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To think the NHS makes it difficult to avoid A&E

135 replies

ArchesOfsunflowers · 06/04/2024 18:16

All the comments about people just going to A&E… but there’s so little alternative!
I try to play the rules, this time:
-GP no appointment until May
-None at 8am
-Try pharmacy for infection, looks at me like I have two heads and says go to GP
-111 really really difficult to be listened to, get callback in the end (refused to discuss both ear and throat having pus/ swelling, I had to pick one issue)
-call back hard to hear, like he’s swallowed the mic
-rude and dismissive but says he’s sending antibiotics to pharmacy. Told off for overuse of antibiotics (she’s not had any in five years???)
-pharmacy receive nothing, so restart the loop.
(Here there’s no walk in, I know some areas have them. We have GP and A&E or out of hours calls/ online consultations)

I’ve luckily not had to call them often, but with 5 children sometimes they need the GP. It’s just inaccessible here. 8am calls are the only on the day options but you end up in a queue for ages to be told there’s no appointments if you call on the dot (it goes to answerphone recorded messages before 8, no calling earlier.)

I get the funding issues. But without GP access people get funnelled to the only option. It’s not just the narrative ofthe lazy/ feckless who go there on whole family jollies to have a fun day out. It’s the fact that people can’t wait a month to see a doctor and there’s nothing else. People get sick occasionally however hard they try.

DD has huge tonsillitis, covered in pus and an ear infection with it, gunk dribbling out. I’m not going for no reason, it’s reasonable to check a child crying in pain with a high fever and pus leaking…but the system is broken. We are being told to blame each other, it’s our fault. Or to shut up because people are sicker or something.

The issue though is an under funded system that’s also got management issues that’s not fit for purpose. It’s not just time wasting for an otherwise fit for purpose system. My local hospital for example is being rebuilt with less beds, and the end of life care ended. No alternative in place, and the population has hugely increased since it was first built. It’s funding… and bizarre planning. And gatekeepers. Partly people, but a shit ton of big issues as well

OP posts:
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Pussycat22 · 23/09/2024 22:59

PumpkinPie2016, apparently one GP to 3000 patients, that's a lot of 10 minute slots!!

Vaccances · 08/04/2024 08:03

PropertyManager · 07/04/2024 11:08

It depends where you live, I live rurally in the West Country, very good efficient hospital, never over busy.

GP, often same day, next day worse case and often the offer of a house call if he's on his rounds.

The other week rang at 10.30, Dr dropped by at 3.30 - sadly its a postcode lottery.

So do i, Exeter, N.Devon, Torbay and Derriford have all been in special measures recently.
Derriford still is, 23 ambulances queuing to discharge patients on Friday.

To the pp idiot who laughed at the idea lack of social care isn't a primary cause of late patient discharges....
https://www.nuffieldtrust.org.uk/resource/the-decline-of-publicly-funded-social-care-for-older-adults#:~:text=A%20lack%20of%20sufficient%20social,rehabilitation%20in%20a%20community%20hospital.

Tinted concentric circles

The decline of publicly funded social care for older adults

How are services being provided and has access changed? The latest annual statement from QualityWatch presents a range of key statistics to show how the ability of the state to provide quality social care that older people can access is changing for th...

https://www.nuffieldtrust.org.uk/resource/the-decline-of-publicly-funded-social-care-for-older-adults#:~:text=A%20lack%20of%20sufficient%20social,rehabilitation%20in%20a%20community%20hospital.

Barney16 · 07/04/2024 20:25

System is broken and it's very scarey because there is a chance that when you need help there isn't any. Had very mixed experiences with NHS over the last 12 months. Brilliant when they thought I may have cancer, the two week pathway thing worked and the staff were amazing. But no one ever seems to be able to get a GP appointment and that's very very worrying.

fc123 · 07/04/2024 20:15

User356432 · 07/04/2024 09:08

I drove her there. On arrival, they recognised how serious the situation was and immediately took her through. The ENT consultant saw her right away and he knew straight away it was a reaction to Ramipril. His timely diagnosis and treatment saved her life. The NHS at its best.

Forgive me for picking out your comment as I'm sure it was an emotional situation. But I don't understand why so many people in the UK have been brainwashed into blindly praising the NHS when they perform a medical service that is absolutely to be expected in a developed country. If someone shows up to a hospital in anaphylactic shock, it's to be expected that they get the correct treatment which will save their life. It is not to be expected that the person will be misdiagnosed and left to die in the waiting room. However the UK has been reduced to people babbling about how incredible the NHS is just because they received the actual correct treatment.

For every person whose life does get saved, there are many others who needlessly suffer due to an overstretched and breaking system. It's almost become a game of lottery bragging rights for people to claim they received "amazing treatment from the fantastic NHS" as a counterargument to all those who complain about waiting times. Yes if you're incredibly lucky, you get cancer treatment for free. But it doesn't change the fact that a huge number of people do not and the UK has one of the most dire survival rates in the developed world. Hospitals in Europe are all able to treat their patients faster and (overall) with more lives saved however there's no cultural norm of blindly praising their medical system almost like a religion or cult. People expect good healthcare to be an inherent part of the infrastructure for which they pay their taxes and social insurance for.

