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Horror I witnessed last night NHS

811 replies

ElisabethZott · 05/11/2023 07:47

At 3pm yesterday I took my 88 yr old mum to hospital as she had an unexpected, sudden anaphylactic reaction to one of her meds and her tongue and throat swelled up to the extent she was struggling to breathe/talk/ swallow. I drove her there because I knew the ambulance wait can be hours.
I witnessed pure absolute carnage. I worked for the wonderful NHS for 30 years and yesterday I had first hand experience of the struggles the poor staff. I have never seen such a horrendous sight of so many trollies with extremely sick and dying patients lining the corridors. I couldn’t begin to count them but there were dozens and dozens. It’s only early November, I can only say, for your own sakes, unless you have a life threatening condition, do not go to A&E.
The staff were absolutely brilliant but there’s not enough of them. The care and kindness they showed us amazing. DM didn’t join the trolley queue as her airways were compromised so we went to the observation ward where she has stayed on a trolly overnight. All A&E wards were rammed to capacity with people not even having their own bay, they were just squeezed into any available space.
Once mum had steroids and anti histamines and she stabilised ( because they were working at full speed to treat other patients) the staff simply didn’t have to time or capacity to help mum. She was offered no water, no blankets no food ( her tongue swelling had gone down a little and she hadn’t eaten all day ). You can see by the tone of my post I am no way being critical of the fantastic medical team , they were pushed to the limits. I don’t really know the point of this thread except to say I am so worried what’s going to happen when winter starts properly.

Thank you NHS but you too need looking after too because you are really broken and sick

OP posts:
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7
SoShallINever · 05/11/2023 09:06

vdbfamily · 05/11/2023 08:25

This is not even ' winter pressures' any more, it is all year round in some places.
The problem is not A&E but the flow through the hospital. This is getting worse and worse.
In many areas, patients no longer have access to social work assessments whilst in hospital so if they need support on discharge and have no family to provide that, they have to wait for' health' funded care short term until they can be assessed by ' social care' at home, to see if they can afford to pay for their own care.
In our area, even if a patient already has a social services funded package of care, if they need an extra call, social care will not increase the package and they have to sit and wait with everyone else for a health funded package, to be reassessed once home!! This is a total bottleneck which means everyone sits in hospital beds waiting for the same limited care, which then gets reassessed when home.
The amount of families and patients who will choose to remain in an acute hospital bed awaiting a few weeks of free care rather than speak directly to an agency and arrange their own discharge is astonishing. And then they get cross with the ward when their relative gets a hospital acquired infection and does on the ward.
There are also many families who block the discharge of their elderly relative, usually parent, by refusing to engage with any plans as they think it is time for them to go to a care home, even when the relative has capacity and does not consent. At any one time in my hospital, there are several patients for whom this is the situation.
Yes....I do realize that politics plays into this too but my request would be that we're also take some responsibility to become part of the solution ourselves. There is only so much money can buy.
Try and have these conversations with your families. If you have a parent that is really struggling now, make a plan with them before they have a crisis. Arrange through the GP for a community Occupational Therapy assessment to look at making them as safe and independent as they can be at home and advise re care package if required.
Ask social services to assess their needs and see if they meet criteria for funded care whist they are NOT in hospital.
If they are in hospital and have over £23.500.00, just arrange the care privately and don't encourage them to block a bed just so they can get a few weeks free care. It may be your parent stick outside hospital in an ambulance next time whilst 10% of the beds are occupied with well people waiting for their free care.
And even more radically than all of that, maybe, of you have the space, take them back to your house to recuperate for a few days, or move in with them for a week or 2 to keep an eye and help as needed.
Yes, we all have busy lives but there is such an expectation that the state provide everything in our culture and it does shock me. Our staff from Indian and Philipino and other cultures where their elders are honoured and respected, are often horrified by the way our families do not look after each other.
Please make a plan and take any preventative measures you can to avoid unnecessary hospitalisation. There are enough beds to treat the sick in this country. There are not enough beds for the NHS Acute hospitals to be treated like hotels. Personally, I think if well patients were charged £500 a night to stay in hospital once they were fit to leave, they might find a solution a bit quicker.

This is a fabulous post and sadly very true.

Robotalkingrubbish · 05/11/2023 09:06

One day last week my DH was a GP admission. We had to walk through A & E. The place was overflowing and there was a six hour wait to be seen. Don’t bother going to A & E if you are sick, try seeing your GP first. I know what a pain that is, so I don’t say it casually.

EasternStandard · 05/11/2023 09:07

TheRealLilyMunster · 05/11/2023 09:04

It is a demographic reality, but one that the government have been aware of for decades.

