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"Newly diagnosed cancer care"

About: Russells Hall Hospital / Accident and emergency Russells Hall Hospital / General medicine

(as a service user),

As a cancer patient newly diagnosed,  my consultant said urgent scans would be done within 2/3 weeks. Other staff then informed me that 1 scan would be 5 weeks. When I got upset, the nurse said they were doing their best. Said I was upset but felt I had to raise concerns through more formal channels, which I did via PALs in writing. Said in that communication that I had copied it to consultant secretary and would do so also to my MP. Within an hour the scan was expedited to the 2/3 week timescale. 

Although I was relieved that my urgent cancer scan (to check for stage 4 cancer as the diagnosis of primary had been confirmed) - it made me wonder massively why I'd had to query my rights and not suffer in fearful silence.

I also then checked care quality commission at trust which the latest report rated the imaging department as needing improvement or inadequate (can't recall which now). So I hoped that complacency amongst staff in that department or backlogs were not being ignored, but reported as incidents or near misses, which hospital trusts are supposed to do.

As a former nurse, I was fully aware of the sheer exhaustion of daily shifts and the never ending pressures. But I feel very strongly that staff must work together and report overwhelming or unrealistic workloads to their line manager, who in turn should report these problems. 

I have now received excellent care and treatment since my chemo began and I hope and expect this standard to continue. 

I posted a very good review about my treatment in emergency care during a weekend day. I was in awe of all staff as the department seemed to be bursting at the seams with patients. 

I would be more than willing to support the trust with lobbying government ministers to ensure funding and support is maintained by our government in power. 

A main concern that day was a urine infection.

They checked my vital obs 3 times, took blood sample once & recorded my medical history 3 times.

I provided them with 2 urine samples, requesting containers myself. I said after both samples that my urine was smelly.

Last person I saw was a consultant after abdomen x rays. They reassured me my blood samples did not show signs of infection. I asked about my urine reiterating pain on my back near renal area in middle of night. They said I could have pulled a muscle. I asked if my urine sample had been tested and they said it would be tested in a lab.

I am not sure but believe a simple 3 second dipstick test in hospital sluice where dirty specimens like phlegm or urine are disposed of would have indicated an infection.

But lab testing meant that I remained in a lot of discomfort for another I think it was 24 hours and I rang my GP to advise them then I needed antibiotics for a urine infection. I told them the name that the hospital nurse had said and they said they would send prescription to my pharmacy immediately, or I could have kidney damage.

To be blunt , I will summarise with 2 points:

1 My chemotherapy at the hospital is going well, as far as I know and the oncology staff are kind, caring and meticulous.

2 however to spend 4 hours in emergency care with abdomen pain, which I stated each time my medical history was taken (3 times) I believed was caused by IBS constipation and a urinary tract infection and to be left in extreme discomfort while my urine sample was sent to a laboratory I think was both

- distressing to me - I know it was until the antibiotics worked their magic

- over wasting money in awaiting a lab test causing how much?? I told them I was allergic to septrin so there was a limited number of antibiotics they could have prescribed anyway- so was the lab test absolutely necessary?

I feel better relaying my experience, not all good about the emergency department at Russell's Hall Hospital- because as I said before the department was overwhelming looking and at tipping point. So they did check and reassure me with so many things- but I don't believe I was listened to or believed about in the urine infection.

I think the consultant I was assessed by immediately before my discharge could have done better

I am grateful for everything else but that was the sticking and distressing point that I want to share.

I hope my honest and forthright post will be of interest to hospital staff and will be willing to share my factual views to help them in any way I can.

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Responses

Response from Patient Experience Assistant, Patient Experience, The Dudley Group NHS Foundation Trust last month
Submitted on 08/03/2024 at 13:51
Published on Care Opinion at 13:51


Dear patient,

Thank you for your comments regarding the Radiology Department, the Emergency Department, and the Oncology team. It is disappointing to note your concerns, although it was pleasing to read you felt the care provided by the Oncology team has been good and we do hope your chemotherapy treatment goes well.

Your comments regarding the Radiology Department and the Emergency Departments will be shared with their senior management team so they can reflect on these for future patient to improve patient care and experience. The Trust always welcomes feedback to improve patient experience.

Should you wish to discuss your concerns further regarding these departments, please do contact the Trust’s patient advice and liaison service (PALS team) on telephone 0800 073 0510 or by email to: dgft.pals@nhs.net and the team will be able to assist you.

Thank you for bringing your concerns to our attention and we do appreciate your time and effort in doing so.

Kind regards,

Patient Experience Team

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