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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

or is this really appalling care from 111/Somerset out of hours?

94 replies

WoolyMammoth55 · 21/12/2021 16:28

DS is 11 months old and, like half the country, has a bit of a cough. I find it physically impossible to swab him but the rest of the family have been consistently testing negative for Covid.

Last night at 3am he woke up crying wildly, with very loud wheezy breath sounds. I woke up DH, we decided against waking up the 4 year old and driving 40 mins to A&E, thought we'd try 111 instead.

It wasn't a long wait to speak to the operator, they said a medic would call back within an hour. The phone rang in an hour but it was an admin non-medic from the out of hours service, saying that he apologised for the slow call-back. I asked if I should go to A&E and he said he couldn't advise, isn't a medic, to hold on for the medical call.

I hovered over the baby for the next 4 hours, watching him sleep, listening to him wheeze. At 8am the same admin dude called back to say the minor injury walk-in service is open so we've been discharged from out of hours care and can walk-in to minor injury unit at our convenience.

I was meant to be called back within an hour. Instead 5 hours passed and I never did speak to a medic.

Baby has seen the GP today and diagnosed with croup. But still - isn't that appalling for out of hour care? We live far from an A&E here and 111, when it worked, provided a really useful service.

I realise it's the fault of government underfunding and appalling attacks on the NHS, but this is really not functioning at the moment. I'd like to complain but no idea to whom.

OP posts:
GreetingsAndSalutations · 21/12/2021 16:32

The thing is, it sounds like there was no one to call you back at the time. They’re probably dying on their arses with even less staff than usual right now. In your situation if I hadn’t heard back at the time they stated but really was worried about my child I’d just take them to a+e/walk in regardless of the phone call. Hope your baby feels better soon, croup is horrible.

lynntheyresexswappers · 21/12/2021 16:37

@GreetingsAndSalutations

The thing is, it sounds like there was no one to call you back at the time. They’re probably dying on their arses with even less staff than usual right now. In your situation if I hadn’t heard back at the time they stated but really was worried about my child I’d just take them to a+e/walk in regardless of the phone call. Hope your baby feels better soon, croup is horrible.
This.
Lime37 · 21/12/2021 16:38

I’d put a complaint in about your self. If you are that worried take your child to a and e

BlackAndPinkNose · 21/12/2021 16:40

If you were really concerned and it was an emergency then you should have taken your child to A&E - not sure of the relevance of waking older child though as it only needed one parent to drive surely?

Woofwoofbarkbark · 21/12/2021 16:43

You don't need 2 parents and a 4 year old to take a baby to the hospital.

If in doubt, go to A and E.

If you feel very strongly about this then write a formal complaint.

I hope baby feels better sonn.

madisonbridges · 21/12/2021 16:47

If you were that worried why didn't one of you take your son to A&E? It doesn't seem that difficult to figure out.

Theredjellybean · 21/12/2021 16:48

I work on out of hours and can tell you that is pre standard waits.
NHS 111 follow a script and often tell people they will get xyz, with no idea how busy we are.
The out of hours service is not visible or joined up to nhs 111, nhs 111 just pass callers details over to us.
You are usually given a priority depending on symptoms, following an algorithm, and that can be a priority to be contacted within six hours. It could be that was the case.
What would you have done in hours? Say you called your gp surgery at 8 am and the receptionist said you could bring baby in at 13pm for appt... So same 5 hr wait? Would you have been OK with that or would you want to complain?
I get its scary when children are unwell but out of hours is swamped.. I start at 8am on Saturdays.. Last few weeks I have arrived at 7:30 and already got 25+ people waiting to be called, stacked up from overnight.

steff13 · 21/12/2021 16:48

If I was concerned I wouldn't have waited that long, I would have gone to the emergency room. It's not really necessary to wake the older child to go

FenceSplinters · 21/12/2021 16:49

Only one of you would have been allowed in A&E with the baby anyway.

Diditopknot · 21/12/2021 16:49

Hi, you must have been so worried and by the sounds of it, trying to avoid the upheaval of A&E.

The 111 service is stretched to its limit and will have had hundreds if not thousands of call backs to make.

However, you as his mum will have a very strong gut instinct where your baby is concerned.
111 will assess but nothing beats your gut.

There is always an alternative to A&E if you don’t feel that is necessary. WIC /GP/ OOH via 111 is also an option that you could request so an out of hours GP appointment could be made.
Chalk it up to experience.

