How Safe is Your Hospital

[paulb]

mmm

 

right i f you want answers to your complaints the last thing you should mention is legal action. that will shut them up.

 

Dont expect it to be easy or pain free. you will need a decent medical specialist firm. defiantly not an island solicitor.

 

listen to them carefully if they suggest you have a case then its up to you whether you go ahead. if they are not over keen take that as a warning that your case is not as strong as you think.

 

Its always the way that people want someone to blame but its not always the same as what the law says is fault.

 

If you want answers go through the internal and external complaints system.. only if you still not happy go to law.

 

obviously its up to you what you do but think carefully and if going to law DON'T MENTION IT ON HERE. this is for you benifit as they will be watching what you say.

[paulb]

also go to contact and pm the admin team. they will help you delete your account.

 

by the way whats all this reporting each other to the health board. it seems a little infantile and what would you expect them to do send the matron round.

[Silvercloud]

The above post by Ghostrider is very true ,however it does not excuse how some managers run and do things.

 

All people can make mistakes in their work but putting policies in place making it difficult for patients and the attitudes of both managers and the lower staff and the way in which patients /clients/mothers can be bullied and positions clearly abused is not acceptable.

 

Savings not made from the top down are unforgiveable and should be made accoutable for.

 

We have such a small hospital compared to most in the UK, 3 wards and few units surely managers could make this hospital a centre of excellence with more personalised care as opposed just keeping their heads above water.

 

If this had been a private company a new management team would be put in place pretty swiftly by head office because if they cannot handle a small site like GBH what an earth are they playing at??

[unlinkedstudent]

Shetlink Moderators - please close my account as I have asked on numerous occasions - I will not state why again because of a certain person.

 

As far as I'm aware, they don't usually close/delete accounts. They might de-activate say the accounts of spammers but I think I remember reading about another Shetlinker who asked for his account to be closed/deleted and it wasn't. Got to keep the Google hits/income flowing somehow!

 

I think they'll tell you just not to continue using the account.

[Silvercloud]

Just thinking as we only have 3 wards and couple of units plus small community why isn't Shetland NHS run as a satellite from Aberdeen or jointly with Orkney we could remove half the board ,director of nursing and you just need 1 deputy director for Shetland as a whole.

 

This would small fortune in wages that could be immediately directed to patient care.

 

Other hospital can have many as 20/30 wards ,units covered by 1 director of nursing we have only 3 ward and not always completely full.

 

Any thoughts

[MuckleJoannie]

The current thinking is more to combine NHS Shetland and the SIC. People who leave hospital quite often need input from social services so a joined up service would be in order.

[Silvercloud]

NHS Shetland joined forces with SIC is like the blind leading the blind.The left hand wouldn't haven't a clue what the right hand is doing.

[ariel]

Shetlink Moderators - please close my account as I have asked on numerous occasions - I will not state why again because of a certain person.

 

As far as I'm aware, they don't usually close/delete accounts. They might de-activate say the accounts of spammers but I think I remember reading about another Shetlinker who asked for his account to be closed/deleted and it wasn't. Got to keep the Google hits/income flowing somehow!

 

I think they'll tell you just not to continue using the account.

 

This poster is, I suspect the same one who previously made a fuss about getting his account closed and will be aware of that, which does not of course explain why he does not stop posting.

[bresail]

I don't think that we should allow ourselves to be sidetracked.

Discussion is what is needed.

We are discussing "How Safe is our Hospital!

I have not at anytime issued any threats and will not do so.

I will however outline things that have happened to me and give my opinion on anyones elses findings and problems.

I have also sent a private message to vitalite.

It is 0439 hrs.

I have no secrets or sleep.

Regards.

[owre-weel]

Lone Wolf wrote:

Vitalite

I have reported your postings and statements to the Health Board.

 

 

Why? bit like throwing your toys out of the pram is it not?

