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"An admission to the Clinical Assessment Unit at Forth Valley Royal Hospital"

About: Forth Valley Royal Hospital / Clinical assessment unit

(as a relative),

My wife was admitted with severe pain to the Clinical assessment Unit in January.

What went well?

Despite being extremely busy, there was a calm atmosphere of staff doing their best while priorities were no doubt continually changing. Staff were polite and responsive to questions and most requests. Once a full clinical assessment was done things moved relatively quickly and smoothly.

What could be better?

As medical people ourselves, we are both aware of the current pressure on NHS acute clinical care facilities. There are in my mind 2 issues that could be reviewed:

1. When a patient has had severe pain, unresponsive to simple analgesia, for 12 hours before admission, another 6 hours before stronger medication is available is not acceptable and undermines patient/relative confidence. The idea that pain relief has to await a diagnosis is a dated concept; good analgesia assists diagnostic processes.

2. Any wait of 2 hours of more does require regular programmed updates for patients and accompanying family/friends. Clearly some thought needs to be put into how this might be achieved in a way that eases rather exacerbates the pressure under which staff are already working.

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Responses

Response from NHS Forth Valley 6 years ago
We are preparing to make a change
Submitted on 26/01/2018 at 09:02
Published on Care Opinion at 12:55


Dear atlascx58

Firstly I would like to extend my apologies to your wife and yourself for not delivering the service which you rightly expect, and I'm grateful for you taking the time to provide this feedback. I'm pleased that you felt that our staff were polite and responsive, and that following the clinical assessment things moved along smoothly.

I'm sorry that we did not administer stronger analgesia for 6 hours following admission. I think this is something we could improve upon. I will meet with our senior charge nurses to consider refining our triage processes to include a specific question on whether patients require stronger analgesia at the point of admission.

We strive to keep all patients and relatives updated regarding progress. However as you might appreciate sometimes this can be very difficult, especially when the unit becomes crowded. We will discuss your very helpful feedback at our next unit meeting to see how we might better achieve this (without exacerbating pressures, as you rightly point out).

Once more thanks again for your feedback, and I would be more than happy to meet you to discuss this personally

Dr Dan Beckett

Consultant Physician and Speciality Lead for Acute Medicine'

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