"Shoulder impingement surgery"

About: Crosshouse Hospital / Trauma & orthopaedics Inverclyde Royal Hospital / Trauma & orthopaedics

(as the patient),

After the Physio was unable to cure my impingement She asked me which hospital I would like to go to - Crosshouse or Inverclyde Royal. Unknown to me is, Inverclyde Royal do not have the ability or Orthopedic surgeons to perform sub acromial surgery.

Crosshouse does! Why was I not informed about this from, a: the Physio, B: the doctor?

In my opinion, this is could be incompetence or deceit. Don't know which.

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Responses

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran

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Dear amextess,

I am sorry you were misinformed but I think there is a possible option C. the Physio and Doctor were unaware of whether an Orthopaedic Surgeon carries ot the specific operation you require.

I am aware Inverclyde Royal have Orthopaedic Surgeons, having worked there for 18 years. However, I could not advise you as to whether they do or do not perform the operation you require.

Each Surgeon may develop a 'special interest' in a particular aspect of surgery. This is often as a result of various things e.g. where and who they have trained with. As far as I know, there is not a directory that states if a doctor's has a special interest.

I hope you get the operation you require and have a rapid recovery.

Kind regards,

Eunice

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Update posted by amextess (the patient)

I quickly worked out within a few days that Inverclyde royal send shoulder patients to Glasgow for shoulder operations, it does not have a MRI scanner. Not rocket science.

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran

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Dear amextess,

In the interest of accuracy, I would like to confirm that Inverclyde Royal Hospital does in fact have CT and MRI in the medical Imaging department.

I do hope you get your operation as soon as possible, in the best location for you and with the best outcome for you.

Kind regards,

Eunice

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Response from Jacki Smart, General Manager, Clyde Sector, NHS Greater Glasgow and Clyde

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Hi Amextess

Apologies for the delay in replying. I am the general manager for the orthopaedic service at Inverclyde Royal and can confirm that, as part of Clyde hospitals orthopaedics, we do take referrals for the surgery you describe. As is the case with a lot of procedures where the numbers are smaller, we limit the amount of places that the surgery is undertaken to ensure skill remains high and your outcome is as good as it can be. We carry out the surgery you describe in the RAH in Paisley for all Clyde patients however the diagnosis part of the procedure including MRI and CT scanning and all pre-operative work up is available in IRH as is post-operative follow up care. I am keen to make sure you have all of the answers and information that you need so if it would help, please contact me on jacki.smart@ggc.scot.nhs.uk or on 01413147126 to discuss

Best wishes

jacki

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Update posted by amextess (the patient)

Thanks for clarifying the situation at IRH, I am just upset my life has been on hold since January, I am seriously considering going private as my shoulder is getting worse and muscle tone is going.

Regards

Response from Jacki Smart, General Manager, Clyde Sector, NHS Greater Glasgow and Clyde

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Hi there

if able, give me a call and we can see how my team can assist. We'd be very keen to

Thanks

jacki

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Response from NHS Ayrshire and Arran

Hi Amextess,

I am sorry you have somehow been led astray but I am unsure how this misinformation came about. It is not standard practice for the Physiotherapy Department, Crosshouse Hospital, to refer patients to Inverclyde Royal Hospital unless requested by the patient themselves. If this is requested, the physiotherapist would have to contact Inverclyde to find out their referral procedure and at this point would be told if the referral was appropriate for the department.

To understand what happened in your case and to investigate further I would need more details. If you would like me to look into this for you, please contact me at Elizabeth.quinn@aaaht.scot.nhs.uk or telephone 01563 827197.

Kind regards,

Elizabeth Quinn

Physiotherapy Service Manager

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Response from Jacki Smart, General Manager, Clyde Sector, NHS Greater Glasgow and Clyde

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Hi Again Amextess

Thanks for getting in touch with me on the telephone and, as promised we'll take offline communications about your referral and our plans to direct that to the most appropriate place.

Good to be able to help

Speak soon with an update

Jacki

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