GPs Reveal Shocking Picture Of Poor Care In Local Hospitals

The Huffington Post UK   Dina Rickman First Posted: 15/02/2012 06:02 Updated: 15/02/2012 06:02

One in 10 GPs believe their patients may have died as a result of poor hospital care, according to a survey that paints a "bleak picture" of care around the country.

More than a third said they know patients who have received "dangerously sub-standard" care at their local hospital in the last year, according to data collected from 500 family doctors by GP magazine Pulse.

GPs said complaints ranged from patients being discharged too early, receiving poor A&E care or dying due to a missed diagnosis.

The head of the Patients Association said the figures painted a "bleak picture" of health services around the country.

"The response to this survey are things we hear about all of the time via our Helpline," Katherine Murphy, told The Huffington Post UK.

"Patients being discharged when they are not medically fit to be, incidences of misdiagnosis, poor communication and a failure to act speedily and efficiently."

A GP in Oxford who wished to remain anonymous said he believed the John Radcliffe Hospital had missed three "serious" diagnoses in the gynaecological department, including one of ovarian cancer.

"I think the patient with cancer has died," he told Pulse.

"We wrote a letter. All we wanted was something back saying 'let’s look at this'. Instead we got a five-sentence reply saying 'under Nice guidelines we did nothing negligent'."

Dr Peter Livingstone, a GP in Glasgow, told Pulse he had raised concerns over "dangerous" premature discharge.

"A patient had been admitted on Saturday and discharged on Sunday.

"A chest X-ray had found left broncho-pneumonia. When I saw him he was unresponsive, his pulse was running too fast, he had a fever and his blood pressure was down.

"They turfed him out thinking a nursing home would look after him. That is sub-standard care - I worry he may have died."

A fifth of GPs surveyed said they would not recommend their local hospital to a family member and one in five said they had warned patients about receiving care at a local provider. And some 15% said they knew departments in their local hospital where they believed care was "dangerously below standard."

However the poll also revealed that 64% of GPs rated hospitals’ clinical care as "good" or "very good".

Samantha White, whose mother died in Glenfield hospital in November 2010 told The Huffington Post UK staff has displayed a "total lack of care". "I was up to the nurses desk they were totally dismissive, they didn't want to know because they didn't know what to do. There was no one there authorised to increase her pain medication, it was so horrendous. "

Richard Hoey, editor of Pulse, said the figures showed only a "significant minority" raised concerns about levels of care similar to those in the Mid Staffs hospital scandal (http://www.dailymail.co.uk/news/article-1253438/Mid-Staffordshire-NHS-hospital-routinely-neglected-patients.html), as well as "plain dangerous" A&E departments.

"The results shouldn’t detract from the very good quality of care in most NHS hospitals, but they suggest the minority which are bad and unsafe is larger than the government might like to admit."

Dr Clare Gerada, the chair of the Royal College of General Practitioners said the concerns raised by GPs should be heeded.

"Locally the GPs need to have conversations with their hospital managers or consultants to try and sort this out.

"But what I wouldn't like to see is us having a divide between GPs and hospital doctors - this is what happened under fundholding and it divides us to the detriment of patients."

In a statement the Department of Health said: "Unsafe care will not be tolerated. We are developing patient safety measures which will show the outcomes of care."

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A GP in Oxford said there had been three "serious" missed diagnoses by the gynecological department at the John Radcliffe Hospital - including one of a patient with ovarian cancer. "I think the patient with cancer has died.. We wrote a letter. All we wanted was something saying let's look at this. Instead we got a five-sentence reply saying under NICE guidelines "we did nothing negligent"."

