This is Care Opinion [siteRegion]. Did you want Care Opinion [usersRegionBasedOnIP]?

"Assessment in A&E sent by GP"

About: Royal Victoria Hospital / Accident & Emergency

(as a relative),

My mother is in her 60s and was recently sent urgently to A&E, where after numerous blood pressure readings were above 200 systolic and finally rested at 96 diastolic. While known to have high blood pressure and a history of two ischemic strokes and TIAs, this presentation was different, she had legs and hands swelling, she was experiencing numbness down her left hand side and found it difficult in dexterity.

On arrival with her GP letter she was triaged 1 hour and 20mins later, she described the blood pressure cuff as tightening up and down lots with no result on the monitor. She wanted to know what her blood pressure was. 5 hours later no further updates or rechecks, she was told she needed an ECG and bloods (I’m assuming there’s fluid accumulation they might need to check her kidney function). Here we are 12 hours later and frequent requests to re check my mother's blood pressure or at least check her bloods and being told - we will be with you soon. 

I’m sorry but as a health professional myself I fear we have lost all care and compassion for the frail. I know the NHS is on their knees but 12 hours is ridiculous waiting for someone with high risk co morbidities. We also asked for analgesia twice which we are still waiting on. Surely when there’s triggers on a news chart this recommends review at some point over the stay in A&E. 

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Update posted by Sad state of affairs (a relative)

No response?

These concerns are continued, on this occasion we were made aware by staff Nursing and medical that there are only two medics on over night and the wait was 20 hours for review by a doctor. This took our wait to day staff where there was an influx of both nursing and medical staff available separated into zones.

Concerning fact was that people attending from 8am had a shorter wait. No frequency in observations? Medications administered in front of other patients. Elderly patients waited without food or drink in the waiting area for over 12 hours.

The trend on these comments is long waits and no review over night yet staffing is better during the day. Do statistics not show that regardless of time people still present outside of 9-5 hours.

Response from Olga O'neill, Co Director, Unscheduled care, Belfast Health & Social Care Trust last month
Olga O'neill
Co Director, Unscheduled care,
Belfast Health & Social Care Trust

Co Director responsible for the Adult Emergencies Care Services, Mater hospital inpatient medical wards, GP out of hours service, Custody Health Care, Ambulatory Care Services and Service Improvement.

Submitted on 25/03/2024 at 13:03
Published on Care Opinion at 13:03


Dear Sad State of Affairs, my name is Olga O'Neill I am the CoDirector responsible for the Adult Emergency Departments at the Belfast Trust. Thank you for taking the time to share your experience on Care Opinion, I am truly sorry for the delay in responding to you and for the poor experience you and your mother had during a recent attendance at our emergency department. Whilst there is significant pressure in health care and especially in our emergency departments where patients are waiting unprecedented prolonged periods of time for an in-patient bed this does not excuse substandard care and distress to patients and their families. I would really like the opportunity to investigate the issues you have raised further. In order to do this, I require more information regarding your mothers attendance, please contact me at olga.oneill@belfasttrust.hscni.net if this is something you and your mother wish me to do.

I hope that your mothers condition is improving and she is receiving the care she requires.

Kindest regards

Olga

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Opinions
Next Response j
Previous Response k