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8th May 2024


Lack of communication from all staff on waiting time to be seen and up dates whilst waiting. Staff Nurse was rude and wasn't prepared to answer questions, demanded a disabled person move from one chair to another despite not interfering with care. Did not see a Dr in the department despite constant requests, one Dr declined to even speak or find out who was dealing with the patient. Did not listen to the patient's family, some staff just seemed to be standing around doing nothing. More security staff and police presence than medical staff. Staff seemed more concerned on stopping ambulance crews arrival than looking after patients. Overall a extremely disappointing and distressing visit to A&E

Suggested improvements
Communication either verbally or on a notice board on anticipated wait times, keep patients informed. Organisational skills needs great improvement. Allocate a nurse/HCA to a small group of patients so they can monitor them and keep informed of wait time, help them if they need to go to the toilet, sick bowls etc. Try to ascertain if a patient can be treated in a chair rather than the use of a bed. Security/policy presence should be limited to aggressive/violent patients not for management of ambulance crews. A&E is small and therefore needs to be better organised, controlled, if no further room for ambulance admittance inform central despatch advise no further room and not to keep sending patients. Consider KGH for non-major/critical incidences, minors only due to small scale A&E. Maybe look at improvements implemented at Queen's A&E and copy their changes but on a smaller scale.

Experience
Dignity/Respect
Involvement
Information
Kindness
Doctor communication
Communication nurse