Meet the Other Phone. Child-safe in minutes.

Meet the Other Phone.
Child-safe in minutes.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Waited in hospital since 10pm to see out of hours gp. It's now 2am. Do I give up and go home?

455 replies

GrrrlPwr · 16/11/2021 02:03

There's 5 people ahead of me in the queue. Receptionist has no idea how long they will all take.

Do I go home and plead my GP for an appointment tomorrow?

Feel so stupid to have waited so long and to go home. But I ache so much. I need to go to bed

OP posts:
Walkerbean16 · 17/11/2021 02:00

I went last week with my child who cut his leg open, a huge gash. He was seen by triage pretty much straight away, then we had to wait six hours for them to say oh we can't stitch there as the skin is too thin, they steri stripped it. I could have done that at home. So frustrating.

lousanne · 17/11/2021 02:48

@BoredZelda what relevance does it have how rare it is? As rare as it is, it's happened to me several times. And I'm as average as they come.

Please read again: 'seek help if you struggle to eat or drink'. Because complications are life threatening.

Malibuismysecrethome · 17/11/2021 07:28

In my experience GPs don’t prescribe until you are in a bad way, therefore when you go to the doctor for upper or lower respiratory track infections you need help. Most people do not go for help just for a cold or cough.
I also believe we would not have the high rate of sepsis in the UK if GPs gave out antibiotics when needed. Before anyone mentions anti-biotic resistance I am aware but given the speed with which the Covid vaccine was developed I do t think there is the will or the incentive to develop an alternative.

UndertheCedartree · 17/11/2021 07:43

@GrrrlPwr - you poor thing - that sounds awful. I hope you manage to get things sorted today and are soon on the mend Flowers

Around here when you get an out of hours GP appointment you get an appointment time so you rarely have to wait long. It is always such a postcode lottery with these things.

ThePoisonousMushroom · 17/11/2021 07:52

Both DH and I have had quinsy!

MarieVanGoethem · 17/11/2021 09:43

I hope you’re feeling better if not now @GrrrlPwr, soon, at least. I know it’s brutal (& v old-fashioned), but if ever you’re stuck with nothing at home for your throat & you’ve to wait for an appointment, you can gargle with warm salt water. It’s less horrible than gargling with TCP, mind you. I used to get tonsillitis essentially endlessly, leading into glandular fever (followed by post-viral fatigue) at the end of my first year at university. Then straight back to constant cycles of infection all through second year when I was referred to have them out. Unfortunately hospital in uni town wouldn’t do it as I’d need minding afterwards; but my local hospital put me on day surgery list & then wouldn’t fix things to do the surgery over the Christmas holidays still. Technically still better to have them out over Easter, but I had to write a Long Essay that contributed to my finals grade that holiday; & the mucking about messed with my dissertation as well; & my DoS didn’t apply for special consideration because she was a bit of a special packet of biscuits about things… Anyway, just watch for not being able to work out what’s wrong with “Florence Nightingale was opposed to the training of women as nurses” for a good five minutes Blush
But yes, do hope you stop feeling grim soon - and that you don’t lose too much time with work. Are they reasonable about people being ill? I mean, I know it’s 0 hours, but is your manager ok/helpful/sympathetic, at least? I know missing a day is stressful money-wise, but please try to use it to rest & sleep & generally look after yourself as well as you can Flowers

Star Star Star Star Star Star Star

While - like the US - the UK’s sepsis rates haven’t been decreasing anything like as quickly as desirable, Denmark, Greece & Lithuania saw rising rates 1990-2015. Crucially, the people who carried out 2018’s vital research noted that Various efforts have been made to improve standards for diagnosis, management and outcome reporting but it is unclear what effect, if any, these have had on mortality rates… there remains significant variability between health systems with respect to trends in sepsis-related mortality and between sexes in some countries. System-level and population-level factors may contribute to these differences and additional investigations are necessary to further explain these trends. It’s not as simple as “Finland has the best healthcare system because they reduced their sepsis rates by 80.9 percent - GIVE THEM ALL THE PRIZES AND ALL COPY THEM AT ONCE!” If it were, we’d be grand. The people most likely to die from sepsis in the global south would doubtless still be up the proverbial creek with water coming into the boat; nothing to bail with; no chance of reaching the bank; & a wee gang of crocodiles casually bobbing about nearby - a mere lack of paddle being a fairly minor consideration.

