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"Excellent theatre care, but post op pain."

About: The Walton Centre NHS Foundation Trust / Neurosurgery

I recently had an elective revision microdiscectomy at the Walton Centre.

The pre operative appointments were efficiently run, the surgical consultations were effective and I was listened to. The pre operative assessment was thorough and reassuring with helpful staff throughout the hospital.

I had total confidence in the theatre and anaesthetic team who were patiently reassuring as I was, as usual, anxious before a procedure.

My only disappointment lies with post operative pain management. It just wasn't there when I needed it. I emerged from theatre with significant discomfort, unlike previous surgery, and this was partially addressed within Recovery who gave iv painkillers and were very conscious of getting me back to a ward swiftly. The ward staff were very welcoming.

At no time following surgery was there any discussion of pain score or type and I was told I could have the pain medications I came in with and had brought...paracetamol and codeine (used occasionally for mild ache/pain). A steroid injection, and a break from work had meant a very welcome relief from stronger medications and I was delighted to have given my system a pre-surgery 'rest'. The fact that circumstances had changed and I had had surgery was ignored.

My discharge the following day was delayed by a passing doctor who said my pain was not managed effectively enough for me to go home. Nothing was done apart from adding oramorph; a medication I had to ask for specifically at each meds round, had never had before, was sometimes forgotten and on one occasion delayed for 6 hours. There was no plan, no alternative and no discussion, and I felt very bad having to ask and ask.

It was a struggle to get anything added to my prescription until 30minutes before I was discharged in the evening the following day.

This was just massively disappointing in what was an otherwise very good system. There were many patients with really difficult and complex issues to deal with. I appreciate my issues pale in comparison but I was left in pain and unable to sleep or reposition myself in bed.

All staff were very nice but they were just rushed off their feet.

What was lovely and worked really well was the care given by the team providing drinks, food and cleaning. I was only asked once how I liked my hot drinks and the staff remembered. This was a lovely touch. There was a good choice of food which was served piping hot. Drinks and food were always placed within reach and water jugs regularly refilled. Cups and plates were never left lying about. There were plenty of teas and coffees and the bathrooms were kept clean.

I am exceptionally grateful that I have been given this opportunity to improve my health through the NHS, and I really do appreciate that staff are very hard pushed.

I am just very upset that my hospital discharge was postponed specifically for pain management issues which were not then 'owned' and addressed.

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Responses

Response from The Walton Centre NHS Foundation Trust 6 years ago
The Walton Centre NHS Foundation Trust
Submitted on 14/03/2018 at 22:39
Published on nhs.uk on 16/03/2018 at 02:44


Thank you very much for your very detailed and helpful feedback. Your experience gives us a lot to learn from, both positive and negative. There are many aspects of your care that show the high standards of care that our staff are proud to deliver. However, you have also very articulately highlighted where your care did not meet these standards. We would really like to use your experience as a patient story with our staff as an example of where patients have a good experience and conversely where this is not the case. If you would like us to do so, could you please contact our Patient Experience Team at PatientExperienceTeam@thewaltoncentre.nhs.uk or by phone on 0151 556 3091/93

Thank you again and may we apologise for the problems with your pain management and discharge.

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