Letter: Excellent care by staff and two health authorities saved my life

During the past, few months I have been the recipient of outstanding good health care.

hospital nurse stock

The concerns regarding my health started with a routine health check at the Royal Shrewsbury Hospital, I was then referred to Telford for an angiogram after which I was not allowed home and a bed was found for me at Royal Shrewsbury Hospital. Then, after seven days, I was transferred to Stoke Cardiac Hospital for heart bypass surgery.

The excellent doctors clearly spotted problems with my heart. I was immediately made aware of my serious heart problem (I could have had a serious heart attack at any time), I was an inpatient at the Royal Shrewsbury Hospital for seven days until a bed became available at Stoke Cardiac Unit (where I understand a lot of people from Shrewsbury who require heart surgery are referred to). These NHS hospitals saved my life. I had a quadruple bypass and after a three-and-a-half week stay in hospital I went home to convalesce.

Upon the advice of the hospital I have since attended the cardiac rehabilitation unit at the Royal Shrewsbury Hospital over a three-month period which included attending the gym, during which time I was closely monitored. This rehabilitation helped with my recovery. This was the first time that I had ever been in a gym. I intend to continue to exercise in a gym, along with walking and cycling. I know it costs the NHS a lot of money for these types of heart surgery and therefore it is so important that patients help their recovery by attending the rehabilitation programme. I am so grateful to the consultants, doctors and nurses for their excellent care.

Finally thank you to the Shrewsbury and Stoke Health Care for the care and attention I received. I intend to live life to the full due to the great care I received under both Shropshire and Staffordshire Health Authorities.

John Goodwin, Shrewsbury

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Comments for: "Letter: Excellent care by staff and two health authorities saved my life "

Mr Majestic

Well yes you will always get good feed back nobody has ever said the nhs is ALL bad , but rest assured you DO have poor service, delivery and poor staff too and people who will give negative FB.

The problem is it needs to be overhauled like it or not . However the problem is I do not think folks are prepared to pay any more for it . We saw with the NI increase for the self employed NO and if it had muted an increase in employees in NI the same response . To many hypocrites looking at the NHS with rose tinted glasses and having little desire to fund it any more than they do, even though the numers using it have doubled since its inception and folks living longer.

Terry

I have to laugh at the various 'celebrities' like the one on Question Time last night who said, "people like me could pay more."

Who is stopping anyone who wants to contribute more than they have to from doing so? Nobody!

However, if we introduce further bureaucracy by introducing a means testing system we will no longer have the best value for money we have at present in the world nor the fairness that our present 'national service' offers.

Mr Majestic

Best value for money in the world because it is free.

Yes very true people can hand over money to the government if they wish but that is not the answer is it? Everyone in employment needs to pay more and we need to means test some areas making it fit for purpose.

It is not just celebs, reporters, mp's, etc that say they would pay more during the election we had millions of ordinary folk saying the same , alas some of my SE colleagues have NO desire too going on recent events , so who is??

Roger

Everybody who is saved or cured is of course very grateful and that is right. John Goodwin was saved but his case surely illustrates what is wrong with the NHS.

He went to Shrewsbury for a health check and the doctors correctly diagnosed the need for attention but could only confirm it after referring him to Telford for an angiogram. They can't do an angiogram at Shrewsbury? Why not? How much delay was there there.

On the basis of the angiogram they decided an urgent heart pass was required. Could not go home but was transferred back from Telford to Shrewsbury. A week in hospital in Shrewsbury before a bed could be found for him in the specialist unit in Stoke. So what was the total delay from the health check to the by pass.

I fully accept the heart by passes are for specialist teams in centers of excellence but John should have been sent there the day of his health check, if as was stated he could have had a heart attack at any moment. This was an emergency admission but he was kept waiting for a week.

Individually every person involved in his care was completely faultless and indeed collectively they saved his life. However it took three hospitals and over a week from start to finish. It should have been two hospitals and no more than two or three days.

Oddly he went to the hospital for a health check so he must have been referred there by his GP because hospitals don't do health checks unless referred by a GP. So I assume the GP either missed the condition or suspected it and referred him. We are missing the first part of the story and how long it took to get a hospital health check. Speculatively.

I am delighted by the outcome and the skills employed so well, but there are questions of organisation and waiting times here. John was lucky, he did not have an heart attack whilst going from pillar to post. But how many others would have had a fatal attack in the mean time. Apart from anything else it would have cost less for the matter to have dealt with straight away. It might not have cost the NHS more but it certainly cost money and time to move people up and down the A5 between our hospitals, It might have been John doing the driving when he could have had a heart attack at any time or could have been ambulances but it cost somebody money. Money well spent, but possibly unnecessary.

I am concerned about how the skills distribution will work with some in Telford and some in Shrewsbury. Does it mean by default that patients will be continuously travelling between the two. If Emergencies are for Shrewsbury and Diagnostics in Telford what about emergency diagnostics. If admissions are to A&E in Shrewsbury but the centre of excellence for treatment in in Telford does that mean a road trip on admission in critical condition. In my mind the emergency unit will need the best diagnostics whereas Telford will need everything for elective procedures in the centre of excellence for the discipline. We have not seen the full STP yet but I can see a lot questions being asked when we do. Will the reply be "it will no worse then than it now". We are already driving up and down to A5 to get the full range of services. It is dreadful by public transport so will a shuttle service be introduced? FOC of course.

In terms of efficiency I think the NHS tends to look at only the resources used by the NHS whereas to resources used by the public also count. Moving people around to access services can not be a good thing becaus it incurs costs and wastes time dlaying treatment. From ousider point of view the NHS looks very inefficient in the way it uses resources and incredibly slow . There are costs in managing delays which can be avoided by simply doing the job as it turns up. waiting has a very high cost to the person waiting and probably the employer if limmits employment. These are massive costs to the economy. All off the travelling to appointments and between hospitals have a cost in both time and money but are also causing pollution and increasing traffic flows on busy roads. Future fit is about treating people as close to home as possible but the STP are deliberately moving services further away from home. John's was good example of both strategies. Confussion and delay in diagnosis requiring too much travelling but the operation in a remote centre of excellence. Some where there must be correct balance but we are not starting from where hospitals should be located but perpetuating the existing locations and making the system fit that. The horse may be before the cart. I fear this might be particularly true of Community Hospitals where it is obviously cost effective to close them but in our geography that places service too far away from the communities. It might be cheaper for the NHS for people to travel to them for minor treatments but is incredibly too expensive for the patient. Babies being born in laybys and delays in treatment are really not acceptable. But travelling to the expertise on very serious issues is. Should a suspected broken finger mean a complete day spent travelling and waiting, when it could be dealt with in the local community.

Reorganising the NHS may be good for the NHS but surely it's the patient who comes first?

Logically the system shoulkd be anything simple in the community and anything complex in a sigle district hospital located in thr right place. That single hospital seems to be only option not on offer. Obvious it is not the cheapest option today but if we start to day and migrate services to the new hospital as the need arises we would end up in years to come with the optimum. It took fofty years to build the RSH and migrate all services to it. Not everything is there yet. The RSH faces high refurbishing cost so why not a new hospital with migration over decades as required? Will it be better to move toward efficiency or perpetuate inefficiency. With new technology in due course could John's condition have been dealt with on a single site within days? Probably not today but almost certainly in the future, in a 21st century hospital.

'Owd Monner

Great outcome for the letter writer who will now surely work hard to stop that weasel Jeremy Hunt from destroying the service from within in order to sell it to his string-pulllers in the city as they strive to copy the success and popularity of America's Obamacare.....er.....oh wait