Media coverage at the start of 2020 of research published in the Lancet about global trends in sepsis left out that the US [still] has higher sepsis rates than the UK - and indeed that it is the view of the UK Sepsis Trust that better awareness would have a dramatic effect on reducing cases in the UK. Nothing about the horrific mortality rate associated with childbirth for black women in the UK - clearly the government (& NHS) actually engaging with MBRRACE’s Saving Lives, Improving Mothers’ Care is desperately important in & of itself, but if it were to lead to a reduction in sepsis as well, that would be incredible.

One of the big issues when trying to treat sepsis? Antibiotic resistance. This paper from 2013 found some really quite disturbing levels of resistance to abx in patients with sepsis. The authors of that paper are very clear that “strategies for limiting or modifying antibiotic use are needed to control resistance growth and to improve the rational use of antibiotics”; proposing “ antibiotic cycling/rotation, scheduled antibiotic changes, and antibiotic mixing” in addition to following the 7 strategies to prevent antibiotic resistance that were suggested by Kollef in 2005.* The EU emphatically do not consider it good practice to sell antibiotics OTC & have specifically stated sales of antibiotics without prescription and patients buying incomplete courses of treatment or the wrong antibiotic are important drivers of the development of resistance in their 2011 Strategic Action Plan on Antibiotic Resistance.

Unless you happen to have be qualified as a GP/PA/NP & have the most extraordinary levels of clinical detachment; OR you have a very clear treatment plan that involves abx kept at home/immediately dispensed on request - you don’t know that antibiotics are indicated; or if they are, which ones/how long for, if they aren’t effective do you run another course or change to something else? Recovery from what would/should have been a self-limiting infection will inevitably be attributed to antibiotics where they are obtained; & despite there having been signs in GP surgeries about antibiotic resistance - frequently requesting that you not ask your doctor for antibiotics - for at least 20 years; an astonishing number of people just refuse to engage. Including lots of parents who want antibiotics for their children on the grounds they were always given them for similar infections as a child Hmm

It does sometimes seem there are posters who wait for any thread that might be even tangentially connected to the NHS just so they can attack it. It seems to have bypassed a lot of people that the UK healthcare spend and funding from taxes are both low. (Oh & unless you have issues with your memory, are a small child who’s no business on here - or perhaps are a goldfish, just to cover all bases - the 2019 bump certainly isn’t the largest you’ll remember but rather more Tory posturing). It’s also nowhere near enough money - it sounds like a ridiculously huge sum, but when you consider what the NHS does & the investment it requires to be able to work really well… it’s not even enough to get the NHS back to where it was pre-pandemic, never mind make improvements. Don’t get me wrong, there are certainly serious issues with the NHS - but if it were the disaster people claim, it simply wouldn’t have survived the pandemic. (Oh & it’s well worth reading the whole article, btw, because it’s a very complex picture & as well as the things I think everyone’s aware of [need for more beds & more clinical staff] there are things like The UK had the lowest percentage of physicians who were dissatisfied with the time they were able to spend with patients (UK, 2%; study average, 13%) and was tied with Canada and Netherlands for the lowest percentage of physicians who were dissatisfied with their income (UK, 20%; study average, 32%) even though remuneration of specialists and nurses in the UK was slightly below the average of the comparator countries…but remuneration of general practitioners was similar to the mean of the group.