An Oxford University Hospitals NHS Trust spokesperson said: "The trust is confident about the quality of our services but not complacent. We have robust processes in place to ensure that high standards of clinical care are delivered in our hospitals. If at any time a GP or patient feels that the standard of care received from our trust falls short of their expectations, we would urge them to raise these through the appropriate channels."
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majdf18148
I have nothing to declare but my curiosity
05:59 PM on 02/15/2012
Each local Primary Care Trust (PCT) gets a sum of money to purchase most of the health care for their local population. The PCT then contracts with their health providers including primary care practitioners (GPs, Dentists, etc), secondary care ( hospital treatment ) and tertiary care(hospital to hospital referrals). When the PCTs receive their money each year the sum is INCREASED by inflation and then DECREASED by Efficiency Savings. This latter item means more productivity for less money and squeezes all providers to the limit.The PCT puts pressure on GPs et al not to provide so many expensive drugs, not to refer too many patients to hospital and not to refer for so many diagnostic tests(X-rays etc) The PCT puts pressure on the hospitals by only agreeing to pay for a set number of operations, laying down strict criteria for hospital admissions, hospital drugs, refusing hospitals permission to carry out certain procedures, forcing hospitals to economize and shut wards etc. The competitive nature of the NHS system encourages hospitals to generate income which they do by various means, some of which are not necessarily cost efficient. And that folks just about sums it all up. It all comes down to money. Money that is wasted, money not spent wisely and money that sometimes isn't available. Add on to that increased longevity of the population, the incredible advances in medical science and more costly treatments emerging, increased patient expectation, disillusioned staff and we have a disaster waiting to happen.
05:43 PM on 02/15/2012
It is unfair to blame all the staff in hospitals for poor care. Some nurses should never have chosen that profession, but some are caring, kind and compassionate and seem to love their job. The best way to weed out bad nurses is to do so before they finish their training. The same stands for teachers.
04:00 PM on 02/15/2012
Some GP's are not up to scratch either. My own GP is good but the GP my daughter has was no worth the time. The doctor failed to send her for tests to find out the problem. My daughter died and no the docotr goy away with nothing more than a behave yourself and we her family are left with the bill and the grief of havinga much loved daughter die.
03:52 PM on 02/15/2012
ive been under quite a few doctors in this past 2 years and i cannot believe some of them even past exams and there let loose on the public ,major problem they have is they dont listen there rude and none caring
03:25 PM on 02/15/2012
maggie thatcher is responsible for the state of the entire country right now its her fault the whole country is privatised
04:56 PM on 02/15/2012
Poor old Maggie, Gets blamed for everything. It was Blair & Co who ruined the NHS letting Doctors work 9 to 5 no cover at weekends & Holidays. If you are going to be sick make sure it's between 9 am & 5pm but not on Thursday thats their half day.
06:00 PM on 02/15/2012
maggie privatised the nhs she closed the mines sold of the gas and electric and water companies off to private sectors and investors, she sold off the council houses and then most of them became repossessed when the interests rates got to high so investors got them too and councils werent allowed to spend the money, then to top it off she sold the railways and to this day the general public still put money into it how dare you blame blair for maggies mistakes lets not forget the falklands war too which had maggie thatcher left protected would never of happened
03:20 PM on 02/15/2012
And will this Government do anything to raise NHS standards? Of course they won't. This will all be ignored and swept under the carpet. It won't even get a mention in the proposed reforms. RIP NHS
03:16 PM on 02/15/2012
Cleanliness is paramount in a medical environment, yet we continue to hear of outbreaks of viruses, the contractors clean something once in the morning and expect it to remaim germ free for the rest of the day with thousands passing through, germ guard hospital grade binds to any surface and keeps it germ free for 8 days, surefire way to keep door handles and any other high touch surfaces clean and germ free, they should all be made to use it.
02:20 PM on 02/15/2012
The issue really is that standards vary between wards of the same type as an example one orhtopedic ward appeared to be non caring,not wanting to be bothered ie do not ask too many questions we are busy. The other ward still in the orthopedic section were very helpful, polite and always tried to answer questions and were very up on the dignity of patients. This I have experienced
as a relative of the patient. It is incredible that one ward execels and the other fails. I am talking about the same hospital and the ward are one next to the other. Explain this!
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01:50 PM on 02/15/2012
You will find that this happens all over the world and no system is perfect. It also happens the other way round were GPs send people home saying they have nothing serious to worry about yet it turns out at a far later date they have something like cancer.
10:47 PM on 02/15/2012
they aren't clairvoyants - many things can occur between seeing them and a later date!
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Norman Mitchison
12:30 PM on 02/15/2012
