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"Busy A&E department"

About: Lincoln County Hospital / Accident and emergency

(as a service user),

Having an allergic reaction to nuts in my 50s came as a bit of a shock. I was assessed by staff member quite quickly due to the possibilities that could have developed. I asked if there was anywhere quiet as A&E was very busy.  Luckily, they let me use one of the family rooms, which really improved the way I felt. I'm not sure how ling I would have lasted in the main A&E the way I felt.

I had a cannula fitted, but it was never used! I was given tablets and then left. It was over three hours before I saw the dr who was lovely too and explained everything.  They seemed very rushed and didn't do all the checks they said they would - ie,  didn't check the effect on my mouth and throat. They also weren't aware of how severe my syptoms had been on arrival. Only on showing them photos did they realise. This all happened around 2200 - 2300. No one came to check on me until around 0445 when I asked what was happening. I had been ip since 0730 the previous day and had nothing to eat or sleep for a fair number hours and was keen to go home.  Dr eventually came back, said they really wanted to keep me in, but there were no beds and quite a number waiting on beds to be transferred. They said they would have to wait a couple of days for my blood results and I needed to see an immunologist.  I was given tablets, told that I needed to contact my Dr and could go home and needed to rest. 

About 10 minutes later, another nurse came out of the treatment area. She said she had come to check on me as she was conscious  no one had seen me for a little while! I said, yes, about 5 hours earlier  and Dr  had already said I could go home.

I was able to see how how stupidly busy A&E is and I am convinced they did the best job they could with the volume of patients. This is an archaic system and the waiting area is so uninviting and uncomfortable when you are feeling so unwell.  Hope I don't have to use the facilities again any time soon.

The staff do need to be congratulated on coping day after day with this state of affairs.

I was also aware that there were 7 police officers on A&E. I'm not suggesting their patients should be given preferential treatment, but I also think it's a waste of resources.

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Responses

Response from Meg Kelly, Head of Service & Consultant, Emergency Department, United Lincolnshire Hospitals NHS Trust 6 years ago
Meg Kelly
Head of Service & Consultant, Emergency Department,
United Lincolnshire Hospitals NHS Trust
Submitted on 09/02/2018 at 08:36
Published on Care Opinion at 15:35


Dear Limajf87,

Thank you for posting your comments and for understanding that the Emergency Department team were ‘doing the best they could’ during a time of extreme pressure on the service.

You site several issues in the care you received including the doctor not completing a comprehensive assessment and significant time periods where your condition was not checked. I apologise for these.

Our doctors should be aware that, regardless of how busy the department is, we should provide full clinical assessment and compassion to all who attend. We also have an hourly rounding policy which should ensure that every patient is checked regularly (including those who have to wait in areas other than our Majors assessment space). It does not appear these policies were followed in your case.

Whilst this may be explained by huge demand for a service which is currently under extreme pressure, it does not excuse or mitigate the risks associated with not following these processes.

I have full confidence that every member of my team goes the extra mile to try and provide the highest standards of care to our patients and that not being able spend the necessary time to achieve this due to high demand has a significant impact on my teams morale and wellbeing.

I would like to review your individual care journey to ensure my team did all they could and offer specific comments on the issues you raise. I am unable to do this without your details and so I would request that you contact the PALS team on PALS@ulh.nhs.uk to provide them. I will then be able to give you more personalised feedback. It would help me greatly if you would quote reference CO465660 when you contact PALS.

With regards,

Meg Kelly

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