All health systems have issues & variations in the care available & quality of HCPs. For example, epic fail from the German nurse who kept repeating to me in English that my mother (who had died in very sudden & traumatic circumstances just over 3 years earlier) would come to collect me soon. Despite my explaining every time - in German - that my mother was dead; I was on a school German Exchange; & it was my teacher who was coming to get me. After my (27 year old!) teacher looked suitably horrified at the beaming “so here is your mother at last!” she was greeted with (swiftly followed by what was basically a wail from me of “I kept explaining! Every time! But she just kept on!) - the nurse replied to my teacher’s near-identical (as in, switching up the person) explanation with “I just thought she didn’t know what she was talking about, a dead mother at her age”. And then made my teacher stand in the cubicle with us while she did an ECG before I was allowed home. To top things off, that hospital (unlike the Belgian one I ended up in on the way home: it was a fun trip Blush ) apparently hadn’t the first idea of how to process an E111 form so I kept getting sent bills for my treatment, which was terrifying-horrifying as a [rule-fixated] 13/14 year old. If you read around, you’ll find people unhappy with their health service, whatever it may be - although in a broader discussion, it seems you’ll essentially have the rest of the world criticising (& to be fair, not without good reason) the American healthcare system; especially when contributors (as they so often do) make it clear they’ve no idea at all about what the NHS is actually like.

And on that note, I really ought to check my Rx went through ok (controlled drugs can cause issues because the computer system gets very insistent about the idea they should be dispensed on the same day your last script runs out…) then either contact GP surgery or email the pharmacist to ask when they think they’ll be able to deliver; ring the podiatry service to book an appointment (no, I don’t have diabetes); ring the GP surgery to book my 8-weekly B12 injection; email the IV Team about my portacath; and read the email that’s just appeared from my dietitian & reply to her…

  • (1) Establishment of a formal protocol and guidelines; (2) Hospital formulary restrictions; (3) Use of narrow spectrum antibiotics when supported by clinical situation and culture data; (4) Combination antibiotic therapy; (5) Shorter courses of antibiotic treatment; (6) Antibiotic heterogeneity; and (7) Optimization of pharmacokinetic/pharmacodynamic principles.
Eastridingclub · 17/11/2021 13:44

I had bacterial tonsillitis regularly as a child and younger adult. I rarely had antibiotics.

It can affect the heart.

lemonlimon · 17/11/2021 14:19

People have such low standards for their own health now. Why should anyone sacrifice their own health so that a public health system survives. It's terrible what is wrong with us. It's only British people that think like this. When you're from countries where the health system isn't broken you just rock up to use the nhs whenever you feel you want to because your own health does matter.
When I was a dc a doctor would come out and check on you for tonsillitis. Some people seem to think the nhs is some kind of holy grail required to be preserved at all costs despite the whole point in its existence is providing a health service available to the public. It's daft.

ThePoisonousMushroom · 17/11/2021 14:23

Some people seem to think the nhs is some kind of holy grail required to be preserved at all costs despite the whole point in its existence is providing a health service available to the public. It's daft

100%. And it’s a service we pay for.

Floundery · 17/11/2021 14:42

This reply has been withdrawn

Message from MNHQ: This post has been withdrawn

Pearshaped20 · 17/11/2021 17:27

@CuteAndFluff

So glad I live in a different place to the UK. System is fucked. Where I live you can go online and choose an appointment to see any available gp as far as you choose to travel, usually that day, often zero cost. We have out of hours gp service that will come to you so you wait at home. Again usually no cost.

UK system is screwed

Yes the system is under immense pressure from years of underfunding and understaffing. The governments master privitisation by stealth plan to make it so awful that people who can afford go private. American Big pharma are waiting in the wings...
janice511 · 17/11/2021 17:32

Earlier this year my daughter was ill with tonsilitis, NHS 111 nurse refused her an out of hours appt without a negative pcr. We ended up with an online Gp service as it was weekend and they were fab. We sent photos of her throat and got a prescriprion sent to a local pharmacy £30 plus cost of prescription. The NHS is broken care is generally very good but access to it is becoming more and more difficult

Bebethany · 17/11/2021 17:32

@ CuteAndFluff sounds amazing, where do you live?

