"Inefficiency of clinical importance"

About: Guy's Hospital / Rheumatology

(as a relative),

My son attended OPD on 12 November and saw a nurse specialist.

The follow up letter was copied to him but contains two important errors. Firstly, the GPs address is wrong, secondly the list of medication is wrong - its omits methotrexate which is an important component of his disease modifying treatment. Thirdly, no follow up information is provided about when he will be seen again and by whom. This is basic information which should be given to any patient with a chronic disease who by rights (and NHS policy) should have a care plan.

The incorrect documentation of his medication is compounded by the fact that he is also on another medication. This was listed by the nurse but he cannot get it, for this medication was approved by his former NHS Trust and their request to them has been turned down. This is not surprising for he is now, since August 2015 been under Guys and St Thomas NHS Trust. I have rung Health Care at Home who supplies this drug ad they say a new registration form is needed and of course up to date blood tests sent. I have rung the rheumatolgy dept but am unable to reach anyone so its hard to know how to get this problem sorted.

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Responses

Response from Beth Wilcox, Complaints Manager, Guy's and St Thomas' NHS Foundation Trust

Dear Cinders

I'm sorry to hear that your son's clinic letter was incomplete and wrongly addressed. I'm also sorry to hear about the difficulties you are having with medication supplies, and getting through to the department. I have alerted the Head of Nursing and the General Manager for the Directorate in which rheumatology sits, to your story. If you or your son would like to get in touch we'd be happy to look into what has happened and try and put things right. You can contact me on beth.wilcox@gstt.nhs.uk or 020 7188 3733. I'm out of the office on Monday, 21st December (back in on Tuesday) but our Complaints Manager, Wendy Doyle, should be available on 020 7188 7347. I'll let her know you might call.

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