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"Delays in getting to hospital"

About: NHS 24 / NHS 24 (111 service) Scottish Ambulance Service / Ambulance Control Centre Scottish Ambulance Service / Emergency Ambulance

(as a relative),

To cut a long story short: My mum broke her hip and her collar bone at home, in Edinburgh, in a fall. She is in her 80s and this is a fairly common situation. However, what happened next has shocked our whole family and I feel everyone needs to be made aware of this so that we, as the British/Scottish public, can push for positive change so that this does not happen to anyone else.

We tried to get through to NHS24, but couldn’t. We knew an ambulance was required so phoned 999. The ambulance call handler/controller asked all the usual questions. As medical professionals ourselves, we were very specific about my mum’s injuries, and could give more detailed information than most folk could have done. To our shock and amazement, the call handler very bluntly said they will not be sending an ambulance and told us to phone NHS24.

We eventually got through to NHS24 (took about 20 minutes) answered a whole load more questions and were then put through to a medic on the phone who further assessed the situation and agreed that an ambulance was required but did not give any estimated time of arrival.

Every couple of hours after that we got a phone call from the Ambulance Service, checking that my mum had not got any worse (she was in discomfort and pain). At some point, perhaps around 6 hrs after it had been stated that an ambulance would be sent, a paramedic phoned to check and said they had been extremely busy but even so was surprised it had taken so long to get to my Mum. They checked and said that the medic at NHS24 had classed mum as non-urgent and that was the reason for the delay. They then said that there were only three calls ahead of Mum now and it would not be long.

Another 4 hours passed before the ambulance crew arrived - i.e. 10 hrs in total!

This is not a complaint at the paramedics or indeed the Ambulance Service – they were great and really helpful. This is a complaint about the whole system which assessed it was acceptable for this to happen. It appears to be acceptable in Scotland’s capital city (not a remote island or similar) to cause an elderly lady with two significant broken bones to be left for ten hours before being taken to hospital. The medical staff we have spoken to since have all been surprised that this happened to my Mum.

In my view, this is just not right or acceptable and needs to change.

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Responses

Response from Lesley Kay, Patient Experience Team Leader, Corporate Affairs, Scottish Ambulance Service 6 months ago
Lesley Kay
Patient Experience Team Leader, Corporate Affairs,
Scottish Ambulance Service
Submitted on 30/10/2023 at 13:52
Published on Care Opinion at 14:16


Dear Composermx94

I am so very sorry to read about your mum's experience. It's always disappointing when we let people down and I can fully understand how distressing this situation must have been for you all.

I see you have already been in touch with our Feedback team to submit a complaint and I thank you for doing so.

We are currently investigating your concerns and will provide a full response once this has been fully concluded.

Kindest Regards

Lesley

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Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 6 months ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 31/10/2023 at 15:54
Published on Care Opinion at 16:09


picture of Shona Lawrence

Dear composermx94

Thank you for sharing your story on Care Opinion. I am very sorry to learn of your mum's fall resulting in a broken hip and collar bone. I can only imagine how much of a worrying and distressing time this has been for you all. I wish you mum a good recovery.

Similar to the Scottish Ambulance Service, I am aware that we are already reviewing your mum's care from an NHS 24 perspective. Feedback such as yours really assists us to review the care provided to patients and their families and, where appropriate, to make improvements.

We have liaised with our colleagues within the Scottish Ambulance Service which means we aim to provide one comprehensive response from both Health Boards. Following receipt of this, should you have any outstanding questions in relation to the service provided by NHS 24, I would be pleased to take these forward for you. You can contact me directly on 07814 299944 or email Patient.Experience@nhs24.scot.nhs.uk

Once again, I am sorry to learn of your mum's experience.

Best wishes to you all meantime.

Shona

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