Friday, July 13, 2007

Hurry up and wait


Phew! What to expect when you go to a big, ugly hospital: to wait for a looooong time.

We called up the hospital yesterday evening, and the duty midwife asked P to come in for a check up. We arrived at around 18:00. It took around two hours to be seen - bear in mind that they were expecting us. The midwifery team appears to have no system at all apart from word-of mouth to let the duty midwife know what's happening. Lots of unsubtle pressure from several worried pregnant blokes finally produced action.

The midwife we saw was excellent (Marlene from The Seychelles), and recommended a check by the registrar. Cue a delay of more than four hours waiting for the doc. Once again, the individuals (registrar and senior registrar) were excellent, and once again they seem to have little or no system - people simply roll up and wander off, or faff about looking for missing or mislaid notes. I wonder how much time NHS staff spend simply looking for things, each other or waiting?

At about midnight, almost six hours since we turned up, the senior registrar admitted P to a ward for overnight observation. And guess what? Yup, this was the only time we had not brought the hospital bag with us. D'Oh!

Lessons to be learned: bring a book, bring the hospital bag, be prepared to wait.

The only other conclusion I draw is that the NHS is chronically lacking in management. My experience has been that the staff *never* do what they said they would do when they said they would do it. They *always* have an excuse or find someone or something to blame - and it really is a blame culture. Is the NHS the last bastion of "muddle-through management"?

At the end of all this, P was prescribed some medication, promised before noon today. At around 14:00 we gave up waiting, and the midwives gave up chasing the hospital pharmacy, asking me to call back later and come to the ward to collect it. The prescription is still nowhere to be found. What a surprise.

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