"Extreme dissatisfaction on the on-call GP service "
About: Harmoni / NHS 111 Harmoni NHS 111 WD18 8YA St George's Hospital (Tooting) / Accident and emergency St George's Hospital (Tooting) Accident and emergency London SW17 0QT
Posted by Bradley John (as ),
I was significantly unwell at the time. My presenting condition was getting worse and was affecting severely my personal and work life despite of the several appointments I had with my local GP. Hence, my relative/myself contacted NHS 111 which the customer service was helpful and advised me to see the on-call GP Harmoni within St. George's Hospital.
I went to St. George's and saw the on-call GP (provided by a private provider). I explained thoroughly in details my history of presenting condition and how it severely affected my activities of daily living. They advised me to return to my local GP and request a referral for an endoscopy. They also advised me to buy a Difflam throat spray. They then advised me to go home.
My relative and myself were not very happy on how the GP handled my situation despite of my significant health complaints. On appointment, they did not check my clinical observations at the time; they did not review my background I. e. blood results requested my local GP despite of me explaining it was in St. George's EPR; they managed to give me an advice without objective assessment I. e. not even checked the status of my throat; they were explaining about the 'gold standard assessment' to confirm my diagnosis by 'googling' the information; they were writing their prescription by tearing a small piece of paper and they were not listening and not understanding about the health difficulties I was experiencing by not letting my relative finish the explanation yet since the GP was 'jumping in' already with their advice. they reported they couldn't justify my hospital admission and was strongly sending me home with a prescription of a throat spray. We said that we were not happy about this service and we would seek for a second opinion. The GP said " do so".
I then queued up in A&E and got triaged. The triage nurse took my observations and my temperature was 38. 2 which indicates fever, cannula was put on in my arm and my bloods were taken. I was seen by an A&E doctor who did a thorough examination about all my complaints. Following the objective physical examination, the A&E doctor immediately reported that I need to be admitted in the hospital as I need to be examined further. I was transferred to the ward on that night and I was looked after by the medics. I ended up staying in the hospital for 5 days before I got safely discharged home. Overall, St. George's A&E team and the Medics who looked after me were all extremely competent, professional, safe and brilliant. Currently, I am better and happy that my health was properly addressed by St. George's hospital.
To this end, I would like to highlight that the on-call GP as per my appointment at the time was in my opinion extremely unhelpful and unprofessional.