Trapped in NHS Admin nightmare

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mole
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Trapped in NHS Admin nightmare

Post by mole » Thu Apr 26, 2007 1:53 pm

I usually stick up fiercely for the brilliant National Health Service, beleaguered medics fighting the good fight. This stems from having numerous family members in the medical profession.

However, everything has gone wrong since I saw a locum GP on Monday. I was referred to a local hospital to go to a trauma clinic, no contact from the clinic. Chasing the clinic they have no record of my referral, chasing my GP they sent the details on Monday.

The hospital ring and say the trauma clinic have rejected my file and I need to be referred to a "Fracture Clinic". OK. They then say I have to come into A&E to be referred. "Why can't it just be done?" I ask. Because its not done that way. (this conversation went on for some time before I asked "Andy" to get someone with decision making capability to call me)

Someone else has just rung to arrange a trauma clinic appointment "sometime next week, or maybe after that" told me that I would probably need a referral to an orthopaedic clinic. They don't know how long this will take.

Bearing in mind no-one has actually looked at my shoulder since Wrexham A&E on Saturday I find the whole thing amazing, worrying and incredibly annoying. Its no wonder money disappears into the system like a black hole.

I am wondering that since everyone seems to automatically know I need a different type of clinic why I don't just get told to go there? I am currently calming down before ringing up to go through what I assume will be another exercise in utter futility.

Does anyone know a good private sports Physio in W Yorks?


Neill
Sometimes it's just too much effor......aughhh

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john smith
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Post by john smith » Thu Apr 26, 2007 2:08 pm

Get on to your GP now. It is they who hold the key to referalls, if they will not play ball, then make a real nuisance of yourself. It is your GP's problem you are being messed about and up to them to sort it out.

Good idea reagrding the physio, but without seeing a consultant first you may be doing more harm than good.

DaveCC
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Post by DaveCC » Thu Apr 26, 2007 5:28 pm

In defence of the GP - every hospital has different protocols and he may not be totally fimiliar with the local ones if he is only there a few days for referring. Anyhow, more than local so middle management in the hospital took it upon themselves to be difficult. There are lots of jobs worth in the NHS admin side who won't be flexible. We get it even working in hospital were some junior person won't do something unless a box on a bit of paper is ticked etc....

By the way, I'm not a GP!!

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neilfarmer
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Re: Trapped in NHS Admin nightmare

Post by neilfarmer » Thu Apr 26, 2007 5:42 pm

mole wrote: Does anyone know a good private sports Physio in W Yorks?
No idea as to how close Stockport is to W.Yorks, but a while back, Pete Knowles put up the following
I strongly recommend that you see Tim Deykin in Stockport.
0161 474 7469

He is sports physio/medic to the Slalom team and absolutely first class. Has sorted out many paddlers problems - famous and infamous. Probably the best specialist in the country if it is a paddler related injury. Not expensive and worth every penny many times over. See him or his deputy as soon as you can. Pete Knowles.
Neil Farmer.

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john smith
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Post by john smith » Thu Apr 26, 2007 6:06 pm

DaveCC wrote:By the way, I'm not a GP!!
I was in no way intending to bash GP's, they are incredibly busy overstretched people. Its possible they were unaware of what was going on, and you can bet they have dealt with problems like this 100's of times.

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mole
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Post by mole » Thu Apr 26, 2007 6:36 pm

No, I think it is purely an admin issue. They are blaming the GP for referring me instead of sending me to A&E.

Despite the fact that the A is sorted and there is no longer an E, I have to go in so I can get a referral to the trauma center who have already decided I need to go to an orthopaedic center (but wont refer me before I go to that as well). So 3 visits at least before I can actually get anywhere.

I am amazed at the bureaucracy, tax money in action?


Neill
Sometimes it's just too much effor......aughhh

David McCraw

Post by David McCraw » Thu Apr 26, 2007 9:44 pm

I went to A&E in Fort Bill, A&E at the NRI, fracture clinic at the NRI (later the same week), shoulder clinic the next week, then onto surgery waiting list.

So there was a lot of jumping around but on the whole, and def. in retrospect, I feel it went pretty smoothly. It also accounted for all the tax I've paid since graduation (effectively)!

Stick at it - however, I doubt it would do you any harm to see a good physio (purely my opinion). The consultant I saw didn't do as in-depth an exam as my private physio and there wasn't any imaging done anyway.

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Shandy
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Re: Trapped in NHS Admin nightmare

Post by Shandy » Thu Apr 26, 2007 10:09 pm

mole wrote:
Does anyone know a good private sports Physio in W Yorks?


Neill
Alan Smith in Wickersley, South Yorkshire.
He was Englands team physio, remember seeing him training Alan Sherea and Beckham on our School playing fields.

Or try Sheffield Wednesdays sport injury clinic.

Anyone seen the BUPA TV ad's recently, make you think about going private from the quick and efficent image they describe.
Shandy.

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Kayak-Bloke
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Post by Kayak-Bloke » Fri Apr 27, 2007 7:41 am

I needed an Op on my shoulder a few years ago.

After months of uming and ahing from NHS doctors I was reffered to a consultant surgeon.

I waited six months to see him and was told I would be put on a waiting list.

The list was two years long.

I went private had the Op in 3 weeks. The surgeon was the same bloke I saw on the NHS!

Over a year later (fully recovered including full course of physio) I had a letter from the NHS saying I had "moved up the list, and did I still require the Op."
If you have the means go private. If you don't then shout from the rafters.

It's your health and if you allow 'them' to dictate when you receive treatment you'll probably end up with perminetly dodgy shoulder.

twopigs
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In praise of a joined up system

Post by twopigs » Fri Apr 27, 2007 8:08 am

On the Sunday I went to A&E in Torbay who gave me the x-ray of my popped shoulder and copy of their notes and told me to phone my local fracture clinic (in Gloucestershire) - they only work on Mondays and had no vacancy that day - they told me to try the next hospital. Appointment the next day. They said rest for 3 weeks then physio, in those 3 weeks an appointment came through to see physio on the first day after my 3 weeks "rest".

Obviously there are some good experiences. Maybe the lesson to learn here is to ask the A&E department which reduces your dislocation what you should do next.
Canoeing - bigger boat, broken paddle, more skill!

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Will.S.
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Post by Will.S. » Fri Apr 27, 2007 11:30 am

Try the Sheffield Sports Medicine Institute near the Royal Hallamshire hospital.

My friend did a years research on shoulder injuries in freestlye kayaking at the facility there. I hear the england rugby physio there is very good especially with shoulders.

Will.

David McCraw

Post by David McCraw » Fri Apr 27, 2007 12:01 pm

Kayak-Bloke wrote:The list was two years long.
On the other hand, I had my operation just three weeks after referral from the shoulder clinic - which I thought was great, but didn't realise how unusual it was. (Basically a month passed between going to A&E and the operating table).

Maybe there is some kind of postcode lottery going on? Or does it depend on the seriousness of the injury?

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mole
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Post by mole » Fri Apr 27, 2007 9:26 pm

From my experiences today this is all just an administrators web of deceit.

I have gone to A&E as requested. Otherwise it would be 10 May before I could get a trauma clinic and who knows how long before this would translate into an orthopaedic clinic. Bish bash bosh, 2 minutes with one of their doctors and I have an orthopaedic clinic on Tuesday. No examination, it was a pure box ticking exercise.

I understand what is happening but the system seems unreal sometimes.

Neill
Sometimes it's just too much effor......aughhh

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