When You Feel Let Down. #GPSurgery #Rejected #System #AppointmentsSystem


I am very passionate about the NHS and will defend (within reason) any criticism that I hear about anyone working in this wonderful organisation.

My experience comes with working in the Reception areas of both large and small GP Surgeries, Hospitals and for the out of hours’ service. I have seen lots of different policies and procedures, and have worked with many different set up within this different organisation – especially the GP Surgeries.

I hear a lot of people bad mouthing Doctors, Receptionists and other health care professionals, and most of the time it’s because they (the complainer) do not really appreciate or understand the system they are complaining about. There are always two sides of the story.

Sadly, I feel like “one of those people” that I dread hearing from. I have felt very let down by my own GP Surgery and I feel their “system” hasn’t helped.

Let me explain what happened.

When I registered at the practice I was told that you could only see the doctor you were registered with. When I needed to make an appointment I would have to speak to his secretary and she would offer me the next available appointment with him and him only.

In the event of an “urgent” appointment needed if he wasn’t available then and only then would you be offered another doctor.

I have an ongoing issue that has needed following up. I had to wait two and a half weeks to get an appointment with my doctor. I didn’t feel it warranted an “urgent” appointment as I very conscious about the misuse at times of these appointments and know how difficult they are to get sometimes.

So, I waited the two and half weeks. In the meantime, I started to get a bad ear, again, I felt it could wait as my appointment was due in a couple of days’ time.

On arrival at the surgery I used the check in system and it said that I was due to see the locum doctor and not my named doctor.

I was called in by the locum doctor, she said that she was there covering for my regular doctor. I explained about my ear and she confirmed it was indeed infected and issued a script for antibiotics. I then started to explain about the main reason of the appointment and she cut me dead – she said that she had already dealt with one issue and wasn’t prepared to discuss anything else in this consultation. I had only been in the room a matter of minutes. I fully understand that had it been a “urgent” appointment that I had booked that I couldn’t really discuss ongoing issues, but this was a routine appointment that I had booked some time ago.

I tried to explain that I had waited over two and half weeks to discuss the issue, to which she said I would have to make another appointment to come back and see my dedicated doctor.

I couldn’t believe it, what a complete waste of my time, I had waited two and half weeks for this only to be told I had to see my own doctor.

I left her room, quite upset by the whole thing, and more of her attitude in dealing with me, she wasn’t even prepared to listen to what I had to say.

I went to the front desk to ask about an appointment for my own doctor and was told it would be another 3 weeks ahead. So in all it will take five and half weeks to see my own doctor and thus taking a much-needed appointment that could be used by someone else when my issue could have been dealt with in the appointment I had just had.

This sadly would be one of those occasions where I don’t think I would have been able to defend the situation that I found myself in.

 

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When Communication Works Well #PooleHospital


 

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I went along to Poole Hospital at the beginning of the week with my husband for an outpatient’s appointment.

On arrival in the Blue Clinic we were met by a lovely friendly volunteer who was eager to show us how to use the self-service booking system. She talked us through it chatting away whilst she was booking him in. Her lovely friendly nature was a breath of fresh air and it was obvious that she enjoyed being there. She then took us to the area we needed to be ready for our appointment.

The TV screen in the department gave out useful information as well as informing us that the clinic was running a bit late – this was extremely useful as it allowed my husband to pop off to the toilet without worrying that he might miss being called in for his appointment.

After a short while a healthcare assistant came out to apologise for the delay and she told us how many people were in front of us (we only had one other person before us) She went around everyone else in the department informing them of the same.

When his appointment came we were had a lovely welcome from the consultant together with a handshake, smile and great eye contact. The consultation wasn’t rushed, we had plenty of opportunities to ask questions and everything we needed to know was covered. Everything was explained in full details and in a way that we could understand.

We were in the department no more than about 45 minutes from arriving to leaving. It was a brilliant service and the most impressive thing was the communication, it was excellent and this must be so useful for people who perhaps are unsure, or somewhat confused at a being in such a large department.