Mine had croup, it’s bloody awful, gets better fast though.
Hope your little fella is soon better.

colourfulpuddles · 21/12/2021 16:51

You only need one parent to go to A&E, the older child didn’t need to be woken. If you were really concerned you should have gone there.

itsjustnotok · 21/12/2021 16:55

Another one voting for an A&E visit if you were that concerned. In an ideal world you should have gotten a call but I don’t see the difference between waiting for the call and say being given an appointment with a GP when you ring in the morning that isn’t until the afternoon. You know you’re child and if you think they are really unwell I wouldn’t hang about for a call over the inconvenience of waking another child. I’ve dragged both mine out in a taxi at 2 in the morning for croup because DD got worse.

Offmyfence · 21/12/2021 16:56

If no one is available, that can't call you back!

One parent can deal with a&e.

becausemymumsaidso · 21/12/2021 17:03

I work for 111, certain answers you woukd have given would have triggered a more urgent response such as a&e or ambulance, however with ambulance responses of up to 18 hours currently, a 1 hour call back would be deemed urgent still but safe to be at home with the thought that parents would either call back if any worsening symptoms or attend a&e. to be honest, croup wouldn't have even got a 1 hour call back at my workplace- it would get home management advice which is the lowest priority. No offence, but people need to be realistic with what they can manage at home and wait until the morning etc. 111 gets calls for cardiac arrests, suicidal callers, septic babies, and 1000s of dental callers who are misinformed that we can help- we can't! Sorry for your bad experience but 111 is literally a plaster over the current system- people unable to get gp appointments, lack of mental health support and people needing urgent care asap- we are only supposed to be an advise line!

Nidan2Sandan · 21/12/2021 17:03

I think you're being a bit daft to not realise the pressure the 111 service is under right now.

Also dont understand the waking the 4yo part? Surely one of you just wraps baby and heads off to A&E leaving the other with the snoring 4yo.

Either way, I know its frightening and if you're concerned you should seek medical attention in A&E or a walk in. If it's not an emergency 111 is fine, but be aware of the long wait times. I've waited 6+ hours pre-covid times.

In other news, pop baby in the bathroom with the shower running hot for some steamy help. Also, fresh air is really good so wrap him up and take him in the garden. Smile

ShirleyPhallus · 21/12/2021 17:05

The recent threads where people see complaining about living far from A&E so want an ambulance / special treatment etc are really annoying.

It’s not the fault of the NHS that you live a distance from A&E. If your child needs medical attention then take them.

Youdoyoutoday · 21/12/2021 17:10

Why did 4 of you need to go to a&e instead of just the baby and one of you?

RoxytheRexy · 21/12/2021 17:15

I’m a Nurse Practitioner in Out of Hours. We are so short staffed. Last weekend we had 140 people waiting for call backs and 2 people doing them.
It’s miserable out there.

Yes to taking the baby to A&E. Our local one is 1 parent only. Seems to be pretty standard everywhere at the moment

icedcoffees · 21/12/2021 17:20

YABVU for not going to A&E and for sitting around waiting for a call-back from 111 for five hours instead.

You're right that the NHS is chronically understaffed, but I'm not sure what the purpose of your complaint would be. If they don't have enough staff, they don't have enough staff. They can't magic someone out of nowhere for you.

DukkaTheHallsWithBoughsOfHolly · 21/12/2021 17:22

I don’t understand why one of you didn’t go to a&e with the baby, you didn’t need to wake up the 4 year old. Only one parent is allowed in anyway, they wouldn’t have let you all in.

User2638483 · 21/12/2021 17:28

I’m sorry to say I think that’s pretty standard for 111, although it is annoying to be told one thing and given a time scale and then it not happen.

LittleMG · 21/12/2021 17:34

I’m surprised at the he amount of people who think this is ok. It’s not the staff fault no, but this is a dreadful way to treat a patient. Especially a child. The NHS is failing right u see our noses.

Purplewithred · 21/12/2021 17:35

We are constantly being told to call 111.

They said a medic would call within an hour and you based what you did next on the assumption that the promise made by 111 would be kept.

I think you are perfectly within your rights to be pissed off that nobody called back, whatever the outcome.

Bubblty · 21/12/2021 17:37

You could have escalated it by calling 999 at any time.

BernadetteRostankowskiWolowitz · 21/12/2021 17:38

Your options were

  1. Wait for a callback from a severely overstretched service in the middle of the night
Or
  1. Decide the circumstances warrant a faster response and one parent take the child to a&e

As the callback didnt arrive by 8am it makes complete sense for you to be transferred to a day service/walk in.

Clearly your son did not require urgent care as otherwise, hopefully, one of you would have taken him to a&e.