Yep this shouldn't be happening - and I know locally we now have SALTs IN the hospital purely with the remit to support staff in communicating with patients with LDs. Not perfect, and requires staff to know the team that can do this are actually available, and for LD to be accurately recorded on systems (which it isn't always).
I've had both sides of it - I've had a shit time as an NHS in-patient, and my kid with SEN was hounded out of a dance class by a dance mum/cancer nurse angel who spoke about patients in the most fucking appalling way I've ever heard... and now I work in the NHS - and I'm incredibly proud that I do so, but by heck it's got fucking problems and they're not just a lack of cash.
I think part of the problem can be that culture perpetuates itself - so even in an outstanding hospital, you can get wards where the rot's set in and where new staff get trained by old staff into ways of cutting corners, where the way they talk about patients gets passed on (often there's a move to forgetting to see them as people and seeing them as "the broken arm in bed 2" or "that one in bed 4 that's complained three times") and "bad" behaviour (such as making a racket at night) becomes the norm. Once it's become that embedded - it's a massive massive task to shift the culture back to one that's actually appropriate.
IT is a fucking mess. We don't even run on the same patient database in my trust as the GPs, ambulance service and acute hospitals in our local area... means I spend fucking hours on hold for GP surgeries for information that I could have got in a few clicks if we all actually had systems that spoke to each other. Even ON the same system it can be configured completely differently for different areas - I remember as a student doing a placement and the IT setup was totally different for one half of the same county to another. You don't get trained well enough in how to use stuff - so you spend hours having to ask or figure out how to fix a problem, and the actual physically technology is usually fucked - our office printer's been stuck on Korean for months in one base I work in.
The buildings are falling apart, staffing's been cut massively - we're now on a recruitment block where anyone who leaves has to have replacements justified by a massive process designed to cut things down more and more... and that's when we can find people to recruit - we've had the same post out to advert about 5 times now with no acceptable takers. We have huge disciplines within our area where we now have NO coverage - so people are referring to the "next best" service - so nursing are getting physio referrals etc - which does nothing for patient care, and also burns the remaining staff out even faster - and then they quit and can't be replaced so the whole shit show snowballs.
And then burnt out, demoralised staff, who often only get through the shift because they love the colleagues they work with - they're the ones you get arsing about making a racket laughing around the nurses station but forgetting to see the patients as the real people who should be the priority there... and then the culture starts to go to shit. I'm not perfect - but I try to keep in my mind that everyone I see, however challenging (and I work with some very challenging clients), is someone's child - it kind of keeps the perspective in check for me.
The clanging loud bins I think are beyond fucking help.