Spire Gatwick Park Hospital 2019-03-06 Person 1 5 0

I have visited this hospital on occasions in the past, both as an outpatient and for minor surgery. On previous occasions the care received had been professional. On my most recent visit, for surgery however, I found to my distress that post-operative care and pain management was inadequate, inappropriate and lacked professionalism. I have of course expressed my concerns with the hospital. But with little effect other than excuses. I feel therefore that sharing my experience - and my opinion - to be appropriate. If I had read a similar review I would have been better informed about what to be alert to at this hospital - especially so as the CQC rates this hospital currently as "Overall: Requires Improvement". Firstly, my experience: - the hospital did not record either or on the day of admission or during pre-operative assessments that I was intolerant to ibuprofen. I mentioned this twice during the procedure/surgery day - both to the nurse and to the anaesthetist. It appears this was not recorded on any of the occasions - and yet later was used as a justification for providing me with no post-operative pain medication whatsoever. For hospital staff to fail on 3 occasions to record my intolerance of ibuprofen should be a concern as it is a requirement (and a standard) by which the CQC assesses the hospital for safety. As in all hospitals post operative 'processes' exist by which hospitals are required to use a pain scale to determine and record patient assessments of the levels of pain they are experiencing. Again this is a standard requirement against which hospitals are assessed by the CQC. On my visit the recording of the 'pain levels' was not only patchy (ie it didn't happen regularly when it was supposed to) - but also the 'record' did not accurately reflect the pain scores I gave the nurse attending to me. Since complaining to the hospital they have confirmed that the nurse recorded "1" when I kept saying I was in awful pain (ie "8"). Why she would do that, I do not know. For a hospital to fail to assess and accurately record each of my pain level assessments half hourly, (and with the hospital confirming that they also missed recording one completely) should be a matter of great concern. It is these ‘recordings’ that help assess the rate of patient recovery and help determine, as appropriate, the need for pain medication both in 'recovery' at the hospital and at the point of discharge. It should, I feel, also be a matter of great concern to the leadership of Spire Gatwick Park hospital that the hospital nursing staff told me that no pain medication was available, nor was any to be prescribed - when I asked for some to address my pain. Given my description to the nurse 'that I was screaming out loud with pain’ how could that be appropriate or correct? Might this have been as a result of the nurse inaccurately recording of my pain levels (and not recording them regularly as she was required to do by health guidelines) - being the same nurse who failed to record my intolerance of ibuprofen. One mistake leading to another. So, imagine my complete disbelief when I asked "why no pain meds?" - I was told "that paracetamol coverts to morphine when it reaches the liver”. Yes, it is hard to believe, but true - but that was what the advice offered to me by the hospital nurse. Have you ever heard more inappropriate and potentially unsafe 'pain management advice'? No of course not. Because to tell a patient about to be discharged (with no pain medication) such as this is complete rubbish - and is unprofessional. The lack of care, inaccurate recording of pain levels and failing to follow standard hospital procedures are all issues which should be a huge concern to this hospital - and to potential patients too. No hospital should be permitted to offer such unprofessional (and unsafe) advice to a patient under their care. It is no wonder that the CQC rates this hospital as "Requires Improvement".