We were both very impressed with our overall visit. Well done Poole Hospital, your staff, volunteers and communication was excellent.

 

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You just can’t please some people


 

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As Receptionists we all at times have “difficult” customers to deal with. It almost comes with the job. It’s how you handle the situation that is most important.

As a Medical Receptionist you have to take into consideration that patients might be difficult due to many different reasons. They could be feeling poorly, worried, anxious, they could have mental issues or they could be worrying about a loved one. Patients are very different to customers in so many different ways and medical Receptionist are always fully aware of this.

But, there is a limit to the rudeness that a Receptionist should expect to take. I witnessed a patient recently approach the reception desk. The receptionist was very pleasant and approached the patient with a smile saying “good morning” and “how can I help you” She certainly didn’t receive a good morning or a smile back, but instead a very angry and aggressive man demanding, yes demanding that she get a prescription done NOW for him for his heart tablets as he had “run out”.

He thrust his repeat prescription at her and told her to get it done. I could see the smile fixed on her face while politely said “let me see what I can do for you”. The Receptionist typed into the computer and explained to the patient that 3 of the 4 items on the repeat slip where not actually due for another 10 days. The patient flailed up  and started shouting at the Receptionist demanding she do the script for his heart tablets. He wanted them NOW.

The receptionist again explained that 3 out of the 4 that he had ticked on the repeat were not due and the computer therefore would not allow her to request them. He started shouting and telling her how useless she was. He continued shouting telling her that it didn’t matter about the “other items” but he needed his heart tablets.

The Receptionist quietly asked the patient which ones where the heart tablets as she explained that she wasn’t medically qualified to know which ones where the heart ones. He then snatched the slip out of her hand whilst stabbing his finger on the slip of paper shouting  “this one – it’s this one”.

The Receptionist then entered something onto the computer and said that she had requested the tablets and the doctor would sign the script electronically later on that morning and advised the patient that he could collect it from the pharmacy later on that afternoon.

You would have expected the patient to have given the Receptionist a “thank you” of some kind. No – that didn’t happen. The Receptionist had gone out of her way to ensure that the patient had not gone without his heart medication, ignoring the fact that the patient had not allowed the usual 48 hours for a repeat to be done and therefore putting his own health at risk and instead of a simple thank you as he turned to leave the surgery he shouted how useless everyone was at the surgery and how it had gone down hill recently.

I wondered to myself what it would have taken for this patient to actually have been happy  as I felt that the Receptionist handled the situation exceptionally well.

I looked at the Receptionist as the patient left the building, she looked deflated, and almost ready to burst into tears.

Yet had she had said one wrong word to this patient, let alone explain that he shouldn’t have left it until he had run out to request his repeat I suspect she would have been hung drawn and quartered. She was in a no win situation.

Another patient came into the surgery and the Receptionist smiled and carried on……….

So, for all you Receptionists that go over and above your call of duty to help difficult patients and keep smiling –  well done.

Please Quote Me Right – #NotWhatISaid


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I was approached by another national newspaper last week The Daily Mirror  to do a piece on the bad publicity that GP Receptionists are getting recently in the press lately.

As anyone that reads my blog will know that I am not only passionate about good patient care, but also I am very protective of the Receptionists who do a very difficult and at times very stressful jobs.

The reporter more or less took me through what she wanted to write and for most of this she wrote what I had said correctly all apart from point no 2. DON’T PHONE JUST TURN UP.

I didn’t quote this and I never would. I even had a lengthy conversation with her stating that this was not an ideal solution as someone coming and presenting themselves at the surgery would not get them an appointment over someone who telephoned. If the Receptionists have appointments they will offer them – if they haven’t got any appointments free then someone standing there in front of them will not magic one up out of thin air! This would then annoy the patient and this is where they can often get the bad publicity from.

Every surgery have their own system in place for appointments, but I am confident that there will be very few if any that would suggest that patients turn up for emergency appointments rather than telephone.

The two articles I recently did for two national newspapers I did was purely to stand up for all GP Receptionists.

