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Dr Peter Karpati
2022-09-20
Person
4
5
0
Written by a NHS patient
Written by a NHS patient 20th September 2022
I have one gripe, but it is massive. A failure of process meant that no discussion of my pre-op tests, between nurse, surgeon and anaesthetist, took place in good time. Hence, last-minute (extremely simple-to-answer) questions from the anaesthetist were not answered by Barnet Cardio until the last possible moment. Having pleaded for a hour and a half extension, and only because my friend knows a person at Chase Farm PALS, the questions were answered with 10 minutes of extended deadline to go. A cancellation would have impacted massively on my work (I am self-employed, not particularly well off and have turned down work) and my mental state.
This could easily have been avoided.
Dr Karpati was extremely professional in his dealings with me.
12th October 2022
Response from Dr Peter Karpati
Thank you for your feedback, which is valuable in shaping how I improve / modify interactions with patients in the future and I will feed your review back to the hospital. I share your frustration with regards to the process, however this is somewhat more complex than you might expect. So please allow me to just state the facts and then I'll leave it up to you to form an opinion. When an NHS referral is received, the information received is limited. Pre-assessment at Hendon Hospital is actually at the forefront of the pack, aiming to pre-assess patients 10 working days (aka 2 weeks) prior to their procedure. Many hospitals only manage to do it as little as a few days ahead. This is when you will have the phone or face-to-face consultation with the pre-assessment nurse based on the complexity of healthcare issues involved (as far as is discernible from the available GP and / or hospital notes). This will then be flagged up to the anaesthetist, if necessary in this case me. In your case this was 10 days before your planned date of surgery. I requested more information from your cardiologist, which was emailed by pre-assessment. Unfortunately at this point, it is very much outside of our control, as each hospital and indeed department within it, has different timeframes, pressures to respond. I know that in this case phone-call follow-ups were made, but were unsuccessful in reaching the necessary Consultant, and despite highlighting the urgency of the request, pre-assessment was told they could not provide a timeframe for the response. It was only after you "got through" to PALS that those slow wheels of process, began spinning at high speed, yielding a response and enabling your surgery. One final fact: the reason for the deadline in cancelling a procedure is that hospitals need to ensure they run efficient lists, as well as getting penalised if they cancel on the day. We would much prefer to proceed with the planned patients, however there are limits to what we can achieve with "partner" hospitals. I am glad you were satisfied with my conduct throughout your stay. Wishing you all the best, Peter Karpati