker at the Royal so perhaps there's a lesson to be learned from them.

 - the discharge process definitely needed speeded up. I was hanging around for about 5 hours after the doctor had agreed I could go, apparently mainly due to delay at the pharmacy (though that's largely conjecture)

 - the staff were great (including the ambulance staff)

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Responses

Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 6 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 11/01/2018 at 09:01
Published on Care Opinion at 09:16


picture of Nicole McInally

Dear Paul73

Thank you for your post on Care Opinion.

I will share your comments about your experience in the Emergency Department and the delays in the discharge process with my colleagues.

I am pleased to read that the treatment from staff was great, as was the care. Please accept my apologies for the assumption that your collapse was due to alcohol.

I hope you are recovering well.

Kind Regards

Nicole

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Response from Carol-Ann Jamieson, Head of Service, West Central Division, Scottish Ambulance Service 6 years ago
Carol-Ann Jamieson
Head of Service, West Central Division,
Scottish Ambulance Service
Submitted on 11/01/2018 at 14:09
Published on Care Opinion at 14:11


Dear Paul73

Thank you for your comments and kind words particularly in such a positive way given the difficulties you have experienced. I was sorry to hear of the delay that you had when you first contacted us. Like many emergency services over the past few weeks we have been experiencing a high demand for our service which has resulted in delays.

The system at the QUE is under review and we at SAS have been working closely with NHS GG&C colleagues to improve the handover for patients timeously. We are able to look at other Emergency Departments across Scotland and advise where possible re best practice.

I hope that you are recovering well

Many thanks

Carol-Ann

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Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 6 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 11/01/2018 at 14:28
Published on Care Opinion at 14:46


picture of Nicole McInally

Dear Paul73

Thank you for your kind words regarding the staff and your care.

Please accept our apologies for the delay in discharging you from hospital, unfortunately, we are extremely busy just now which has resulted in delays.

Sorry for any inconvenience caused.

Kind Regards

Cath McFarlane

General Manager - Medicine

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Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 6 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 17/01/2018 at 12:04
Published on Care Opinion at 12:08


picture of Nicole McInally

Dear Paul73

Many thanks for your helpful comments. The night you arrived in the ED at QEUH was without doubt the busiest period for our hospital as whole since we opened. The delays for cubicle space was driven by limited bed availability. Although this in no way excuses the delays you encountered I hope I can reassure you that these problems are not representative of our systems. We strive to constantly finesse our processes and your comments will be taken on board.

Best wishes

Alan Whitelaw

Consultant in Emergency Medicine - Queen Elizabeth University Hospital

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