I never receive any payment for these articles I did it purely to stand up for all GP Receptionists and the great jobs they do, often going over and above their job description to help patients.

Here is the article – which again is a great support for all GP Receptionists across the country but again I would like to point out that I did not quote No 2.

http://www.mirror.co.uk/lifestyle/health/9-ways-you-can-make-8685940

Sadly because of this I will feel very reluctant in the future to do any more articles.

 

 

 

Can I Help? I’m a Doctor #RoadTrafficAccident #999


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Coming home after a few days visiting family we noticed black smoke in the distance. As we came off the roundabout and entered a small country road the traffic abruptly came to a standstill – the black billowing smoke an indication that there was something going on ahead.

Everyone sat in their cars like us wondering what was happening ahead. It was a hot day and people started getting out of their cars to see if they could see what was ahead – there was no traffic coming the other way.

After a few minutes a car came in the opposite direction, he stopped the car and ran over to a few of us chatting informing us that we might like to turn back as there was a serious traffic accident up above and the road would more than likely be closed for some time. He said that group of people had to rescue a man from a burning car and he appeared to be in a serious condition. The mood changed, everyone stopped moaning about the hold up and the heat of the day and immediately wanted to know what they could do to help. The man in the car was on the phone to the emergency services and asked if I had a fire extinguisher,  we didn’t so I immediately went from car to car to see if anyone had one while another woman ran to the back of the traffic telling them to turn around as there was no way through. Everyone had a job to do and wanted to help.

No one in the cars in front of us had an extinguisher. I went to the car directly behind ours. A woman got out of the passenger seat – I  she was foreign but spoke perfect English. I asked her if she had an extinguisher – like the other cars but she didn’t.

She asked what the problem was ahead, I explained about the accident, she then asked me a couple of questions that gave me the impression that she had some medical knowledge. I asked her if she was medically qualified – she abruptly replied no.

She got back into the car and put on her seat belt in a calm manner, and before she could tell the drive who I presumed was her partner/husband what had happened he had wound down his window and asked me what was going on ahead. I told him that there was a serious crash ahead and they had to get someone out of the car. He immediately told me that he was a Doctor and he would go to see if there was anything he could do until the emergency services got there.

His wife entered into a conversation with him, I didn’t understand the language but from her body language and tone of voice it was obvious she didn’t want him to go – an argument went on between them for a brief few moments before he got his jacket and begun running up the road towards the accident. Judging by her face and body language she was not one bit happy that he had done that.

The emergency services were on their way, the doctor on scene and people who had perhaps saved a mans life helping in every way they could.

I was haunted by the attitude of the woman; why didn’t she want her husband to get involved? Had that been my husband I would have only been too proud that he might have made a difference in the life of death of the poor man lying in the road.

I tried all week to find out about the accident and hopefully hear that the man was ok. I finally found out that it was a very serious head on collision between two cars. Three people were involved one seriously ill woman. So the man they dragged out of the car did survive – and who knows that might have been down to the fact that the doctor went up to help – who knows! But everyone worked together as a team and did as little or as much as they could have done and that must have made all the difference.

Sadly all except for one woman in my opinion.

Just how important are Telephone Messages #AnswerMachine


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Just how important are telephone answering machines? VERY important as it keeps your customers informed of you’re opening days and times.

Last week I needed to contact my dentist for an urgent appointment. He is a one-man dentist, with a hygienist and a nurse/receptionist. When he has any time off the practice closes.

I rang at 09.00 last Monday morning, the telephone just rang and rang, no one answered and there was no telephone answering message. I thought they might be starting at 9.30 so I range again – still no answer. I did think this was strange as usually when he has been away on holiday he has answered the phone via his mobile and has advised from there. This time there was nothing.

I tried again just after lunchtime and again around 4.00 pm. I wondered if perhaps he was having a long weekend off. I even checked that I was ringing the correct number.

I tried again the following morning, at 9.00 and 11.00.

