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The NHS fails to treat elderly patients with ‘care and respect’
Victoria Bischoff (Citywire)
Posted: 15 February 2011 09:51:11(UTC)
#1

Joined: 08/03/2010(UTC)
Posts: 96

The health service ombudsman, Ann Abraham, has today accused the NHS of failing to provide older people with basic standards of care and treat them with compassion, dignity and respect.

A series of investigations revealed that ten older patients suffered unnecessary pain, indignity and distress while in the care of the NHS. The report also highlighted common failures in pain control, discharge arrangements, ensuring adequate nutrition and communication with patients and their relatives.

One gentleman, who had advanced stomach cancer and wanted to die at home, was left sitting behind a closed curtain for several hours desperate to go to the toilet. He could not ask for help because he was so dehydrated he could not speak or swallow. He had also been given the wrong pain relief medication.

Another lady was left soaked in urine and dressed in clothes that did not belong to her and were held up with large paper clips.

Abraham said: ‘The findings of my investigations reveal an attitude – both personal and institutional – which fails to recognise the humanity and individuality of the people concerned and to respond to them with sensitivity, compassion and professionalism’.

‘The reasonable expectation that an older person or their family may have of dignified, pain-free, end of life care, in clean surroundings in hospital is not being fulfilled. Instead, these accounts present a picture of NHS provision that is failing to meet even the most basic standards of care,’ she added.

The findings of these investigations meanwhile are not isolated cases. Of the nearly 9,000 official complaints made about the NHS to the Ombudsman last year, 18% were about the care of older people. This is twice as many cases than all other age groups put together.

And this is by no means the first investigation into elderly care that has revealed evidence of poor standards and examples of abuse and neglect. Panorama for example has run undercover investigations on a number of occasions.

So I have to ask: when the hell is something going to be done about this?
Ian
Posted: 15 February 2011 12:08:02(UTC)
#2

Joined: 09/12/2009(UTC)
Posts: 17

I once worked in the NHS and soon noted that it was run primarily for the benefit of the management and that patients were regarded as little more than an unavoidable inconvenience. During the corrupt Labour goverment from 1997 to 2010 the number of people in management increased by more than 80% although most of them have little or nothing to do and soak up funds that should be spent on patient care.

For some unknown reason the British are in love with the NHS and do not realise that it is held out in many foreign countries as an example of how not to organise health provision. The best solution would be a privately run health scheme such as exists in Germany where the standard of health treatment is significantly higher than in the UK.
Barry1936
Posted: 15 February 2011 12:20:10(UTC)
#3

Joined: 18/10/2010(UTC)
Posts: 12

Nothing gets done because there isn't any machinery to expose individual hospitals at the time, instead of months or even years later. We used to have Community Heath Councils (I was vice chair of one) which had their limitations but were truly independent of the NHS, local authorities and government. They had access to hospitals, a voice and influence with the local media. Sadly, the government dispensed with them a few years ago because they were a thorn in the side and too good at exposing the NHS weaknesses. They have been replaced by the toothless Patient Advice and Liaison Services (PALS) which merely provides information, advice and support.
dd
Posted: 15 February 2011 12:59:49(UTC)
#4

Joined: 15/09/2010(UTC)
Posts: 281

I heard a story this morning of a nurse, who when asked by a visiting relative to remove a soiled dressing from the table next to the patient, responded that that was "not what she had obtained her degree for".

It seems to me that many nurses don't do nursing any more. They do managing. Of course there are many wonderful nurses in the NHS but I reckon that a good number of them are actually called "Auxiliaries". Maybe the nurses should be called Matrons.

Anonymous Post
Posted: 15 February 2011 13:46:42(UTC)
#5
Anonymous 1 needed this 'Off the Record'

My friend works for the NHS and is currently assisting in the care of an illegal immigrant Ethiopian how has arrived here with HIV, she spends her time complaining that the house provided is not suitable and is demanding somewhere "warmer"..........when my Mother-in-law needed dimensure drugs we had to pay for them ourselves....
RICHARD AUSTIN
Posted: 15 February 2011 14:04:12(UTC)
#6

Joined: 06/02/2009(UTC)
Posts: 11

Does anyone know about "The Patients Association " ?
Are they independent of the NHS, are they toothless?
dd
Posted: 15 February 2011 15:58:26(UTC)
#7

Joined: 15/09/2010(UTC)
Posts: 281

Sorry, I don't know but I notice that they say:

“Yet another damning report, this time from the Ombudsman confirming what we at the Patients Association already know. How many reports do we have to have before anything will change and patients will stop suffering? .... .etc."
Mike1
Posted: 15 February 2011 16:03:56(UTC)
#8

Joined: 15/06/2010(UTC)
Posts: 11

And does the same apply in private health care or is it just! an NHS problem? I fear that it is one aspect of '"free" Social / Council / Government services, but at what a price. What management is involved at the point of provision of these sevices?
Andrew Diggens
Posted: 15 February 2011 16:52:30(UTC)
#9

Joined: 21/01/2010(UTC)
Posts: 8

The NHS is riddled with this kind of attitude. My partner recently attended our local surgery for a blood test, after waiting for well over 90 minutes for her appointment with the nurse and having enquired twice in respect of the delay it then transpired she had simply been forgotten and the receptionist concerned could not even remember speaking to her 20 minutes earlier. She has not been feeling very wel, and left the surgery in tears without having the blood test. Despite having a long term heart condition and leaving in a distressed state did anyone ring up to enquire after her or offer another appointment? - no, no one gave a dam. Whilst sitting waiting she heard a patient ring up for an appointment. The receptionist informed the patient that this particular doctor was on maternity leave but would be avialable to se them in - September!!!!!

The Oxford Dictionary gives a definition of a nurse as 'a person charged with or trained for the care of the sick' The whole problem now with the nursing profession is that the requirement to 'care' for your patients has been diluted and is now seen as being beneath many of them. It has become another 'career' rather than a vocation.
David Rands
Posted: 15 February 2011 17:49:34(UTC)
#10

Joined: 11/08/2010(UTC)
Posts: 5

Ian & Barry1936 have both got it right.
As a long-retired GP with recent personal experience of friends and relatives receiving poor nursing standards in the NHS, I have coined the word "patientism" to describe the common attitude towards patients - especially older ones - displayed by many NHS workers of all grades.
Three faults predominate:
1. Nurses, proud of their degrees, seem unwilling to leave their minor admin. work for hands-on, sleeves-rolled-up patient care.
2. House physicians/surgeons no longer seem to do the twice-daily full ward-round, talking to every patient.
3. We no longer have the ward sister, taking total 24/7 responsibility for the nursing care in her ward.
4. It seems that even the consultants are not heeding their ultimate responsibility for the patients' welfare in their ward.
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