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

"Please don’t let this happen to anyone else"

About: Crosshouse Hospital / Ayrshire Doctor on Call (ADOC) General practices in Ayrshire & Arran NHS 24 / NHS 24 (111 service) Scottish Ambulance Service / Emergency Ambulance

(as a service user),

I popped over to check in on my Dad (mid eighties, suffering from dementia) yesterday.  When I arrived he was on his knees bent double over the seat of a chair.  I did not know how long he had been like that.  He was groaning with pain but could not say exactly what was wrong or how it had happened and could not straighten up.  I tried to help him up but he was screaming with the pain and I had to leave him in that position.

I phoned NHS 24, they stated they would get a GP to make a home visit within 2 hours.  The GP did not turn up - so I phoned them again two hours later. Each time I called, I had to wait on the line for 30 minutes or so.  I then got a phone call from a GP - that sounds like an emergency - we will get paramedics out in an ambulance within the next two hours.  All this time my father was in the same position, on his knees groaning in pain.

As I didn’t know if he would need any kind of medication or an operation etc, I didn’t want to give him anything to eat or drink or any painkillers.  I was reassured that an Ambulance would be with us within 2 hours.  My father was crying with the pain in his back and now in his knees too.

My fathers Carer came in an hour or so later.  Between us we managed to turn him on to his back and lay him face up on the carpet.  The Carer called the Care Company as she was so shocked at his condition, and asked them to make him an immediate priority.  The Carer advised I should now phone 999 and ask for an ambulance.  The phone operator confirmed both the GP and the Care Company had identified this as an emergency on their records.    They confirmed that  an Ambulance should be there within the hour - two hours at the very most.

Another hour later a Glasgow number called to confirm that my father was now a priority and he would be treated as an emergency.  

I called 999 and the Care at Home Service and NHS 24 several times throughout the night - I was continually told they were very busy.  

The last call I made to 999 the operator was extremely rude.  I was upset of course, but was always polite and understanding about how busy they are - at no time was I rude to anyone I spoke to, despite how stressed I felt and how disappointed to continually be given assurances that someone would attend soon.

I was afraid to fall asleep (in a chair) in case I missed the Ambulance.  In the early morning after 6am I started trying to get through again.  My poor father was still on the floor groaning in pain.  I felt so completely helpless, we had been sent from pillar to post with all sorts of promises about when help would arrive.  I could not actually believe this was happening.

Eventually, I called the North Ayrshire Care at Home out of hours service again and they called the Ambulance service.  They called me back to say there would be a change of shift and it would be a priority for the new shift. By now though, I found it very difficult to believe anything I was told.

The Ambulance service finally arrived at around 4 hours later - 18 hours after I had first sought help for my father.  No GP came, no Ambulance came (for 18 hours) and I don’t know what the delay might mean now for my poor father.  The Ambulance staff were brilliant and very shocked at the wait we had experienced.  My father has now been taken to hospital.

I know services are stretched, but this is appalling.  Why was there no check in with the GP to ensure the Ambulance had attended.  At the very least he could have attended and provided some advice to me and administered some pain killing medication, advised about food and drink etc.

I feel so upset and totally disappointed not only in the lack of care and treatment for my father, but the continual assurances that someone would shortly be on their way.  You might make quite different decisions, if you knew the real wait was going to be 18 hours.  

Please don’t let this happen to any other elderly person with dementia.  I don’t know what else I could have done, but cannot help but feel my father deserved so much better.


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

Responses

Response from Dawn Orr, Nurse Consultant - Telehealth and Telecare, Nursing and Care, NHS 24 about a year and a half ago
Dawn Orr
Nurse Consultant - Telehealth and Telecare, Nursing and Care,
NHS 24
Submitted on 20/10/2022 at 15:59
Published on Care Opinion at 16:10


picture of Dawn Orr

Dear Kenbren99,

Thank you for taking the time to post on Care Opinion in relation to dad. I am sorry to read about the distressing situation and pain your dad experienced on trying to access appropriate help. I hope he is now receiving the care he requires.

I would be keen to explore your contact with 111 further to see if any improvements can be made.

You can contact me by email at Patient.Experience@nhs24.scot.nhs.uk. I look forward to hearing from you.

Thanks again and best wishes to you and your dad.

Kind regards

Dawn

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from David King, Patient Experience Coordinator, Corporate Affairs, Scottish Ambulance Service about a year and a half ago
David King
Patient Experience Coordinator, Corporate Affairs,
Scottish Ambulance Service
Submitted on 20/10/2022 at 16:08
Published on Care Opinion at 16:10


Dear Kenbren99

Thank you for sharing your experience with us. It sounds like a truly awful experience and must have been very worrying for you and your father.

If you would like me to have the delay in our ambulance attending investigated could I ask that you contact our Patient Experience Team at sas.feedback@nhs.scot with your name, Care Opinion username, your father's name and the date and address where we attended.

Kindest regards

David

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Interim Programme Lead, Governance and Assurance, Primary & Urgent Care, NHS Ayrshire & Arran about a year and a half ago
Submitted on 20/10/2022 at 16:50
Published on Care Opinion at 16:55


Dear Kenbren99

Thank you so much for taking the time to provide the feedback of your experience when trying to get help for your dad and I am so sorry to read of the situation you describe. It must have been a really worrying time for everyone involved. It can be really upsetting seeing a vulnerable family member in such discomfort and pain and to endure that for a lengthy period of time must have been really distressing.

The Ayrshire Urgent Care Service (AUCS) delivers a GP out of hours service across Ayrshire when referrals are received from NHS 24 (111). On receiving a referral, the usual practice is for a clinician from AUCS to phone the patient/family to assess their condition and determine the most safe and effective care. This can sometimes be a direct referral to the Scottish Ambulance Service if the clinician feels urgent admission to hospital is required which sounds as though that is what happened in your dad’s case.

We would really appreciate the opportunity to fully investigate the specific concerns you raise with regards to the actions by the Ayrshire Urgent Care Service and would welcome you to provide further information (including you and your dad’s details and date this happened) to our Feedback and Complaints Team using the following contact information:

PO Box 13, Eglinton House, Ailsa Hospital, Dalmellington Road, Ayr KA6 6AB
Telephone 01292 513620 please note: your call may be recorded
Fax 01292 513665
Email: complaintsteam@aapct.scot.nhs.uk
Freephone number for feedback, comments, concerns and complaints call 0800 169 1441

I do hope your dad is now recovering and sending my very best wishes.

Regards

Marie

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from David King, Patient Experience Coordinator, Corporate Affairs, Scottish Ambulance Service about a year and a half ago
David King
Patient Experience Coordinator, Corporate Affairs,
Scottish Ambulance Service
Submitted on 07/11/2022 at 08:12
Published on Care Opinion at 09:01


Dear Kenbren99

Thank you for contacting our Patient Experience Team with more details which will allow us to investigate this delayed response.

I have emailed you directly and assure you that a thorough investigation will be carried out and we will be in contact with you in due course.

I do hope that your father is recovering.

Kindest regards

David

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 about a year and a half ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 07/11/2022 at 11:00
Published on Care Opinion at 13:33


picture of Shona Lawrence

Hi Kenbren99

Thank you for speaking with me on the telephone today. As explained, we are keen to review the contact with NHS 24, therefore thanks so much for providing additional detail to enable us to do so. Once our review is complete, a senior member of our clinical team will be in touch with you further.

I'm so sorry to learn your Dad remains in hospital and I wish him well.

Best wishes to you all meantime.

Regards

Shona

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