This morning I returned from a sojourn in the A&E local to the Welsh self-catering accommodation where I have been staying. I went in at about 5pm on Thursday and came out at 7 this morning. I went in with chest pain.
Here are some of the things that happened:
- Ambulance was not able to come for 3-6 hours, so the control sent a taxi to take me in. That was a plus, but the long wait for an ambulance is not good.
- when I got there I waited 3 hours to be seen at all.
- they did all the right things, but slowly.
- there was a lot of waiting around - some due to work pressure and some to awaiting the results of blood tests, which had to be repeated 3 hours apart.
- the waiting room was appalling - not very clean and rammed with people. And designed in such a way that staff had to yell to make themselves heard when calling out people’s names, as it was in two halves on either side of the entrance.
- some of the people waiting were fixed up to drips or retching into bowls and were clearly in distress and would have been better off for some comfort and privacy.
- I sat on a chair for the whole of the night.
- the lack of space meant that the doctors were carrying out consultations and procedures in the waiting room with no possibility of privacy or confidentiality. It also meant that one man had to get dressed in the waiting room for want of anywhere else.
- there was a drinks machine that only contained coke, and the water jugs were empty with no cups. The receptionist could see that (directly in front of her), but did nothing till prompted - there were quieter moments when she could have dealt with it but didn’t, until it was pointed out to her.
- there was a general air of the staff being totally inured to the suffering going on around them. One young man came in with an adrenal crisis and he was so weak that he was crawling across the floor, but the staff ignored him. I remember my DD telling me of being in an A&E recently where a young woman was lying on the floor vomiting - she had to wait for the results of a blood test before she could have an anti-emetic (makes sense) but staff just walked round her.
- taking bloods from me twice was chaotic - first of all the nurse could not find the assorted equipment she needed, then she dropped stuff on the floor and had to leave me with a needle hanging out of my arm while she went off somewhere to find clean stuff. Some of my blood dripped onto the floor (I am on an anti-coagulant) and when I returned to that room, which was in constant use, a few hours later it was still there
- now this is comic - I feel a sitcom coming on! - I was sitting in the department waiting for the next procedure and my mobile rang in my pocket - it was a doctor in the department ringing me to ask me where I was! - it was such chaos that he could not find me! He had rung my NOK (DD 100 miles away) - she said try looking in the toilet - she knows me well!
It was generally a thoroughly dispiriting experience - but with a good outcome, as it was not a heart attack (in spite of raised markers in the blood tests) and I was able to go home - well, when I had spent 3 hours trying to get hold of a taxi.
Most sad was the general air of lack of care - of staff having got to the point where they just shrugged off people’s suffering. I am sure they did not start out like that. How dispiriting for them to have got to that point.
Throwing money at the NHS is not the whole answer, although it would help - there is a crisis of commitment and spirit that also needs addressing. I am sure there are lots of very caring staff around, but the ones I saw yesterday were burnt out.