They should have been planning long ago how the country would deal with the situation.

What that would look like - I don't know - that's what the government are paid to do, and are failing miserably at.

The issue is our model was set up when the demographics were very different.

It will struggle to cope with the vast requirements. We pump more into the NHS each year via taxes. They are a large chunk of what we pay for. Look at the employment projection I put below.

Plus we are too unhealthy. I think in part due to undervaluing healthcare as it’s free at point of delivery

Interested in this thread?

Then you might like threads about this subject:

Flipdiddle · 05/11/2023 09:08

IncompleteSenten · 05/11/2023 08:59

Doctors and nurses can learn the skills necessary. They're clever people.

You need medically trained people running the NHS. They can take extra degrees and whatnot in management.

Filling the top spots with people who think they're running hotels is not the answer.

Most wont want to learn the skills for managing a huge business

why? Because they wanted to learn how to treat and care for people!

and all the time they are training for these other management and business skills… they are not treating people

Finetoday · 05/11/2023 09:08

I know of 3 people aswel as myself who unnecessarily bed-blocked because there had been poor communication and/or liaising with pharmacy to get discharged at the earliest opportunity.

Hope your mum is feeling better now 💐

Whichwhatnow · 05/11/2023 09:09

MrsNandortheRelentless · 05/11/2023 07:59

Similar situation except the staff were awful, neglectful and didn’t have an ounce of empathy or kindness between them.
I was embarrassed but mostly so so sad about this.
What has it come to. Long time nurse here too, I couldn’t believe it.

Also couldn’t believe that someone who needed a plaster for a cut on their finger would attend A&E then complain extremely loudly in the public waiting room that they had been waiting for 5 hours while raiding the vending machine for tea and chocolate… I kind of get why the staff were like emotionless machines when dealing with this shite.

I called 111 once for a trapped nerve in my finger, because I couldn't get a GP appointment. Their automatic response is to send an ambulance. Obviously I didn't actually take them up on it but they can be quite forceful. I wouldn't assume that the woman with the cut finger was there entirely of her own volition

And yes the state of the NHS generally right now is an absolute disgrace. The sooner the Tories are gone the better.

AlaskaThunderfuckHiiiiiiiii · 05/11/2023 09:09

I’m in Scotland, we have the largest population of retired and elderly in Scotland. I also work in community nursing and the issue is social care, it isn’t the NHS it’s social care and the fact we are rural so many young leave to the cities for a better life so not enough people to pick up the caring mantle. Couple this with the fact many retire here from down south away from families so no help there and it’s a ticking time bomb. What do they do instead of looking at social care where the problem is? They make it a whole team, a partnership they say where the community nurses are now plugging the gaps where there are no care packages. We can be going to people to help them with ADLs for 18 months as well as continuing with our usual jobs. Just papering over the cracks as usual. Many who do retire here say they have come for the free personal care, yeah if you can get it.

We have hardly any residential or nursing homes anymore, many are closed due to poor outcomes with inspections but I find this very short sighted, they should be supported to improve instead of cutting beds even further. Closure of cottage hospitals was idiotic as that freed up acute beds for those waiting on further assessments

then there is the issue of keeping people alive well past natural expiration. I hope I have the choice when my time comes

TimeForACider · 05/11/2023 09:09

I had several prolonged tonic clonic seizures last year and DH called an ambulance. He rarely does this but he said I’d gone blue at one point.

Anyway, I came round in A&E and I was in a bay. I was very confused and so thirsty and hungry (seizures make me ravenous and so unbelievably thirsty) No-one came for a couple of hours and in the 14 hours I waited all I got was 2 cups of tea and 2 cheese sandwiches. I was finally admitted to the ward at about 3am. The staff were clearly rushed off their feet 😢

Rosscameasdoody · 05/11/2023 09:09

ElisabethZott · 05/11/2023 08:11

Thank you for your good wishes for my DM
I am in a town in Cheshire
At ten o’clock the abusive drunks started to come in and the police were called.
It was like a third world country- people bleeding , people on oxygen struggling to breathe, elderly people looking like they were dying on their trollies with no one with them

It sounds as though you live in my area - a certain hospital which has been in the news recently ? My own mum, in her nineties, was admitted ten days ago by ambulance. Spent most of the first day waiting in the ambulance for a space to free up, then two days on a trolley in A&E corridor, then a further two in A&E bay before being shunted between three different wards. Like you, I’m in awe of the staff doing their absolute best under these circumstances but inevitably care standards suffer. The moral of the story is don’t vote Tory.

superanonymous · 05/11/2023 09:10

Another person went to a and e with a young child the other day.. childs symptoms were could not walk due to stomach pain, doubled over, started vomiting at the hospital- a nurse gave paracetamol syringe to the parent,left waiting on a chair, his mum was given one of the pads that get put on the bed to soak up pee etc, to clean up the vomit with. No nurse or cleaner came around to help and to disinfect.

