"Dangerous and inadequate" - Care Quality Commission's damning report into Royal Bournemouth Hospital

Bournemouth Echo: "Dangerous and inadequate" - Care Quality Commission's damning report into Royal Bournemouth Hospital "Dangerous and inadequate" - Care Quality Commission's damning report into Royal Bournemouth Hospital

THE new Chief Inspector of Hospitals pinpointed Royal Bournemouth as one of the first hospitals to be assessed under the new inspection regime in the wake of the Mid Staffs scandal.

When he did so, Professor Sir Mike Richards, was acknowledging that concerns already existed about standards and performance at RBH.

The hospital has been found wanting, though the criticism in the Care Quality Commission’s 80 page report published today is more severe than many had expected.

View the Care Quality Commision report into Royal Bournemouth Hospital here

In the view of some patients and staff, it’s an indictment of the management and leadership of the Royal Bournemouth.

Indeed the summary of findings, the report says: “We found the trust overall was not ensuring effective leadership and governance across the hospital.”

In another telling section says the ongoing use of escalation beds when wards or units were full was “dangerous and could not meet any patient’s needs.”

And stroke patients “did not always have the fast access urgent treatment that they needed.”

Sir Mike’s inspection team, which included doctors, nurses, managers, members of the public, CQC inspector and analysts spent two days at the hospital in October.

The team found that medical care, including older people’s care was inadequate with “widespread and significant negative views from patients and staff.”

But other services also required improvement, notably accident and emergency, surgical services and outpatients.

In some areas, care was not always safe, doctors and nurses did not feel supported at times and on some medical wards, frail patients were “at risk of harm.”

Staff told the inspectors that staffing levels on surgical wards at night “were not safe” and there was a risk of cross infection in outpatients.

In a particularly damning phrase, Sir Mike’s report says: “The seriousness of the impact of poor care on patients outweighed the many positive comments received about the hospital.”

Sir Mike added: “Whenever we inspect we will always ask the following five questions of every service: Is it safe? Is it effective? Is it caring? Is it responsive to people’s needs? Is it well-led?

“At Royal Bournemouth Hospital, we were told about basic nursing care which was not being given to patients on two medical care wards. We heard from five patients who told us they had been left to wet or soil their beds.

“The hospital had a high occupancy rate and there had been ongoing use of escalation beds when a ward or unit was full, even though these beds could not meet patients’ needs properly.

“The trust did not employ enough staff, even though it was fully aware that nearly all its beds were occupied all the time.

“Some patients were still not receiving the care they needed in a timely manner, and there was an ongoing high risk of this continuing.”

The CQC, England’s independent regulator of health and social care has already presented its report to a local quality summit including NHS commissioners, providers and regulators.

The summit will develop a plan of action and recommendations.

Inspectors will return to the RBH to report on progress.

The report’s conclusions

Is RBH safe? The report found care was not always safe; both doctors and nurses at times felt unsupported and under too much pressure due to staffing levels and skill mix within the areas where they worked. On some medical wards, including for frail older people, patients were at risk of harm. On surgical wards junior doctors told us the medical staffing level at night was not safe. In outpatients there was a risk of cross infection. However the services that were safe included maternity, critical care, children’s care and end of life care.

Is RBH effective? Many parts of the hospital were effectively managed and applied recognised clinical guidelines or national standards which means that recognised best practice was used to deliver treatment that met patients’ needs. The A&E and medical care services were not effective and there is a need to ensure greater external scrutiny of some measures, such as mortality rates.

Are services caring? Some aspects of care were not met in a timely manner. This was found to be inadequate on two medical care wards in particular and to a lesser extent, across medical services as a whole. Some people in the medical care wards, including older frail people, were left in soiled beds. However, there were many positive examples of caring in areas that included maternity, critical care, children’s care, outpatients and end of life care.

Are services responsive to peoples’ needs? Children’s care, critical care and end of life care were particularly responsive to people’s needs. However, improvements in one part of the hospital were not necessarily shared across all services. Some people felt that when they made a complaint, the trust was dismissive of their concerns. This meant that they either chose to have care elsewhere or continued to feel dissatisfied.

Are services well-led? Many departments and wards had effective leadership. However the A& E department required improvements and medical care services in particular were inadequate in this regard. While there was clear communication between the senior management and the trust’s board, this was less apparent for other staff and this was affecting staff morale.

My mum died of lack of care, says son of Dorothy Simpson

THE grieving family of a great-grandmother who died in the Royal Bournemouth Hospital have welcomed the findings of the damning CQC report.

Dorothy Simpson died after making a desperate call to her family telling them she was getting no help from staff at the Royal Bournemouth Hospital.

