Post by @dick_turpin@mastodon.org.uk
@penguin42 The #NHS is in crisis, I'll have you know.
(I deliberately took a picture with no patients in the shot)
@dick_turpin Given the way a cousin was treated in the last couple of weeks, I'd say fine surgeons, pity the organisation couldn't handle a pissup in a brewery.
@penguin42 So before I open my gob, I have first-hand experience of working in the #NHS (7 Years), and as everyone knows, one of my daughters is a grade 7 Nurse, so I speak with a certain amount of insight.
Be careful what you see on the news and read in the papers about hospitals. While there are some very dedicated people, there is an overwhelming amount of, umm? flotsam and jetsam.
I would say there were around eight patients across 3 departments: 104, 105 & 107 (Not sure why no 106?)
@dick_turpin@mastodon.org.uk @penguin42 Firstly, I hope everything turns out well for you.
I'm not sure if you're aware, but my Mom passed recently, and in the lead up to that, I spent 2 months visiting her in hospital. As you say, there definitely are some absolute angels working within the NHS, but a lot of the time I felt the best descriptor for the "care" my Mom received was shoddy.
My sister spent many years working in the NHS as a nursing assistant, and she was shocked at how basic standards of care had slipped. It's honestly quite scary, and as relatives of an elderly and very vulnerable patient, it was an extremely stressful two months.
@jac I'll tell you how they can improve care overnight, but they'll never do it:
1. The College of Nursing is too strong a union.
2. There would be uproar and mass walkouts.
๐ฆ๐๐ฎ๐ณ๐ณ ๐ฅ๐ผ๐๐ฎ๐๐ถ๐ผ๐ป.
Move nusres to different wards and departments every 3 months. You know the old saying: ๐๐ข๐ฎ๐ช๐ญ๐ช๐ข๐ณ๐ช๐ต๐บ ๐ฃ๐ณ๐ฆ๐ฆ๐ฅ๐ด ๐ค๐ฐ๐ฏ๐ต๐ฆ๐ฎ๐ฑ๐ต
Staff get used to workplaces whereby they become not only complacent but adopt the ๐๐ข๐ณ๐ต ๐ฐ๐ง ๐ต๐ฉ๐ฆ ๐ง๐ถ๐ณ๐ฏ๐ช๐ต๐ถ๐ณ๐ฆ attitude whereby they get away with blue murder because ๐๐ฉ๐ฆ๐บ'๐ท๐ฆ ๐ฃ๐ฆ๐ฆ๐ฏ ๐ฉ๐ฆ๐ณ๐ฆ ๐ง๐ฐ๐ณ ๐บ๐ฆ๐ข๐ณ๐ด.
@dick_turpin@mastodon.org.uk I won't pretend to know the answers, but it's quite obvious that something needs to change. The NHS has never been perfect, but I couldn't help but draw comparisons between when my grandparents died in the 90's. The care they received and the rapport with the family was markedly better back then.
We had to constantly chase people for even the most basic information about what was going on with Mom, and even then we frequently got conflicting reports. It was exhausting, frustrating, and at times outright horrifying. I was seriously contemplating putting in a formal complaint, and probably would have done if I'd had the emotional energy.
@jac@404brain.boo @dick_turpin@mastodon.org.uk After my recent experiences with my wife and mother-in-law at different hospitals, I noticed that staff are very task oriented and narrow in focus (almost tunnel vision). No-one seems to be overseeing, marshalling and organised with a cohesive view of the big picture. Plus, the doctors and consultants are still the kings and queens and everyone defers to them. I swear some staff curtsy when the morning doctor's round get underway.
When a Deer decided it was going to jump out in front of the wife's car, writing it off and putting her in A&E, the cubicle she was in had blood on the floor (my daughter would have had a fit, given she leads infection control). I pointed it out to the nurse and her response was: "๐'๐ฎ ๐ฏ๐ฐ๐ต ๐ค๐ญ๐ฆ๐ข๐ฏ๐ช๐ฏ๐จ ๐ต๐ฉ๐ข๐ต ๐ถ๐ฑ, ๐ช๐ต'๐ด ๐ฏ๐ฐ๐ต ๐ฎ๐บ ๐ซ๐ฐ๐ฃ!"
Stunned I told her in no uncertain terms she'd best get whoever's job it was then to clean it up.
@dick_turpin@mastodon.org.uk @jac@404brain.boo Similar story. My wife was on a trolley in a corridor (admittedly a cramped, difficult environment) but when the nurse (or HA ?) came to take blood, she placed the tray on the floor. My wife (former ICU, district and practice nurse) was not impressed.
@dick_turpin@mastodon.org.uk @jac@404brain.boo My wife helpfully told me that lodging feedback (not necessarily a complaint) with the Patient Advice and Liaison Service (PALS) was always the best way to provide feedback and get a formal response.
I assumed it would take months and they'd endlessly stall. However, I tried it once chasing the results of a CT scan that were promised and never appeared despite multiple, polite phone calls and emails.
Within minutes of me submitting the online PALS form, the radiology department called me directly, sincerely apologising, sent me an email with the consultant's report and sent me CD of the imagery in the post. They then checked I was happy with the outcome - no doubt petrified I was going to escalate to a higher level.
@andyc @jac The problem with the NHS, and with the older generation like you and me, is that we are loath to make derogatory comments about it or point out its failings; it's an institution nobody in the public eye would dare criticise.
Sometimes you have to hold your heroes accountable. ๐คท๐ปโโ๏ธ
@andyc@yakshaving.social @dick_turpin@mastodon.org.uk I was about to contact PALS with a list of concerns, but then Mom developed pneumonia and not long after that, she died. It hit me very hard, so I didn't go through with it in the end, but I probably should have. I did keep reasonably detailed notes (mostly as a memory aid) during the time she was in hospital, and I was going to compile a list from those and send it to them.
It's good to hear that you had good results from PALS. Shouldn't be necessary of course, but it's better than nothing.
@dick_turpin@mastodon.org.uk @jac@404brain.boo Apparently it's 12 months but we had the same issue when we lost my father-in-law in 2014. You're all so consumed by grief, funeral, probate etc, it hardly seems that important.
@andyc@yakshaving.social @dick_turpin@mastodon.org.uk Exactly that. It's been just over 2 months, and I feel like I'm only just about able to wake up each day without being totally consumed by it. Not sure I'm ready to open those wounds back up yet.
12 months is a reasonable amount of time though, so I might revisit the idea in a couple of months. I do feel like there should be a record of our complaints at least. Even if nothing comes of them directly, it might help a collective picture of things.
@jac@404brain.boo @dick_turpin@mastodon.org.uk I think lodging feedback with PALS is useful. It's not so much to help you as nothing can undo what's been done. In fact, any acknowledgement is almost meaningless. A written 'apology' is unlikely as it could open the PCT up to a formal case of negligence. However, hopefully, it might bring issues to their attention that they can act on and try to improve things going forward.