No other patients in the waiting room.

Badbadbunny · 05/11/2023 09:10

@Hab788

As an aside, every single trip we have had to A&E in our family (bar one fall requiring stitches) has been because the GP surgery have been unable to see children with tonsillitis, ear infections etc until its got so serious that weekend urgent care is required. Personally I feel it is access to urgent non-emergency care is where the pressure lies at the moment.

Yep, the rot in GP surgeries started when Labour (Blair) "solved" the GP crisis by offering them more pay and to opt out of evening/weekend cover. Well that went well didn't it? GP services have gone downhill ever since.

Amethystanddiamonds · 05/11/2023 09:10

The problem is access to primary, community and social care. People end up in A&E because they have no other way of accessing the system but there is nowhere for them to then move onto because the referral pathways have huge waiting lists, or social care can't cope with the overwhelming amount of elderly or those with chronic illness. So back to A&E they go in a never ending cycle. Then add in poor staff retention due to appalling pay relative to skillls and a toxic, bullying culture which is absolutely rife within the NHS (a lot of it about who is what pay band), plus archaic IT and a complex and ridiculous financing system with departments competing with each other for cash and the whole place is quite simply a mess!

Hope your mum is ok now and got all the care she needed, even if it was a bit chaotic.

FormerlyPathologicallyHappy · 05/11/2023 09:11

You’re all going to get a shock if you think Labour are going to sweep in and open the check book & it will all magically resolve itself.

My profession had much more funding under the tories in the 90’s and then labour came in and all of a sudden we had less funding because they funnelled everything into primary care. Then the coalition ran with what they started.

Goatymum · 05/11/2023 09:11

I just think it’s a real
lottery with the nhs.
I tried for an urgent gp appt last week and was advised to go to walk-in centre. I saw a nurse when I would’ve preferred to see a GP as not sure she checked ‘enough’ - said if still an issue in 10 days to see GP (was in and out in 2 hours which was reasonable). I made GP appointment for 2-weeks hence as I can cancel easier than make a quick appointment if the issue doesn’t resolve (then I’ll need bloods and maybe a scan).
Conversely I’ve had a good result from getting help for adult DS this week - was on cusp of taking him to a&e but decided things weren’t quite that bad (MH related) and waiting hours there would be not what he needed.

QforCucumber · 05/11/2023 09:11

Absolute oberhaul is needed in spending too - I did some temp work in accounts payable in our local NE hospital. All of the groundwork’s there were completed by a company based in Birmingham - the invoice charged £400 a visit in fuel and transport. Plus meal expenses for the staff working ‘away from home’ Apparently they won the tender for all of the hospitals In our area at that time - meaning they billed each one this £400 fuel 3 times a week.
a local firm may have cost more at tender but when you cancel out that travel cost of over £52k a year it just seems like there’s no critical thought at all.

TheRealLilyMunster · 05/11/2023 09:13

Walkaround · 05/11/2023 09:04

A&E can’t be fixed until GP services are fixed. People have no access to the gatekeepers who give access to other appropriate services, so they end up in A&E.

Many GP practices now only deal with “urgent” cases - ie people who should either have been seen months ago, or people with minor infections who need antibiotics, or people who should be in hospital but managed to get an appointment in the telephone queue lottery, so were not obliged to go via A&E. In our surgery, you can’t even get an appointment to see the GP when it is the GP who sent you a message telling you that you had to make an appointment unless you phone up every morning at 8.30am after getting the message in the hope you get lucky and there are appointments available, or queue up at 8.30am to see the receptionists in person so that you can jump the phone queue. You cannot turn up at 10am and ask for a future appointment, as only on the day appointments are bookable, and they are apparently only bookable if your phone connects with theirs at 8.30am precisely, or you are at the front of the in-person queue - which of course you only will be if you are not actually an elderly, frail person with a terminal condition who wants to be registered for a hospice, or suffering from a debilitating chronic condition, or wanting to avoid being sacked from your job for taking time off just to get a doctor’s appointment which you might not be able to get despite taking time off work for it.

It's just awful, and there's no excuse.
But it's shit for everyone, including the 'gatekeepers'.

If you saw how many GP appointments there are available, compared to how many patients there are, you would be horrified.