She told them she couldn’t breathe and when one of her sons arrived at Ward 3 less than 20 minutes later she had passed away and was alone, with an alarm sounding.

Her son, Steve, said: “I am very angry that she was so badly let down by Bournemouth Hospital.  They let her down and let her die.

“She didn’t die of her illness – she died of lack of care.”

Since the tragic death of 84-year-old Mrs Simpson in July her distraught family have complained, prompting a high-level inquiry.

Chief Executive Tony Spotswood admitted a catalogue of errors in Mrs Simpson’s care and admitted she should not have been left on her own and there was a breakdown in communication.

He also said the frequency of observations was not recorded, there was a delay in obtaining appropriate medication and staffing numbers were not in accordance with guidelines for a half-an-hour period.

In a letter to her family, Mr Spotswood said: “It is clear from our investigation that you and your family had a very poor experience whilst your mother was under our care, and for this I am extremely sorry.”

But Mr Simpson said: “It seems to be that they say sorry and then carry on behaving in the same way.

“If it was their mums or dads or their children then they would make sure things improved.  All they seem to do is try to protect themselves.”

Comments (74)

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6:07am Wed 18 Dec 13

Craig_BWDRD says...

No one accountable then for ineffective management and providing inadequate care and services.
No one accountable then for ineffective management and providing inadequate care and services. Craig_BWDRD

6:45am Wed 18 Dec 13

afcb1960 says...

I went in for a simple operation and ended up with septicemia, pneumonia, and c-diff, the hospital is dirty and patients left to tend for themselves it's an awful place, too many chiefs and not enough ground troops.
I went in for a simple operation and ended up with septicemia, pneumonia, and c-diff, the hospital is dirty and patients left to tend for themselves it's an awful place, too many chiefs and not enough ground troops. afcb1960

7:18am Wed 18 Dec 13

Cosmic Crusader says...

I have experienced exceptionally good care from the nursing staff but some of the senior consultants behave as if they are beyond reproach and treat patients and staff with little thought to their feelings.
I have experienced exceptionally good care from the nursing staff but some of the senior consultants behave as if they are beyond reproach and treat patients and staff with little thought to their feelings. Cosmic Crusader

7:21am Wed 18 Dec 13

HoldenWorther says...

If only we could name and shame staff. I know someone who should not be allowed to work in this place.
If only we could name and shame staff. I know someone who should not be allowed to work in this place. HoldenWorther

7:44am Wed 18 Dec 13

muscliffman says...

Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.
Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care. muscliffman

8:14am Wed 18 Dec 13

N Smith says...

And they wanted to take over Poole Hospital ????????????? Maybe they should concentrate on their own first.
And they wanted to take over Poole Hospital ????????????? Maybe they should concentrate on their own first. N Smith

8:33am Wed 18 Dec 13

Hessenford says...

muscliffman wrote:
Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.
Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels.
I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff.
Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care.
Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times.
Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health.
Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care.
R.B.H take note and get your house in order, more front line staff and less penpushers.
[quote][p][bold]muscliffman[/bold] wrote: Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.[/p][/quote]Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels. I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff. Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care. Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times. Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health. Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care. R.B.H take note and get your house in order, more front line staff and less penpushers. Hessenford

8:34am Wed 18 Dec 13

arthur1948 says...

welcome to the caring britain
welcome to the caring britain arthur1948

8:42am Wed 18 Dec 13

Old Colonial says...

Of course the CEO shouldn't resign! He should be sacked, with no 'pay-off' and banned from holding any further public office.
Of course the CEO shouldn't resign! He should be sacked, with no 'pay-off' and banned from holding any further public office. Old Colonial

8:44am Wed 18 Dec 13

MysteryMan1979 says...

