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"Lack of aftercare"

About: Forth Valley Community Services / Health visiting Forth Valley Royal Hospital / Breast Clinic Forth Valley Royal Hospital / Oncology unit General practices in Forth Valley

(as a service user),

I recently had a mastectomy.  Up until the operation  the care was of a good standard however the aftercare has been absolutely horrendous and this incident is just the icing on the cake.

I went to the community nurse for a wound check and I explained I'd had a bad cold and had been sneezing and coughing and that the day before my dressings had become soaked with a possible seroma leak and that my wound continued to leak. The nurse assessed wound and noted it had widened since my last check and that I should get my GP to look at it or contact the oncology navigators.

I explained to the nurse that it was impossible to speak to any of them and all I could do was leave a message and they say they'll get back to you within 48hrs. The community nurse went above and beyond to ask my GP  to do referral electronically but was told that they wouldn't do that and that the nurse could contact them theirself or I could.

I was crying by now as I feel I have had little or no support from oncology and the system they have in place for me to contact them is not fit for purpose.  After half an hour, the nurse got back to tell me they had no luck contacting them either even after paging someone.  We agreed we would both keep trying.

This follows on from:

Being discharged with no dressings

Being told a district nurse would phone and come round to the house in 3 days' time

Community nurse not receiving referral

When I contacted Community nursing myself with concerns about wound was told if I wanted seen that day would need to phone round 4 different practices to see if they had any spaces. They didn't.

Phoned breast nurse left message

Results appt cancelled following week as results weren't back.

Results appt and seen my charge nurse who I do feel actually listened to me.

Following week had appt with Community nurse for wound check and dressing.

Wound leaking significantly which takes us to where I am now.

I'm a strong and resilient woman and have coped with the emotional side of being diagnosed with breast cancer, but the lack of aftercare has been diabolical and nearly broken me as I have had to navigate a system to receive any kind of care from the Oncology Navigators.

The icing on the cake was when a doctor refused to see me to save me any further emotional burden. I received one pre-arranged appointment for my results which was cancelled and rescheduled.  Any other appointments I have had to fight tooth and nail to get myself whilst dealing with having major surgery and a cancer diagnosis.

Not good enough.

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Responses

Response from Susan Davidson, Oncology Unit Manager, Oncology, NHS Forth Valley 10 months ago
Susan Davidson
Oncology Unit Manager, Oncology,
NHS Forth Valley
Submitted on 06/06/2024 at 16:05
Published on Care Opinion at 16:05


Dear TZDEE57,

Thank you for taking the time to give your feedback following your recent diagnosis and treatment. I am sorry to hear that you have not had a positive experience, this is certainly not the standard of care that the breast nursing team or navigator aim to deliver. It is such a challenging time and I recognise that getting the support you require is of great importance.

If you would like to discuss your experience further please do not hesitate to contact me and this will be arranged. I am mindful that I will be on annual leave over the next few weeks but I will have a deputy who will be available in my absence should you wish to make contact when I am unavailable.

I do hope that going forward the team can reassure you that they are there to support you and build a more positive relationship, it is so important to know that should you require support or advise this will be provided.

Susan Davidson

Oncology Unit manager/Lead Nurse for Cancer nurse specialists

01324 566301

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