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"Lack of local emergency dental cover"

About: Highland Community Services / Dental NHS 24 / NHS 24 (111 service)

(as a service user),

I needed a dentist due to a dental emergency so called my local dentist in Skye and Lochalsh. Leaflets produced by NHS Highland clearly state that you can see a dentist locally in an emergency. The phones at both the Dental Department at Lochalsh Healthcare Centre and the Medical Reception at Lochalsh Healthcare Centre was either constantly engaged or had a message saying that the telephone line was temporarily out of order.

As I have found, NHS Highland have had problems with various local healthcare building's telephones being out of order in the past few weeks, I telephoned my local hospital and was told there was a temporary telephone line I should be calling at Lochalsh Healthcare Centre. I telephoned the number and the person who answered the phone said that they were not a member of the medical staff and that there was no one else in the building. They advised me to phone NHS 24 on 111 for a dental emergency appointment.

NHS 24 said they didn't cover dental issues and that I had to contact NHS Inform. They told me I had to call an emergency Highland dental line. I telephoned the number and got through to someone in Inverness and was told that the dentists were on holiday today and that unless I could travel to Inverness (almost a 200 mile return trip) then I couldn't see anyone. I explained that I was disabled and used a powered wheelchair but could not possibly make the journey to Inverness and back as public transport is inaccessible to me and I could not drive that distance. I explained that I normally have to use Patient Transport. I asked how I could get something for the pain and was told bluntly that I couldn't unless I could make the almost 200 mile round trip to Inverness today.

The person I spoke to repeatedly interrupted me (clearly unable or unwilling to allow me to finish a sentence) and, at one stage, told me to stop shouting. I wasn't - I had to explain to her that I was using a speaker phone as I could not actually hold a telephone because of my disability and asked them to understand that I was not shouting but I did have to speak so they could hear me. They appeared to show no understanding that I could not make the journey and didn't even ask if I would need to have a carer accompany me.

The caring profession seems not to care anymore. No pain relief and no reasonable adjustments under the Equality Act 2010 for people with disabilities. This centralisation does not work in remote rural areas and, as a result, the patients NHS Highland have a duty of care for in remote rural areas, suffer. Had I lived elsewhere in Skye and Lochalsh, I would be expected to make a journey of at least 280 miles to see the emergency dentist (which is even longer than having to travel, say, from Glasgow to Manchester!). To anyone else elsewhere in the country, this would be unthinkable. To NHS Highland - it seems that we just to have to put up with such barbaric treatment.

This is a disgrace and NHS Highland need to understand that they are asking people the impossible in order to obtain their dental emergency services at the point of provision. I am not impressed. They could do, and should do, a whole lot better! I think starting to care for the people you have a duty of care to would be a start.

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Responses

Response from Andrew Cassidy, Patient Experience Officer, Nursing & Care, NHS 24 nearly 2 years ago
Andrew Cassidy
Patient Experience Officer, Nursing & Care,
NHS 24

I manage Patient and Service User Feedback

Submitted on 03/08/2022 at 12:53
Published on Care Opinion at 12:53


picture of Andrew Cassidy

Dear LS1,

Thank you for sharing your story on Care Opinion. I was sorry to read of the issues you have been experiencing whilst trying to see a dentist. I fully appreciate how frustrating this will be for you.

I was sorry to read that you had been challenged when trying to call Lochalsh Healthcare Centre. I see that colleagues from NHS Highland have been tagged in this story and I am sure they will be keen to respond to the issues you have raised.

It may be helpful to explain the role NHS 24 play in the provision of Out of Hours dental care. NHS 24 operate the Scottish Emergency Dental Service (SEDS). This is a telephone assessment line for patients who are experiencing dental issues in the out of hours period. Callers to SEDS are assessed by NHS 24 staff and, if appropriate, passed to their territorial health board for ongoing care, treatment, or further assessment.

I would be keen to understand what happened when you called NHS 24. From the information you provide, I would like to review your call to ensure that the information we provided was accurate and appropriate given your symptoms at the time of your call. To allow me to do this, I would be grateful if you would contact me directly at 0300 020 4846 or by email at patient.experience@nhs24.scot.nhs.uk

I was sorry to read of the issues you have experienced, and would be pleased to review your contact with NHS 24 to determine if there is anything we can learn from your call. Feedback like yours is so important to us, and I would once again than you for sharing your story with us.

I look forward to hearing from you, and hope that you have now fully recovered from the your dental issues.

Best wishes,

Andrew

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Update posted by LS1 (a service user)

Dear Andrew,

I have tried calling you several times, as requested but all I get is an EE voicemail. I have difficulty using telephones and digital technology generally because of my disability so perhaps you could let me know when might be best to call you and actually get to speak to you as I seem to waste more of my life these days waiting for people to answer a phone line, or explaining why I can't simply go online to do this that or the other. 60% of disabled people have difficulty using digital technology but it appears that the NHS in Scotland generally fails to recognise a need for an easier alternative for people like me..

No, I have not recovered from my dental issues, unfortunately, they still continue.

Incidentally, the other day when I called NHS24 as instructed, I was told to call NHSInform on 0800 224488 - then had yet more options to press - not good for someone who has difficulty using a keyboard or pressing buttons/holding a phone, etc.

Perhaps you could let me know when I can call you and you will be likely to answer the phone?

Thank you,

LS1

Update posted by LS1 (a service user)

Absolutely ZILCH response but then why should I expect anything else as those who have a duty of care don't appear to care anymore!

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 nearly 2 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 25/08/2022 at 19:57
Published on Care Opinion at 19:57


picture of Shona Lawrence

Dear LS1

Thank you for your updated post on Care Opinion. I would firstly like to say how sorry I am that you have been unable to reach our Patient Experience Team on the phone number provided. This is far from a good experience, given the challenges you have already encountered, therefore I do appreciate your frustration.

Staff within our Patient Experience Team have responsibility for manning the phone and checking regularly for any messages which may be left. I am sorry your call went unanswered. I will provide a reminder regarding this.

Can I please ask you to contact me directly on my own mobile telephone. My number is 07814 299944. I will be available during office hours. If, for any reason I am unable to answer immediately, please do leave a message and I will certainly call you back.

Apologies once again that you have not been able to reach us. I look forward to hearing from you.

With kind regards

Shona

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Response from NHS Highland about a year and a half ago
Submitted on 21/10/2022 at 14:59
Published on Care Opinion at 16:16


Hello LS1

I am sorry to hear of your experience and I apologise for the delay in NHS Highland picking this up.

Please be assured that NHS Highland takes your experience seriously and will respond to you directly.

Please also note that we have reviewed our processes for Care Opinion and this should not happen in the future.

Kind regards

Feedback Team

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