Emergency Department Feedback Report

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Summary of report content

Healthwatch Cornwall undertook research on Emergency Departments due to an increase in feedback about people having to wait for long periods.  They visited the Emergency Department at the Royal Cornwall Hospital Treliske over two days to survey people coming for treatment and took observations of the building and environment.  They spoke to 92 people.

Most people came to the Emergency Department having contacted another service first for advice and information, unless their condition was more serious, or they were visiting the area.  NHS 111 and GPs were the services people most often sought advice from.

NHS 111 was the service most likely to advice people to come to the Emergency Department.

11 people went to a minor injuries unit first.

Further analysis by day/evening and weekday/Saturday showed the services people contacted for advice and their routes into ED differed.

Over three quarters arrived at the Emergency Department by their own transport. Some people raised concerns about parking charges and length of stay.

A third of those asked had used the Emergency Department in the last six months, of which over half had visited for a reason linked to their current visit.

Just under a quarter were on an NHS waiting list.  Of these, 10 were visiting ED for a related issue.

People were very complimentary about the staff and the care they received.

Some concern related to information and advice and how accessible or appropriate it was, including updates on waiting times and TV screens. Other concerns raised included information provided by professionals before coming to ED.

There were concerns about the confidentiality in the reception area, comfort while waiting, lack of food and drink and facilities during extended waits, parking, accessibility, signage and cleanliness.

The report includes 12 recommendations and some suggestions for further research on this topic.

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General details

Local Healthwatch
Healthwatch Cornwall
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Accessibility and reasonable adjustments
Building, Decor and Facilities, including health and safety
Caring, kindness, respect and dignity
Cleanliness, Hygiene and Infection Control
Communication with patients; treatment explanation; verbal advice
Food, nutrition and catering
Parking and transport
Privacy and confidentiality
Service organisation, delivery, change and closure
Waiting times- punctuality and queuing on arrival

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Engagement event
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

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

Details of people who shared their views

Number of people who shared their views
92
Seldom heard groups
People on low incomes
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