Surgery staff are not allowed to register at the practice at which they work. They also have to call their GP surgery for an appointment when it opens.

EasternStandard · 05/11/2023 09:14

Rosscameasdoody · 05/11/2023 09:09

It sounds as though you live in my area - a certain hospital which has been in the news recently ? My own mum, in her nineties, was admitted ten days ago by ambulance. Spent most of the first day waiting in the ambulance for a space to free up, then two days on a trolley in A&E corridor, then a further two in A&E bay before being shunted between three different wards. Like you, I’m in awe of the staff doing their absolute best under these circumstances but inevitably care standards suffer. The moral of the story is don’t vote Tory.

Do you really think Labour will fix it? Do you mean more funding, how much more do you think would fix it?

Davina69 · 05/11/2023 09:16

I have worked in a and e in an admin type capacity. There are numerous problems that are the reason it doesn't work and why the nhs is overwhelmed but the biggest reason is the entitled waster section.

These are the ones that attend for any minor ailment, often self inflicted by drink/drugs/stupidity and treat a trip to a and e as a god given right. Throw in a good dose of those that need MH support and that's why you often have a five hour wait.

After a short stint in that job my perception of what the NHS should be changed dramatically. It's become too much of a crutch for feckless people and if they started to charge the time wasters and the idiots that overdo the drugs and alcohol I suspect things would improve quickly

truroballbag · 05/11/2023 09:16

When will people on here stop criminalising older people for everything that's wrong?

There is nothing wrong with pointing out the fact that frail elderly people are being kept alive with no quality of life. It's a heartbreaking and ethical crapstorm.

It's a fact.....a very sad one.
But life IS sad.

DoubleTime · 05/11/2023 09:17

I do hope your Mum is feeling better now.
I'm amazed NHS workers are still loyal to their jobs (and also extremely glad). They were superstars during the pandemic before the covid vaccine, and we are so lucky to have them. I would be happy to pay higher taxes to support the NHS.

LizzieSiddal · 05/11/2023 09:17

FormerlyPathologicallyHappy · 05/11/2023 09:11

You’re all going to get a shock if you think Labour are going to sweep in and open the check book & it will all magically resolve itself.

My profession had much more funding under the tories in the 90’s and then labour came in and all of a sudden we had less funding because they funnelled everything into primary care. Then the coalition ran with what they started.

Well Labour transformed the NHS for the better when they were in last time. People were dying on waiting lists, just like they are now!

Ritasueandbobtoo9 · 05/11/2023 09:17

AlaskaThunderfuckHiiiiiiiii · 05/11/2023 09:09

I’m in Scotland, we have the largest population of retired and elderly in Scotland. I also work in community nursing and the issue is social care, it isn’t the NHS it’s social care and the fact we are rural so many young leave to the cities for a better life so not enough people to pick up the caring mantle. Couple this with the fact many retire here from down south away from families so no help there and it’s a ticking time bomb. What do they do instead of looking at social care where the problem is? They make it a whole team, a partnership they say where the community nurses are now plugging the gaps where there are no care packages. We can be going to people to help them with ADLs for 18 months as well as continuing with our usual jobs. Just papering over the cracks as usual. Many who do retire here say they have come for the free personal care, yeah if you can get it.

We have hardly any residential or nursing homes anymore, many are closed due to poor outcomes with inspections but I find this very short sighted, they should be supported to improve instead of cutting beds even further. Closure of cottage hospitals was idiotic as that freed up acute beds for those waiting on further assessments

then there is the issue of keeping people alive well past natural expiration. I hope I have the choice when my time comes

Edited

Same in rural Wales. Escape to the country but don’t expect any care as everyone has left to get better jobs elsewhere.

njg616 · 05/11/2023 09:17

My mum recently had a successful hip replacement but the nursing care was appalling.

Nurse gave a drug my mum was lised as being allergic to - it was on her drug card. Epi pen was given but I was furious. You can see how unnecessary deaths happen.

That, and the ward was rammed with broken equipment and no wheelchairs. I had to beg for an extra blanket.

Spottywombat · 05/11/2023 09:18

Watched DM survive in hospital in hospital for several weeks recently. Well, took several days of trolley to get admitted. Staff great in the most part, the buildings and organisation terrible. The same stay would have killed my MiL...it was awful and with prompt treatment, she would not be as ill now.

EasternStandard · 05/11/2023 09:18

LizzieSiddal · 05/11/2023 09:17

Well Labour transformed the NHS for the better when they were in last time. People were dying on waiting lists, just like they are now!

It’s really got to be more than ‘last time’ if there is to be realism on the costs of the NHS

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