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"Needs improvement"

About: Princess Alexandra Hospital / General medicine

my partner was admitted through A&E after seeing his GP. It was a very slow process. We had the GP appointment at 9.30 on a Saturday morning. We came to the hospital with bag packed and ready. We arrived at 1100 and we did not get onto a ward till 1730. During the time in A&E there were long waits without any contact with staff. My partner was in a lot of pain and was passing out in the chair before they decided to let him have a gurney. The Nursing staff were slow to respond in provide pain relief and it felt like they were doing the opposite of what I had requested.

When my partner was admitted to the ward none of the staff came to introduce themselves for approx 40mins. The staff did not have their name badges on and did not always introduce themselves and their roles.

Very little information was provided on the care plan or test results. The fluid and nutritional intact was not monitored.

My partner was not referred to pain management. For the first 3 days the pain relief was not enough and my partner was getting High level break through pain. The poor layout of ward ment patients could not be seen from the nursing station.

My partner did not receive a review from the dietitians despite having not eaten for a week. He was also given incorrect mouth care from the doctors which caused more pain. A referral to either speech and language or dietetics could have prevented this and helped with a speeder recovery.

The staff are not drawing on The MDT skill to treat the patients fully.

Lazy care not using full resources.

Visiting time has been noisy as more than 2 people are allow at bedside. Some families are incapable of speaking quietly to respect resting patients. They had inappropriate conversations about wills in front of there relative and fights between family members.

As a health care professional I could see many gaps in the service. Some of the elderly patient who needed more attention were in the bays furthest from the nursing station. Patients who were disruptive in the night were in bays keeping everyone awake. One patient at risk of falls was left in a raised bed as he tried to climb out over the rail. No low profiling bed provided for him. Another patient had swallowing problems and no suitable diet was provided for him.

Disappointing to see lack use of the MDT and attention to detail from the clinical staff.

The ward was clean. No specialist diet menus provided and kitchen staff had there hands tied with regulations. No ice cream!! Review of soft diet or liquid diets needs to be had.

My partner became very nervous at night times as he had break through pain and was not monitored closely to stop this from building up.

The nursing staff offered him food and drinks regularly that he could not have. Poor handover. I witnessed a HCA calling an elderly gentleman by the wrong name and expecting him to respond, his name was over his bed!

Generally the staff were polite and helped when requested.

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Responses

Response from Princess Alexandra Hospital 5 years ago
Princess Alexandra Hospital
Submitted on 23/05/2018 at 09:04
Published on nhs.uk at 13:06


Dear Anonymous,

I am sorry your partner has had to have this experience. The delay in receiving pain relief, support and MDT review and assessment are not what we want or expect to provide to our patients, families and carers. You referred also to a lack of specialist diets, however this has been recently refreshed and so I would appreciate an opportunity to speak to you in more detail about where you observed this approach in order to identify how we could prevent a recurrence.

Thank you also for your detailed analysis of what happened during your partner's admission and stay to date and for your very balanced assessment of what could be improved. This is important evidence for us to share with teams and colleagues to enable improvement and I would find it helpful if you would be willing to make contact with us to provide further details of where things could be improved.

Please accept my sincere apologies for the poor experience you have had and please do make contact if you feel able to do so. Thank you too for commending the cleanliness of the ward, the polite and helpful staff. The number to make contact on is 01279 827211 or email pals@pah.nhs.uk.

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