MrsGrumpyKnickers · 17/11/2021 17:33

If you’re poorly enough to have gone to hospital at that time of night, you need to stay and be seen. Hope you feel better soon xx

Xenia · 17/11/2021 17:33

I would rather just be allowed to opt out and then those who do opt out 20% of every bit of income tax we pay every year (that is the % that goes to the NHS of your annual tax bill) you then keep instead and you could spent it on private health care and top it up if you need to. Even if that means I am not covered if I fall on hard times I can live with that - we all have to die sometimes - if I went a bit sooner, so what?

Carriecakes80 · 17/11/2021 17:36

So sorry OP for your pain..hope you get it sorted asap.
Sadly for nearly 5 hours last saturday I sat in the A&E waiting room having a miscarriage. It was the worst day of my life, my mask was soaked with my tears, my husband was beside himself but keeping it together for me as I sat there clock watching with blurred eyes...and I don't blame the NHS one little bit. I blame those that have been in power for the past 11 years slowly dismantling it all and underfunding it, letting it fall to bloody bits.

Mamabear12 · 17/11/2021 17:44

Why did you wait until 10pm to go? My sympathy is with you as it does suck to be waiting and I have been there before for myself and for my kids. But I assume if you are at this point at 10pm, you must have had some symptoms earlier? Although it does seem to get worse at night for everything. Like Saturday night when you know no other option is to go to the hospital bc GP closed Sunday morning (this has happened to me before w myself and w one dc). I hope you got seen and are on the mend!

PinkSparklyPussyCat · 17/11/2021 17:46

My bloody pharmacist wouldn't sell me Canestan as I hadn't been prescribed it by a GP. When I pointed out it an over the counter medicine I was told that just because it's OTC doesn't mean they'll sell it to me.

Another pharmacist told me I had a stomach bug and to take probiotics. I actually had pancreatitis.

I won't be seeing them about anything else if I can help it!

takenforgrantednana · 17/11/2021 17:46

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk guidelines.

PinkSparklyPussyCat · 17/11/2021 17:50

and good for him doing that too! you seriously went and took yourself to the hospital over a sore throat? you could have just tried some mouth wash or even a glass of whiskey, that would have killed the pain and a few buggs too, enough for you to get some sleep and then see your gp in the morning, i find ice cream helps too!

oh and now you have such a problem, your poor bottom all numbed up from sitting on a hard chair that was so bad you nearly passed out! - drama queen! to the max here i think

Don't be so bloody nasty. I take it you've never had severe tonsillitis otherwise you might understand how bad it it. If it's bacterial a fucking mouthwash or whiskey isn't going to cure it!

Jesus Christ, some people!

MrsPelligrinoPetrichor · 17/11/2021 17:50

Ring your GP at 8am, ask for an emergency appt.

Hope you get treatment soon x

Runmybathforme · 17/11/2021 17:54

Doesn’t your GP do telephone consultations ?

ChristmasBabi · 17/11/2021 17:55

Omg I had this the other day! I sat for 5 hours (after being told by maternity ward to go to ane they wouldn’t help ((TWICE)) to then be told to go up maternity leave! There were people who had been waiting twelve hours it’s insane!

Good news is, I actually found that the antibiotics are cheaper on a private prescription than the nhs ones

Hope you feel better soon. Xx

ChristmasBabi · 17/11/2021 17:55

Maternity ward even not leave 😂😂

Spinninsweetness · 17/11/2021 17:56

Just a thought you can order antibiotics from loads of online pharmacies, a registered GP approves the prescription, it does cost though but if you're desperate that's what I do. Hope you get sorted out.

Swipe left for the next trending thread