Edited

This. Absolutely.

DahliasEverywhere · 07/04/2024 20:00

My GP surgery has brought in an online only booking system for appointments, but I have friends and neighbours (age 75+)who don’t have smartphones or internet access and have to ask for help to book an appointment. They would then have to tell the helper what their symptoms are which they don’t necessarily want to do.

I tried to book myself an appointment last week and didn’t find it easy to even access the appointment booking system. When I finally found the right page I couldn’t book because you can only access the booking form between 8 and 10 or 12 til 2.

Wavywoo · 07/04/2024 19:45

Perfectlystill · 07/04/2024 07:57

YANBU at all. The NHS needs to be scrapped and a new system introduced with managers who know how to run a business.

This sounds exactly what it went wrong in the first place. The NHS is not, and should be run like, a business. It is a public service.

Paythosebitchesnomind269 · 07/04/2024 19:39

Never had an issue with 111, yes you have to pick the symptom that is causing you the most concern but have always received a GP callback within the time frame given 🤷 if you can't pick the worst symptom then they will call a clinical team member to advise them the pathway to pick.

JenniferBooth · 07/04/2024 19:27

ALongHardWinter · 07/04/2024 17:31

Totally agree with you. My Son-in-law tried to get an appointment with his GP for suspected kidney stones,was told nothing available for 2 weeks and to go to A and E if it was that bad. He went to A and E and then got told off for not going to his GP first!

Siri tell me again why most of the country laughed at the idea of a Citizens Army.

ShowOfHands · 07/04/2024 18:58

We used to be able to keep this stuff out of A&E.

Things where I am are diabolical.

To think the NHS makes it difficult to avoid A&E
ShowOfHands · 07/04/2024 18:51

RiderofRohan · 07/04/2024 09:14

Burns and wounds that need stitches are accidents and should rightly go to accident and emergency. GPs aren't actually funded to deal with accidents. Doing stitches in a 10 minute GP appointment would be impossible.

Sorry to hear about your DH. I agree an admission could potentially have been avoided with timely treatment. Not only is it an awful experience for the patient but think about the cost of admission. Our current healthcare system cuts off its own nose to spite it's face.

We used to have a minor injuries section to our GP practice who did stitches, wound dressing etc. Same building, different service. It kept minor stuff out of A&E. Probably because we don't have any minor injuries provision or anything else between GP and A&E. But the CCG closed it down and now we have an A&E in special measures, average wait of 12 hours and ambulances queuing all night every night.

DemBonesDemBones · 07/04/2024 17:35

Moved from SE England to Scotland and absolutely can't compare the NHS. Scotland is so so much better. Same number of GP's for 22,000 less people We've had a couple of broken limbs since we got here. In, x rayed, plastered and out in 2 hours. SEN provision, on the other hand...well, that hardly exists.

ALongHardWinter · 07/04/2024 17:31

Totally agree with you. My Son-in-law tried to get an appointment with his GP for suspected kidney stones,was told nothing available for 2 weeks and to go to A and E if it was that bad. He went to A and E and then got told off for not going to his GP first!

CloudgazerCat · 07/04/2024 17:27

Thisbastardcomputer · 07/04/2024 08:43

Please go to A & E if you think you have something serious. Over the course of 5 days, my daughter in law made 14 phone calls trying to get help, to her GP and 111 and visited the walk-in centre. Fobbed off, misdiagnosed at walk in by a pharmacist who had no access to her medical records.

On day 6 she died on the operating table.

I'm so sorry for your loss

mumsneedwine · 07/04/2024 17:18

@ArchesOfsunflowers the waste and bad management is criminal. Basic IT that works, enough qualified staff on wards and enough GPs per head of population would be a start. We can afford it, we just need to stop paying for so many overpaid and unaccountable managers (see Lucy Letby case - not one person has been prosecuted for not listening to the doctors, who were made to apologise to Letby). Some are excellent but some seem to have no grasp on what actually goes on in their hospitals and seem to think doctors are the enemy. Stupid, passive aggressive notices telling doctors they can't sit here or leave their water bottle on that table.
The NHS can work, it always had done up until 12 years ago. It can again if we demand as a population that it does. It's our money paying for it. Pay doctors and nurses enough and more will stay, less need for expensive locums (guess who owns the agencies that profit from bank staff !), and overall lower wage costs. V simple. But less profit for some.

dinomirror · 07/04/2024 16:14

Ive posted on here before about how dd has an ear plug stuck in her ear. A&E x2 with a referral to rapid access ENT which was meant to be the following friday/monday. Ha! Waited over a month for the appointment where they said it would have to be done under anaesthetic the following week. I havent heard anything since. Its in absolute shambles!

Fairysteps11 · 07/04/2024 16:04

My dp had a message from his familys doctor a couple of weeks ago as it's become apparent that there is a hereditary blood clotting problem. A simple blood test will find whether my dp has this condition. He was sent a prescription for an inhaler and no blood test. He has hot patches in his legs occasionally but until he actually has symptoms for a blood clot, he can't get a blood test or indeed medication, should any test results come back positive. But he can't have a blood test.
Outrageous

Empressofall · 07/04/2024 15:41

The cuts have gone too far.
People are suffering, struggling and dying because of them.
Nye Bevan is probably spinning in his grave.

