"Staff seemed to be in silos at the Royal Free"

My dad has had various inpatient experiences at the Royal Free Hospital in Hampstead. While there, much of the care was good but communication between different teams on different wards left loads to be desired.

He received contradictory information about his diagnosis. We also received contradictory explanations as to why results from a CT scan had been delayed. It really seems that staff work in complete silos - poor communication between them means poor communication with us. Simple explanations as to why things were delayed finally helped...more could have been done to nip problems in the bud and make all our lives easier.

Yesterday he had an outpatient appointment to look at a sort of stent he had had inserted in his side to alleviate pressure on his bile duct from a liver tumour. He paid £15 for a taxi each way. The nurse (?) had no notes, pulled his shirt up and said "what's this?" and then said "who sent you?"...

She gave him the ultrasound he (my dad) had told her he had been told he should have and was sent away without any indication of what would happen next. My dad and stepmum were very confused about what had happened and stunned by the clinician's seeming attitude and lack of awareness or notes.

Meanwhile he has still not been informed about when his biopsy result will be ready. They said 7-11 days, 12 days ago or so. And so it goes on.