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30th April 2024


I was in A&E for a total of 21 hours. In this time I saw in its entirety everything that is wrong with the NHS within this department. Leadership and direction is seriously missing, it does not exist anymore. From the CEO of Queens down to department managers, leadership is an unknown and a quality missing from every single person within the management structure, it is scary but not surprising the void that this quality leaves. Because without proper leadership qualities, you can spend billions, have all the staffing you need, but if no one knows how to lead people, you might as well be given magic beans to run the NHS with. The environment which Queens provides for people suffering is on a par with an abattoir, cold, discompassionate and inhumane, it is so bad that it disgusts me that in the 21st century we can still be getting the basics so wrong (Once again no leadership of vision). Most staff are dismissive and unable to communicate effectively to patients, they have no compassion or empathy for the condition of the human in front of them. I witnessed a woman who had just been told she had a minor stroke be sat back out in the waiting area visibly upset and in shock, only to then suffer another stroke in front of all in the waiting room. This caused not only additional suffering, but undoubtably PTSD in all that watched it unfold. Along with a seriously delayed and unprofessional response. Processes within A&E are once again a direct representation of the management, long winded, with long walks (especially for geriatric and immobile patients) coupled with poor signage and instruction. It is unorganised, ill prepared and a shambles, I'm sure the manager of A&E has these qualities in abundance as his/her department is a direct reflection of his/her character. A&E needs to be totally rebuilt and redone by people who have an ounce of common sense in a different part of the hospital, as there is no rescuing the abomination that exists in Queens currently.

Suggested improvements
Sack all management and put in place people with real world medical experience and experience with dealing with public facing services. Someone who has an outstanding track record of 'leadership', please look this word up, perhaps buy the CEO of Queens 'Real Leaders Eat Last' By Simon Sinek, this will put him/her on the right path with regards to leadership. Once again A&E needs to be totally remodeled and new processes put in place. 1 Doctor on nightshift as 'Standard Operation Procedure' is literally laughable and once again a department run by someone with no idea of the needs of the department. The department is dead, and is not working and I feel sorry for the staff having to work under such incapable and incompetent leadership. It is the patients and the nurses and doctors that suffer under managements inadequacies. On that note I would like to highlight lead nurse 'Beth' who took charge of A&E at 2000hrs on 25/04/24'. She showed leadership, communication and compassion in abundance, this woman is a role model for all doctors and nurses and her skills should be harnessed and taught to others. Dr Rahman who saw me on 25/04/24' he showed compassion and understanding and was a credit to the A&E department.

Experience
Dignity/Respect
Involvement
Information
Kindness
Doctor communication
Communication nurse