ArchesOfsunflowers · 07/04/2024 15:40

To be clear- I started this thread as a far from NHS bashing thread.
I’m frustrated how we all fall time and time again for divide and conquer tactics from the government. Everyone is angry at other people, blaming other people abusing the system. Instead of actually acknowledging how broken the system is due to chronic underfunding. I’d also Chuck in mismanagement as a compounding problem. There are some amazing front line staff, but realistically there are also bad politically driven decisions being made that expand the problems caused by funding issues. More could be done with the money spend.
DD was given a five day antibiotic course of amoxicillin after another phone call and a 9pm drive to an out of hours pharmacy. Pointless tbh at this stage for various reasons.

OP posts:
mumsneedwine · 07/04/2024 15:25

And here we can see why GPs are leaving. The work-shy lazy over paid wasters. They'll be replaced by PAs as government don't want you to see a doctor - unless you pay.

Yes, all doctors hate their patients and don't want to do any work. That's what the press tell us after all. So it must be true.

Or maybe they are just so over worked that the system is broken. Used to be 2,000 patients per doctor, but in some places it's now 30,000.

JenniferBooth · 07/04/2024 14:57

TheNinny · 07/04/2024 09:45

I work for the nhs, but feel the whole service’s aim is to persuade people not to really use it, whatever service they are trying to access. You are always faced with a sign or voicemail asking you to question yourself for using it, or telling you to call or go somewhere else (that often sends you back to the original place (looking at you pharmacies). Thankfully i have not yet been majorly ill but on the infrequent times i have used the local gp I always worry i’ll be seen as taking the piss, even though I’m not, so put off contact and suffer a bit longer than i probably should have. I don’t see this guilting of its users emphasised in such the same way in other countries. i get their services are set up different, but i just hate the overall vibe here currently.

I saw the hate for Davina McCall from a few GPs on Twitter after one of her menopause programmes because it would mean providing more appointments.

RUOKHUN · 07/04/2024 14:14

Pixiesgirl · 07/04/2024 07:41

I can't identify tbh, I wouldn't wait until pus was dribbling out for anything. Why didn't you call the gp before? Surely they must have been in pain for days before, you don't go from nothing to pus dribbling (eew)

Clearly missed the point of the OP. She couldn’t get a GP appointment. 🤦🏻‍♀️

hotpotlover · 07/04/2024 14:07

Our GP practice is exactly like this, a disgrace. You phone at 8 am in the morning, are in a queue and after 40 min (if you're lucky to get through) you are told that they're no appointments left.

I once got a text from the surgery to book a followup GP appointment for an x-ray done for my infant daughter.

I went into the surgery at 8 am in the morning to book the appointment in person. I got a bollocking from the rude receptionist, because you're only supposed to call to book appointments.

When I was in Istanbul last year and developed a water infection, I had such a positive experience.

I went to a walk in surgery.

I got seen by a doctor within 15 minutes. It took another 15 minutes to get to analyse my urine sample in the adjacent lab. I then got a prescription for antibiotics, which I was able to pick up from the pharmacy across the road.

snorlax99 · 07/04/2024 12:35

It's all the being batted about between services that annoys me as it wastes more time and resources and you end up more ill.

The week before Easter, I took my son to the pharmacy with something I thought was fairly minor. They told me to take him to the GP. I put in an e-consult, recieved a text response (despite the fact I'd asked for a phone call) telling me to take him to the pharmacy. So then I had to ring, was held in queue for 40mins to tell them I'd already seen the pharmacist who'd told me to contact the GP...the situation then deteriorated fairly rapidly and my child ended up being blue lighted to a&e. Discharged with antibiotics. He got worse and worse. I rang 111 bank holiday Monday, spoke to 3 people, the last of whom rang me back after 9 hours and told me to take him to the GP on Tuesday. I put in an e-consult and rang on Tuesday because I was so concerned how poorly he was...to be told they couldn't guarantee anyone would call me back that day and...to ring 111. At which point I seriously considered just going back to A&E.

Scottishshortbread11877 · 07/04/2024 12:22

When you get through at 8am and are told there are no appointments could you not insist on an emergency appt? I was told no appts left so I said I would need to represent at A and E and explain my GP couldn't see me, funnily enough they were able to see me after I said this.

KnittedCardi · 07/04/2024 12:12

Silverblue1985 · 07/04/2024 12:09

Our surgery has recently changed their system - every “on-the-day” appointment request gets triaged by a GP when you call. This has solved the 8am scramble as you’ll also be seen (well, usually get a phone call first…) if it’s deemed urgent and you call at say 10am.
I haven’t seen the GP in years but it has worked well for my DH and I have heard other positive voices.
Non-urgent appointments still take ages.
There is obviously still the issue of phone consultations as a default, I am convinced my late DMIL would still be alive had she been seen by a GP the day she called.

All GP's had a deadline of end of March for digitisation, although if MN is indicative, not all have managed that