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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To wonder why A&E seems to be designed to be the worst possible place you could possibly be when ill?

239 replies

CassandraWebb · 21/08/2024 22:33

My GP asked me to go to A&E and while I was waiting I was just struck by how it was a pretty unpleasant environment to wait in for the family members of the ill and injured but utterly irrationally poorly designed for people who are ill or injured.

Firstly you were expected to stand and wait to check in, I explained I couldn't and they grumbled but accepted my explanation but a lot of people with obvious leg injuries or desperately ill were being made to stand and wait and then stand to check in and then move and stand in another line to speak to an initial clinician.

Then there were people clearly in huge physical discomfort sat on the world's most painful chairs with no way to get comfortable for a long stretch.

Plus people were explaining why they were ill and giving their symptoms and contact details and the receptionist was literally announcing them back loudly to the whole room, I think there was some sort of microphone so her voice could be heard through the glass. And no microphone going the other way so she was getting irritated with me because I was hard to understand (my condition gives me dysarthria when I am having a flare).

It just seemed mind bizarrely poorly designed for a place where unwell people go.

I realise cost is a real factor, but some simple changes like chairs while you wait and a privacy screen so the whole room doesn't hear your symptoms and address /living situation would seem like a good start.

Maybe it's just our local a&e but I was totally puzzled by it.

I would love to hear if other places have really good tweaks to make it more bearable though.

(And I would add that the clinical staff were absolutely brilliant and very knowledgeable and switched on about my rare condition and also very kind and compassionate despite an obviously busy evening)

It frustrated me just seeing people suffer but it also frustrated me because the process of waiting and dealing with that made me more unwell

OP posts:
CassandraWebb · 21/08/2024 22:45

BobbyBiscuits · 21/08/2024 22:42

I do think it's to try and deter what they deem 'timewasters'. The seating is unbearably uncomfy, no decent food or drink anywhere near, and obviously chaotic as there's no control over how many people can enter at any given time.
I lay on the floor for 24 hours with a broken hip and shoulder BC I was too scared to go through the agony of waiting in a&e. The ambulance techs had to beg me. Thankfully once I was there I was on a trolley and dosed with morphine almost immediately but I thought they might make me sit on a horrible chair for 12 hours plus.

Oh my goodness, that must have been horrible.

I really didn't want to go to a&e as I knew it would make me more unwell but my GP was very clear (and correct) that I needed these tests urgently as my condition can rapidly become life threatening

OP posts:
XenoBitch · 21/08/2024 22:45

What would be a good design?
What changes could be made?

Inlaw · 21/08/2024 22:44

I used to design hospitals. You would not believe the level of design and clinical input that goes into these places. Everything is designed down to the last inch for a reason.

And yes the outcome is clinical and uncomfortable. But I can’t see another way tbh.

BobbyBiscuits · 21/08/2024 22:42

I do think it's to try and deter what they deem 'timewasters'. The seating is unbearably uncomfy, no decent food or drink anywhere near, and obviously chaotic as there's no control over how many people can enter at any given time.
I lay on the floor for 24 hours with a broken hip and shoulder BC I was too scared to go through the agony of waiting in a&e. The ambulance techs had to beg me. Thankfully once I was there I was on a trolley and dosed with morphine almost immediately but I thought they might make me sit on a horrible chair for 12 hours plus.

CassandraWebb · 21/08/2024 22:42

Earlgreyandcake · 21/08/2024 22:39

If it's too comfy more will attend ...

Yeah I said to my husband s it to deter people from attending /to ensure half of them are dead before they even see a doctor!

But I could see people who were already very unwell struggling more and more as they stood in line /waited on horribly uncomfortable seats .

OP posts:
Justyouwaitandseeagain · 21/08/2024 22:40

they have to consider cost, infection control and ensuring staff and patient safety (so nothing which could be weaponised or conceal abusive behaviour)

CassandraWebb · 21/08/2024 22:39

Stopsnowing · 21/08/2024 22:39

not Helped by gps fobbing people off to urgent care/a and e. Next time I have to go I am taking camp chairs.

Yes possibly. For the avoidance of doubt in my case though the tests that needed doing could only have been done in hospital

OP posts:
Earlgreyandcake · 21/08/2024 22:39

If it's too comfy more will attend ...

margegunderson · 21/08/2024 22:39

The only possible reason is to deter people from using it. I've had to go twice this year with severe bleeding and it's nightmarish.

Stopsnowing · 21/08/2024 22:39

not Helped by gps fobbing people off to urgent care/a and e. Next time I have to go I am taking camp chairs.

Smartish · 21/08/2024 22:38

Yes, you’re totally right. It’s the worst place to be genuinely seriously ill isn’t it? The chairs are awful and there’s little privacy when giving details. Even when in cubicles you’re only separated from your neighbour with a curtain so can usually hear all their personal information too.

CassandraWebb · 21/08/2024 22:38

DeliciousApples · 21/08/2024 22:35

Totally agree. Same in my chemist, no seat fit when you're waiting to collect a prescription. Just expected to stand or hobble up and down the street for 20mins.

I now also know a random stranger's full name address and date of birth. Just as well I'm not an identity thief!

Yes, and the doctors surgery, you are meant to stand and wait in a line, and I can see I am not the only one struggling!

OP posts:
ExtraOnions · 21/08/2024 22:37

I can only imagine it’s because they were designed with zero input from the users (the sick people), and lots of input from hospital facilities staff, healthcare staff etc.

There should have been more consultation with Users when it was designed. Even with a limited budget you can do more.

They are mostly horrible spaces, that make a difficult time, even more difficult.

DeliciousApples · 21/08/2024 22:35

Totally agree. Same in my chemist, no seat fit when you're waiting to collect a prescription. Just expected to stand or hobble up and down the street for 20mins.

I now also know a random stranger's full name address and date of birth. Just as well I'm not an identity thief!