The worse part for me was the not knowing. Had there been a message to say how long the surgery was going to be closed for I could have then made a decision to either wait and see him or to seek treatment elsewhere.

As I needed an urgent appointment I telephoned another practice locally and was luckily enough to get an appointment that same afternoon.

Just as well I did as I was told that had I left it any later I would have probably lost the tooth.

I have been with my dentist for over 9 years. No reason to change to be honest, I am not fond of the dentist at the best of times, but he always seemed to be good enough.

I actually found the new dentist to be extremely pleasant, she made me feel very much as ease. The surgery surroundings were very relaxed and the Receptionist was lovely, she chatted away.  I felt far more relaxed when I went in to see the Dentist and she talked me through what she was going to do. The surgery was also much closer to home and there was free parking where I used to have to pay for parking at my other dentist and to add to it all the new dentist’s overall charges were considerably a lot cheaper than my regular dentist.

Taking everything into consideration I have decided to move to the new Dentist, it suits my needs much more, but I didn’t realise that until I was forced to visit the new surgery.

Had my old dentist had a telephone message advising how long the surgery would be closed for I would probably still be going there now.

So, it is vital that you have a good telephone message set up on your phones. Ensure that the message is appropriate and you might have to change a message if you have the following:

  • Morning opening times that differ
  • if you close for lunch – state what time you open again at and leave any emergency numbers as appropriate.
  • Evening closing times differ – again leave any emergency numbers
  • Friday night – leave messages appropriate for weekend closing and again leave any emergency numbers
  • If there is a bank holiday, please ensure that this is mention in the last message before the holiday.

Get someone who has a good clear voice to record the messages. It is essential that they speak slowly and clearly and repeat any emergency telephone numbers twice.

Get someone to check the messages regularly to make sure they are the correct ones.

If you do not want anyone leaving messages add this to your message and make it clear that the service does not accept telephone messages. If you don’t people will use it as a message machine.

There is nothing worse that getting a telephone answering message that is out of date or wrong!

Having the correct telephone message on your answer phone is important. You could lose customers if it’s not.

Does your Receptionist recognise signs of Sepsis. A Patients Story #Bournemouth Hospital


There has been a lot of publicity recently regarding Sepsis. This is aimed at raising awareness and those that work in the GP surgeries and Hospitals will know on too well that this will create fear amongst some patients and therefore will be more than likely phoning the Surgery/Hospital for advice.

We are being told Sepis should be treated urgently as we would a heart attack.

For all Receptionists, Secretaries and Administrators who could be faced with a query regarding this are you fully competent to deal with it? Would you be confident in dealing with a call that could be Sepsis? I must confess I am not sure I would be able to identify this emergency a few weeks ago, but I feel a lot more confident now that I have read up on it.

You probably have procedures and policies in place for dealing with a heart attack. Have you a procedure or policies in place to deal with sepsis? Perhaps at your next team meeting you could put this on your agenda or speak to your Reception Manager or Practice Manager about having one written up.

The most important thing is that you know the facts about Sepis and what is expected from you as a Receptionist if you take such a call. Don’t be one of those surgeries/hospitals that could be highlighted as missing something that might be so obvious to someone who knows what Sepsis is.

Many doctors view Sepsis as a three-stage syndrome, starting with Sepsis and progressing through severe Sepsis to septic shock. The goal is to treat Sepis during its early stage, before it becomes more dangerous.

Sepsis usually comes with a probable or confirmed infection and includes several symptoms. These perhaps can be discussed with a Doctor and the Receptionists and a guide of what questions to ask the patient.

Septis has to be treated quickly as the patient can go downhill very quickly

A chart that I found very useful to help identify some of the symptoms:sepsisqa-2015-big

A very interesting clip from the Royal Bournemouth Hospital highlighted a patients experience and how his Sepsis was nearly missed. They are keen to spread awareness. Well done Bournemouth Hospital for sharing this short film.

Published on July 13 2016. 

Sepsis is a medical emergency, here at RBCH we are keen to spread  awarness and listen to patients experiences to improve care.