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5th July 2022


I was mostly very impressed by the quality of the treatment and communication from the staff to all patients. It is hard not to overhear why people present -it must be embarrassing for some people. All patients were told there was a 4-7 hour wait to be treated, on arrival. Most near me had a triage and ECG with a Nurse then a long wait.the triage was excellent. Visit 1 / I was afraid I had had a TIA. I was disconcerted that the Triage Nurse in the ambulatory care ward said this was not probable and gave me no neurological check - ie look in my eyes. I was treated seriously however and had all the necessary checks.Told I would have been referred to a Cardiologist if I had not already got one. Visit 2:: Had AF c 140 HR and dizzy. I was treated and tested very quickly and saw a Registrar. I was told I would see a Cardiologist. Waited - reception said I could go and get some food as long as I came back quickly( checked my notes).I was seen by a Nurse and a Doctor who was very thorough. Concern : a.One unseen lady screamed for over an hour ? In pain or mentally ill. No one reassured the waiting room treatment was being given. B. An inebriated man spoke very loudly and eventually inappropriately and left after a Security officer stood by reception Comment: It’s not a service the hospital offers but comprehensive specialist accommodation and treatment treatment should be made available for people mentally disturbed, very agitated and or having addictions. Main Suggestion for Improvement. 1.Where staff were working away from the waiting room there was too much “ banter” between staff. It was disconcerting. 2. Staff understandably wanted the cubical I was finally discharged from and were told “ this was an in and out”quite clearly which dented my confidence until I was examined very carefully by the Doctor. 3. A very frail lady had been assessed fit to go home in the triage area c 9 am. Obviously vulnerable having missed her carer visit- she was asked if she could manage, I don’t think she was given any food and when I left was sitting in a wheelchair in the waiting room at about 3 pm obviously distressed and worrying . I thought a Social Worker should have seen her and ensured her social needs were met. It would have been kinder if she could have waited for transport in the Volunteer area?

Suggested improvements
Genetally the Waiting Room felt safe and well run and the staff were patient , clear , communicated well and were efficient. Occasionally the staff lapsed into banter and informal chat with each other while moving about where patients were being seen in cubicles, or waiting to be seen. Would prefer they thought about the effect this might have on patient confidence . I was disappointed that not even a minimal neurological check was made about a possible TIA ( very brief pins and needles in L arm and leg) .Focused instead on brief heart pain.

Experience
Dignity/Respect
Involvement
Information
Cleanliness
Staff