Hospitals are penalised by multi-lingual staffs, pen pushers advertising their presence and myriads of forms and surveys for patients. Nursing is now a by product of an army of managerial bureaucrats. Bring back Matrons
Southern law girl
Researching my viewpoint....
01:14 PM on 02/15/2012
Bring back the old style Matron, because the modern Matron is obviously 100% ineffective, we wouldn't be hearing about the survey carried out on GP's if she/he was, and we're always hearing about these modern Matrons, where are they? I have witnessed things first hand, what I am reading doesn't surprise me one iota. Think nurses, doctors, and any other health worker should go through stringent interviews to assess if they are suitable for dealing with vulnerable people, they don't do that as such, because they gain access through training course nowadays, not many nurses have a calling for jobs in nursing.
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David Daisy May Boldock
Yorkshire..Gods Own Country
11:37 PM on 02/15/2012
We need an army of 'Hattie Jacques's'
05:04 PM on 02/15/2012
The vast majority of patient/staff contact on most wards is by way of ward assistants. Contact by qualified nurses is limited as they are there more to carry out specialised treatments than basic nursing. Ward assistants range from very good to, well, not up to the job, the same applies to nurses of course. I suggest there is still a role for the old style SEN nurse who, unlike the ward assistants have to undergo far more training to be a general nurse, but not as much as the SRN's and specialist nurses, and are therefore much more able to spot earlier when something starts to go wrong with a patient than most ward assistants. Trouble is SEN's have to be trained and have to be paid a bit more than the ward assistant.
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Norman Mitchison
06:00 PM on 02/15/2012
My wife was a sfaff nurse and served in K.Lynn for 33 yrs. Those were the days when SRN`s and SEN`s under a matron ,gave real care ,and strict hygiene conditions were observed. This new hierarchy are useless, no care, no hands on, and reams of paperwork churned out by overpaid non-medical nobodys overseen by chinless non-medical wonders. Sorry about the bitchiness portrayed but it really is the truth of the matter. She, bless her, was trained and served with the Q.A.R.A.N.C., The HIGHEST FORM OF TRAINING EVER. Let the Army Medical Services run the NHS and see the difference.
12:18 PM on 02/15/2012
Why does this not surprise me, my mother was discharged from A and E after being rushed in by paramedics, she was hallucinating and running a high temperature but because it was near Christmas time, and she was being a little "challenging" with her behaviour (due to the high temperature and anoxia) she was discharged under the care of my sisters. Several weeks later we learned from her G. P. that she had had pneumonia.
12:00 PM on 02/15/2012
we have been aware that nurse training in universities is totally inadequate and the RCN should stand up and address that situation through pressure on the nursing and midwifery regulatory bodies in the UK, nursing degree's are worthless at ward level and the standard of medical staff is low, the most at risk group of people admitted to hospital are the older generation were the communication between nursing staff is lacking and neglect is causing many unnecessary deaths.
12:23 PM on 02/15/2012
I remember when the ruling bodies brought out the Project 2000 to train our nurses. I was working in a nursing home at the time and we had several of these trainees who would come for a week to "observe". One day I was taking the residents blood pressures and I asked one of these trainees if she would like to help. She replied, I am not here to do hands on, I am here to observe, to which I replied. "Well you won't learn anything if you don't try to do it". I believe that many of these nurses qualified without "hands on" experience.
12:42 PM on 02/15/2012
that's right bod, my mum died in hospital in 2006 and i was with her when she died, i went to the ward sister to inform her and she said to me "i'm busy right now".
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andy crapp
01:41 PM on 02/15/2012
next time your in a hospital, take a close look at the nurses, most of them are over weight,and look pretty unhealthy themselves.Compassion and care has gone out of the window.I was rushed into hospital due to side effects of pain killers my GP had prescribed {I almost died} I was left in a room by myself for three hours,thirsty as hell,I could hear the nurses chattering and laughing down at the nurse station. In the end I had to get out of bed to reach the buzzer to get some attention.
11:55 AM on 02/15/2012
From above:-
"In a statement the Department of Health said: "Unsafe care will not be tolerated. We are developing patient safety measures which will show the outcomes of care."

The scandalous state of our hospitals has been 'tolerated' for far too long by successive governments.
11:51 AM on 02/15/2012
If you put in a complaint you get a form letter saying it is being investigated and if after a month you ask them why do they not want exact details if it is indeed being investigated you get the reply that they don't ask for any details but if you want to submit them then go ahead. It seems they have made their minds up and don't care.
11:49 AM on 02/15/2012
My partner was in D7 in Hammersmith Hospital and a nurse called Olaf had such a very loud voice that patients could hear him taking to the patient in the next ward. Now what does that do for all the patients who have to listen to that on his shift. They already feel awful and then to be woken up by that really loud voice. Why does he do it? Maybe he should get a hearing test! More importantly he should remember that it is a hospital!