 

I agree that this is a storm in a teacup, but it clearly is not to Lone Wolf. I will keep you informed if I hear anything from this, even if it states I am not to as I have not said anything wrong. Anyway because of this individual I am going but will be back to let you know if anything happens. Ariel - I did not know that shetlink moderators do not de-activate accounts when you ask, I only found out from unlinkedstudent yesterday. I will have all the drink you are having to get over this.

 

Vitalite, I see you have lifted my response to lone wolf "why it's a bit like throwing your toys out the pram is it not" and after reading his comments on this tread, I still can't see what your issue is.

 

I do not believe you have said anything that would be illegal but I also note that Lone Wolf was attempting to give you advice on how much to say on a public forum.

 

To be honest I would hope that both the Health Board and the Police would have more important issues to deal with then some spat on Shetlink.

 

Surely by demanding the moderators remove your account your are also throwing your toys out the pram.

 

You obviously have issues with the Health Board and I would suggest you get advice from citizens advice and take it from there.

 

I hope it all works out for you

[Silvercloud]

Draw a line under it ,get over it , stop posting about a tiff ot take it elsewhere but here.

 

Lets get back to How Safe Is Your Hospital ?

[bresail]

Back to this discussion.

I have started researching the guidelines from N.I.C.E. (National Institute for Health and Clinical Excellence.) and other government NHS bodies. I have discovered that in some cases the guidelines at GBH are up to 8 years out of date. NICE and NHS documents are very long, so I am curious as to who reads these updates and passes the information to the shop floor.

Is the person who reads these documents a clinician or is it a clerk?

Who makes the decision to pass what and to whom these updates are given?

Do they cherry pick what is passed on

In my personal experience I have found a lack of knowledge in some of the testing procedure and one of them I outlined in my thread addressed to Warfarin Users. I found this information by 'phoning the makers of the INR machine. The makers technicians are quite willing to help anyone, So this is a path that we can go down. One reply to the thread was, "the way we do it is ----", meaning that this was different to the correct guide lines.

National Early Warning Score (NEWS), this is the form that is filled in at the hospital first question is usually rate your pain 1 to 10.

At GBH there are at least 2 variations in use.

I was recently in pain at level 10 but because myblood pressure and my temperature was normal I was ok.

There is a 2012 variation aimed at standardising the N.E.W.S. by "The Royal College of Physicians."

Sometime, someone is going to have to read this document but when.

Regards,

[Silvercloud]

I have said this before about pregnant mothers will have to check out the latest research for somethings they are not always told or given their options rights depending on what higher manaement would prefer happens.

 

 

Delayed cord clamping example about this has been known for some years only recently guidelineshave been changed its been down to the mothers thanselves before who were more clued and knew other options.

 

More detail see One world birth.

Guidelines some of them I agree are not up to date and some health professional reasearch is not either or they choose to ignore depending on certain circumstances.

 

Another sad reflection of our times that the very people entrusted to know their job and who are deemed as the experts sadly can not be solely relied upon for some choices ,law, guidelines .Those good health professional that do are sometimes pulled by rank to do it another way or told not to present certain options if possible .

Although now with One World Birth ,AIMS and Birthrights mothers now can have asier acesss to update information and options.

I imagine if can happen in this area it can happen in otehr areas .

[Silvercloud]

NICE are set guidelines that all hospitals can draw on considered as best practice but do not have to be adhered to.They are recommendations.

 

KCND - keeping childbirth natural and dynamic are Scottish guidelines that hospitall use that various managers from diffrent hospitals help set up .Aggain they are a guide and some research may have been cherrypicked to suit some pathways and outcomes.

They are however a guide only cannot be strictly enforced as such where conflict arises a personal plan care must be drawn up to meet mothers needs because its only a guide.

[paulb]

re NICE guideline. they do not apply to scotland. may seem odd but when the wife first started working up here he was regully told off for following them. the scottish version is behind NICE by quite a bit.

 

hence some drugs are available here that are not in the rest of the uk. and vise versa.

 

re working together it has a long way to go before it works. but if done properly it would benifit the client base.