Working Together #NHS #111 #A&E #GPSurgeries


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Sadly, as most of you are all aware there is a lot of negative publicity in the press at the moment about our great NHS service and sadly some of it with good reason.

It saddens me to read some of the dreadful reports about patient care and those working for the NHS being abused and often overworked. Working for the NHS and being a patient I can see a lot of this from both sides.

Doctors surgeries are busting at the seams with patients struggling to get appointments. Practices are merging together but are they able to continue to offer the service they did before?

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The Ambulance service is stretched and A&E are struggling to find beds resulting people being treated in corridors, whilst Ambulance crews are held up in the car parks with patients on board waiting to be seen and treated, often resulting in the ambulance crew not being available to go to the next emergency.

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Sadly, there are still the time wasters and abusers of the service. Those that call that emergency ambulance when all they needed was a GP appointment, the hoax callers that can tie up the emergency services for hours before they finally find that there was no “emergency” to those that present at A&E for minor ailments. Working in the past in A&E it never ceased to amaze me just what people would present with at A&E with. (I have written other blog stories when I worked in A&E)

As a Manager working in the NHS it’s a hard job. Struggling on a daily basis, trying to hit targets, wanting to give best patient care is almost impossible, dealing with staff that are forever under pressure on the front line and answering to stressful those who need to be obeyed.

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As a Receptionist, you will never please everyone, and many will be sure to be vocal and let you know how unhappy they are and often blame you for the “awful service”.  Telephones ringing constantly, people demanding urgent appointments that you just haven’t got, GP’s and Managers constantly asking the impossible from you, and all while you are working for barely more than the minimum wage.

Hearing from friends, updates on social media and press reports everyone is struggling to be seen resulting in people misusing the NHS because they had no alternative.

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A friend recently phoned 111 (for my overseas readers this is an out of hours service which covers GP surgeries when they are closed – an excellent service which gives patients 24/7 cover). My friend felt very unwell, sore throat, temperature and generally feeling very unwell. She spoke to somewhere at the 111 Service, for whatever reason the 111-service suggested she took paracetamol and phone her GP surgery the following morning. She had a bad night and phoned her GP Surgery first thing the following morning. Her surgery was unable to offer her an appointment and she explained how ill she felt, she was than advised if she continued to feel unwell to take herself off to A&E – as ill as she felt she would have never done this but many might have acted on this advice. She left it another 24 hours and phoned the surgery again where she was given an appointment for that day where she was given Antibiotic and Steroids for a chest infection.

My husband was recently poorly at a weekend, as thought he had a nasty chest infection. I phoned to see if we could get an appointment at a local Treatment Centre (the out of hours service where you can see a GP). After giving the operator all his symptoms (he was breathless due to the cold/chest infection) the operator said they she recommended that they send an ambulance out to him. The protocol said that if the patient was breathless or had breathing problems that an ambulance should be sent. There was no way that he needed an ambulance, he could have actually driven himself to the Treatment Centre, he was ill but not that ill, and even if he was I could have driven him there.

I believe that both of the above where 2 incidents where the emergency services (A&E and an ambulance) were not needed. I know that people have protocols to follow but in these two instances the patients could just have been seen and treated by a GP.

Do we need to look at the bigger picture, to look as how we can signpost people in the right direction, to ensure that people who need A&E are seen, and those that can see a GP do so? We have a great NHS, we can see a GP free, we have GP cover 24/7 and at a last resort we have a great emergency service in the ambulance service and A&E. It’s important that everyone needs to see those that are appropriate to them. Is there anything that we can do together to ensure that this happens most of the time?

I would be very interested to hear from my many overseas followers on how their GP Practice work. How does your routine appointment system work and when patients request emergency appointments what is your practice policy and does you’re A&E Departments get clogged up with people who don’t need to be there?

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Walk in my shoes – would you treat me any differently.


I originally posted this blog post over 3 years ago. I have since had many new followers and I still am moved by the power of this short clip. I am reposting it again for everyone that hasn’t yet seen it.

Beyond the Reception Desk

A moving short clip from you tube from Central Adelaide Local Health Network.

Any one of us could be one of the people in this film. We have and will be patients and loved ones at some point in our lives. Treat people with the respect they deserve.

To often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest art of caring all of which have the potential to turn a life around. 

Leo Buscaglia (1924 – 1998) 

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


Beyond the Reception Desk

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…

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Do You Wear A Uniform At Work? Free Uniform Tax Rebate


If you wear a uniform at work, and have to wash, repair or replace it yourself, you may be able to reclaim £100s of tax for up to five years of expenses.

This applies whether it’s just a branded T-shirt or you’re a fully-uniformed pilot, police officer or nurse. Don’t pay a claims firm, you can do it simply yourself for FREE.

Please click on the link below

http://www.moneysavingexpert.com/reclaim/uniform-tax-rebate?utm_content=buffer1ca72&utm_medium=social&utm_source=plus.google.com&utm_campaign=buffer

Do You Wear A Uniform At Work? Free Uniform Tax Rebate


If you wear a uniform at work, and have to wash, repair or replace it yourself, you may be able to reclaim £100s of tax for up to five years of expenses.

This applies whether it’s just a branded T-shirt or you’re a fully-uniformed pilot, police officer or nurse. Don’t pay a claims firm, you can do it simply yourself for FREE.

Please click on the link below 

http://www.moneysavingexpert.com/reclaim/uniform-tax-rebate?utm_content=buffer1ca72&utm_medium=social&utm_source=plus.google.com&utm_campaign=buffer

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.

 

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