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"What a credit these people are to their profession"

About: University Hospital Hairmyres / Emergency Department

(as a parent/guardian),

Yesterday my teenage son spent almost 6 hours in an absolutely overwhelmed A and E department in University Hospital Hairmyres. 

The staff were nothing but professional and caring, despite the intense pressure of workload they faced. The receptionist went out of her way to ensure my son got a wheelchair as he was unsteady on his feet, the triage nurse was caring and thorough and ensured my son was waiting near to her room in case of further concern. The doctor we saw was kind caring and compassionate- despite the place she was working in what was effectively the ambulance entrance area! 

The waiting area was full but water had been provided and every free space was taken up with patients. 

During our wait, I saw staff subjected to verbal abuse on several occasions. Staff were trying to get through cases and to be perfectly frank had the patience of saints! I believe on several occasions people should have been told to leave and staff should follow the clear unacceptable behaviour signs that are up everywhere - but they continued to go ahead with care even under this duress. It is disgusting that staff have to put up with this on a busy and intense shift. I hope that hospital management realise how lucky they are with such dedicated caring overworked staff in place. 

Even though they were overwhelmed- every staff member apologised for our wait, on more than one occasion.  What a credit these people are to their profession, department and NHS Lanarkshire. 

However, it remains to be seen that the waiting times and the sheer volume of patients was overwhelming. To be using available ambulance receiving areas in a relatively new big hospital seems ridiculous and shows how overwhelmed the whole A and E department are. 

 I have nothing but praise for the service and professional care of the A and E staff- especially under such incredible pressure. 

My son had stitches to his face which will be removed by a community nurse next week. 

However, my actual concern is with the Fracture Clinic. We were told there is a ten day wait for an appointment. My son previously waited 5 days for an appointment for a broken bone. Why on Earth do broken bone appts take so long? Surely the wait without treatment is not conducive to NICE guidelines and patient care? 

It seems odd that an overwhelmed A and E can cope with heavy patient throughput, but aftercare waits longer. Can someone please explain the logic of this to me?

I have no problem waiting but I feel that surely follow up to stop any further damage to bones would be necessary in less that 9 days? I feel this level of care is not acceptable. It’s only a broken nose but regardless- surely it is more economical and sensible to get to patients earlier to avoid further damage? 

Again huge thanks to A and E- I sincerely hope this is passed onto staff in the department. It may only be words but they should know they are doing a great job and people are grateful - even though they face rudeness, aggression and violence and incredible pressure of workload. NHS Lanarkshire should be proud of them and support their endeavour with more staff and better working environments. 

Thank you.  

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Responses

Response from Lise Axford, Chief of Nursing, University Hospital Hairmyres, NHS Lanarkshire 11 months ago
Lise Axford
Chief of Nursing, University Hospital Hairmyres,
NHS Lanarkshire
Submitted on 25/04/2024 at 11:18
Published on Care Opinion at 11:18


picture of Lise Axford

Dear Ms McL

Thank you for taking the time to share your recent experience when attending A&E with your son. It sounds as if he sustained some nasty injuries. This must have been a worrying time for you both. I hope that he is progressing in his recovery.

Despite this you have been kind enough to give a detailed account of the care your son received, the professional approach of staff whilst managing an overwhelmed department and expectations of some patients waiting. Your feedback has already been shared with the A&E team. They very much appreciate your comments as they strive to deliver a good standard of care in difficult circumstances and knowing this is recognised by yourself and your son, means a great deal to the team.

Other service users also read care opinion and it will prompt many of us to reflect on the challenges faced by both staff and unwell patients. I can assure you that the hospital management team realise how dedicated staff are and the exceptional hard work that is delivered each day. Again, thank you for also recognising this.

We are indeed using every space available to see patients. This is far from ideal and increases the stress and distress for all. NHS Lanarkshire is currently at critical occupancy levels across its three acute hospital sites. We are facing relentless pressures, bed and staff shortages. The safety of our patients and staff is our top priority and we are working through short and medium term actions to improve the flow of patients in and out of hospital.

We recognise that our staff are doing everything they can and showing the highest levels of professionalism, commitment and resilience. We hope that the current actions being taken by our strategic command will help ease the pressures on our staff and services.

In terms of your concerns relating to the delay in fracture clinic reviewing your son’s broken nose, I wonder if you have not been given the full information. It is ENT that review a fractured nose and the ideal time for a reduction is 5-7 days post injury. It is important that there is time given to allow the swelling to go down and therefore appointments are not immediate. A reduction in swelling enables accurate assessment to determine intervention is required.

I hope this explanation is appropriate and apologise if this was not explained at the time.

Thank you again for your feedback. Written acknowledgement of the great job that staff are doing and that people are grateful means a huge amount staff. Your kind words are widely appreciated.

I hope that your son is recuperating, that his stitches are removed as planned and that the fracture to his nose is reviewed and managed within the next few days. Please do not hesitiate to contact me if you have not received an appointment. My phone number is 01355 584725

Best wishes to you and your son

Lise

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