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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think they could have sent a letter?

5 replies

Attractedtopie · 07/11/2018 20:59

NC for this but been around for a while.

Towards the end of last year I was referred to the dermatology department at my local hospital for a skin condition. I had my first appointment with them in November of last year, where the dermatologist gave me a new medication to try and said she'd see me again in three months and we would look at the next steps depending on how the new medication worked.

I eventually had the follow-up appointment (six months after the first appointment as the dermatologist had left and my name had been missed off the clinic list or something) and saw a different dermatologist, who wanted to rule out hormonal causes before trying anything else.

I had the first endocrinology appointment in the summer, where I chatted with the endocrinologist and had a blood test. I received a letter shortly after that appointment confirming they'd had most of the results back and they were fine, there were a couple of results still outstanding, but they were expecting them to also be fine given that there had been no problems with the results they had received back already.

In August, I received a letter confirming that I had been given a follow-up appointment with the endocrinologist in two months time.

I have now had the follow-up appointment and it was literally just to tell me that the rest of the results were fine. She also seemed a bit surprised that I haven't heard from dermatology and said she would write to them.

AIBU to think this could have just been sent by letter? This is now the end of my contact with endocrinology for this matter - there is no follow-up, nothing further to test or anything. I haven't had many dealings with hospitals so I'm not sure if this is standard practice or just something that this particular hospital/department does.

This is not a complaint about the NHS by any means - I think they do an absolutely wonderful job and do not get the credit they deserve - but at a time when it is incredibly stretched, shouldn't they be saving money whenever they can?

It seems pointless giving an appointment just to be told that everything is fine, a letter would have been perfectly acceptable - in fact, I would have definitely preferred a letter. I am self-employed so the time I spent traveling to/from the appointment, plus the wait time and the appointment itself, is all time taken away when I could have been earning money. I would have much rather saved the hassle of getting to/from the hospital, plus the 40 minutes in the waiting room (to clarify, I was on time for my appointment. I was taken in for a blood test and to be weighed about 10 minutes after my appointment time, was told the doctor would be seeing me soon and then had another 30 minutes wait - though I expected the appointment to be delayed as they always are so, again, not a complaint) for what was about a two minute appointment.

Not to mention, of course, that this was a complete waste of the endocrinologist's time and it meant that someone who might actually need an appointment had to wait for another appointment slot (judging from the appointment letter date to the actual appointment, I think the waiting list is about two months) even though they quite easily could have had a greater need.

AIBU? As I said, I don't know if this is standard procedure everywhere but it just seems like such a big waste of everybody's time and energy. I would love to send feedback to them - if there is a way to do so - but wondered if it would be reasonable to just expect a letter rather than have an appointment, or if I'm just annoyed because I'm panicking over the missed hours of work!

Sorry this is long, I didn't want to miss anything out!

OP posts:
Bambamber · 07/11/2018 21:03

YANBU. I was waiting for blood test results and my daughter's dietician phoned up to tell me the results came back normal so no need to go see her for another year and I would get an appointment letter closer to the time.

I appreciate phone calls still take time, but it's quicker and easier than getting patients to have to take time out to make their way in.

UpstartCrow · 07/11/2018 21:05

Yanbu, that seems a bit excessive. I mostly get the odd text or letter from my consultant, he thinks its insulting (he's very old school) but I really dont mind.

ThisIsWhatItSoundsLike · 07/11/2018 21:10

A lot of the time, it is to give the patient an opportunity to discuss any new/not resolved issues.
If you only get a letter you don't have that opportunity, it sounds like a waste of time but the need for patients to make another appointment with their gp to get a referral then wait for an appointment.
IYSWIM

YetAnotherThing · 07/11/2018 21:29

YABU and YANBU! I get your complaint but the vast majority of patients under hospital services are complex and will need to be seen again to discuss complex results or symptoms. They have questions they want answering even with normal results “does a normal result mean abc”. Also some normal results with ongoing symptoms don’t exclude a problem. If patient symptomatic might need second line tests/alternate. If you just write a letter and say ‘all normal, discharge’ the non- textbook cases (who are more complex) get overlooked.

Attractedtopie · 09/11/2018 22:41

A lot of the time, it is to give the patient an opportunity to discuss any new/not resolved issues.
If you only get a letter you don't have that opportunity, it sounds like a waste of time but the need for patients to make another appointment with their gp to get a referral then wait for an appointment

but the vast majority of patients under hospital services are complex and will need to be seen again to discuss complex results or symptoms

I get what you're both saying, but I was referred to dermatology to check hormone levels, and that is literally it. If there was anything in the results that meant clinical intervention was necessary, then obviously I would be seeing the endocrinologist again, however, as the results were all fine, that is completely the end of my involvement with them, and all they were going to do is send a letter back to dermatology confirming that the test results were all fine and that they don't need to see me. Dermatology's original referral was basically a "Before we prescribe XXXX we want to make sure this isn't hormone related. Please check." kind of thing, so they knew what they were testing and knew that was all of their involvement. I also don't need to make another appointment myself as they dermatology will be making an appointment for me themselves, so need to go to the GP or anything.

I understand that a lot of the time it isn't that simple and a follow up may be needed, but surely in cases like mine - where they have absolutely no need to see me again and will just be referring me back to dermatology - it doesn't make sense to bring me in for an appointment when really they have nothing to say? The letter they sent in the summer had all but two of the results in, so I don't really see the point of making me go in just to tell me the results of two extra tests, both of which were absolutely fine!

OP posts:
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