Accident and emergency report, Isle of Wight

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Summary of report content

In November 2016 Healthwatch Isle of Wight completed two Enter and View visits to St Mary’s Hospital, Newport Accident and Emergency Department. The purpose of the visit was to gather patient experiences regarding communication, discharge, diagnosis and patient pathways. 113 surveys were completed which enabled them to conclude that:

• 50% of people tried another service first

• 41% of people tried to remedy the problem themselves

• 50% of people tried NHS 111 before attending the Accident and Emergency Department

• NHS 111 advised 93% of people that called them to go to the Accident and Emergency Department

• 14% of people visited the Accident and Emergency Department in the last month with the same problem

• 81% felt their needs were assessed straight away or very quickly

• 74% of people were not given a clear idea of the likely waiting times

• 70% of people felt that waiting arrangements were appropriate for their needs

Recommendations were:

1. During initial triage process at A&E, patients should be offered a pain assessment and if required, pain relief offered at the earliest opportunity.

2. During initial triage assessment, A&E staff should give patients a general indication of the expected wait time to be seen and reasons why this may change.

3. After being triaged, patients should be kept informed of the length of time they may be expected to wait to be seen, particularly if the department is very busy.

4. A suitable area in the department should be accessible for children with toys and games and equipment maintained and ready to use.

5. A secluded or more private area should be offered to those patients whose dignity may be compromised when accessing the department.

6. All test results should be communicated to the patient as well as their GP without delay

No provider responses are included in this report.

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General details

Local Healthwatch
Healthwatch Isle of Wight
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Patient experience
Key themes
Access to services
Triage and admissions
Communication with patients; treatment explanation; verbal advice
Discharge
Quality of treatment
Caring, kindness, respect and dignity
Waiting times- punctuality and queuing on arrival

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Survey

Details of health and care services included in the report

Details of health and care services included in the report
NHS 111
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres
Emergency department (inc A&E)

Details of people who shared their views

Number of people who shared their views
113
Age group
Not known
Gender
Not known
Is the gender identity of people in the report the same as the sex they were assigned at birth?
Not known
Sexual orientation
Not known
Types of disabilities
Not known
Does this report feature carers?
No
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