My father recently suffered from a stroke and was taken to Bournemouth Hospital - he was sent home early, because staff said he was on the mend.
The first night at home, he suffered a second stroke and when taken back in, they ran some tests on him - said he was alright to go home again and said they 'would only re-admit him if he had a third stroke' - I consider this gambling with people's lives.
Once home, they advised him that he would receive care and therapy in due course, but was later told he could be waiting up to three weeks for this. As the man had just moved (prior to the first stroke) into sheltered accommodation, he was without the basic necessities (such as a cooker and bed, which were being delivered the next day when he had a stroke, but had to be delayed due to his hospital stay). The hospital did not check his property to see if it was adequate before sending him home and gave him an insulting 'food package' consisting of 5 pots of jam, an egg sandwich, an orange, a banana, some bread and a few teabags to see him through for 48 hours until his cooker arrived.
Myself and his other friends had to continually complain to see this amended and sadly, after many telephone calls - he is finally getting the home-care he needs. Its a shame that one must complain like this to get what I consider standard after-care service.
As a result, I was disgusted with the service he received and have become rather disillusioned in the NHS.
(I should point out, i'm not having a go at -all- nurses and -all- doctors who work there as some were great - but this rabid attention to targets and budgets over care is very, very wrong and until services improve - I am seriously considering refusing to go to Bournemouth Hospital and ask for Poole instead.)
My father recently suffered from a stroke and was taken to Bournemouth Hospital - he was sent home early, because staff said he was on the mend. The first night at home, he suffered a second stroke and when taken back in, they ran some tests on him - said he was alright to go home again and said they 'would only re-admit him if he had a third stroke' - I consider this gambling with people's lives. Once home, they advised him that he would receive care and therapy in due course, but was later told he could be waiting up to three weeks for this. As the man had just moved (prior to the first stroke) into sheltered accommodation, he was without the basic necessities (such as a cooker and bed, which were being delivered the next day when he had a stroke, but had to be delayed due to his hospital stay). The hospital did not check his property to see if it was adequate before sending him home and gave him an insulting 'food package' consisting of 5 pots of jam, an egg sandwich, an orange, a banana, some bread and a few teabags to see him through for 48 hours until his cooker arrived. Myself and his other friends had to continually complain to see this amended and sadly, after many telephone calls - he is finally getting the home-care he needs. Its a shame that one must complain like this to get what I consider standard after-care service. As a result, I was disgusted with the service he received and have become rather disillusioned in the NHS. (I should point out, i'm not having a go at -all- nurses and -all- doctors who work there as some were great - but this rabid attention to targets and budgets over care is very, very wrong and until services improve - I am seriously considering refusing to go to Bournemouth Hospital and ask for Poole instead.) MysteryMan1979

8:59am Wed 18 Dec 13

High Treason says...

RBH never detected my brother had cancer and when I called the out of hours doctor he told me to avoid RBH, it s not a nice hospital he siad. It was Dorchester hospital who detected he had kidney failure due to cancer. If RBH had detected it 9 months earlier he may have survived.
RBH never detected my brother had cancer and when I called the out of hours doctor he told me to avoid RBH, it s not a nice hospital he siad. It was Dorchester hospital who detected he had kidney failure due to cancer. If RBH had detected it 9 months earlier he may have survived. High Treason

9:20am Wed 18 Dec 13

LCL says...

Not the sort of thing i want to read when im due to go in for an operation next week!
Not the sort of thing i want to read when im due to go in for an operation next week! LCL

9:22am Wed 18 Dec 13

platypus says...

My Mother went into RBH suffering a stroke and when we went to visit her she had a large bruise on her face they told us she slipped out of bed' what care is that?This hospital is not fit for purpose.
My Mother went into RBH suffering a stroke and when we went to visit her she had a large bruise on her face they told us she slipped out of bed' what care is that?This hospital is not fit for purpose. platypus

9:27am Wed 18 Dec 13

sue2bu says...

Well nothing seems to have changed since I reported a whole list of problems at the hospital in 2008 and was forwarded on to the Primary Care Trust by local MP. My elderly mother died there in 2007 and she was neglected, told to soil the bed as too busy, her food left in front of her when she was lying down, she fell in the loo there and knocked her head and had pulled the cord many times and no-one came, soiled sheets left on the floor in the morning and were still there mid afternoon when confined to a room due to infection. I could go on and on. Have they got Matrons on the wards yet to watch over the patients and bring some order? Probably not. I heard several elderly patients calling for help while the nurses were at the reception desk laughing and chatting for ages. These standards HAVE to raise!
Well nothing seems to have changed since I reported a whole list of problems at the hospital in 2008 and was forwarded on to the Primary Care Trust by local MP. My elderly mother died there in 2007 and she was neglected, told to soil the bed as too busy, her food left in front of her when she was lying down, she fell in the loo there and knocked her head and had pulled the cord many times and no-one came, soiled sheets left on the floor in the morning and were still there mid afternoon when confined to a room due to infection. I could go on and on. Have they got Matrons on the wards yet to watch over the patients and bring some order? Probably not. I heard several elderly patients calling for help while the nurses were at the reception desk laughing and chatting for ages. These standards HAVE to raise! sue2bu

9:37am Wed 18 Dec 13

speedy231278 says...

A colleague of mine went to the RBH to have some stitches put in his nose after an accident, and was given a course of antibiotics. He was concerned by the length and dose level of the treatment, as it was twice as long as he had ever had before. So he consulted his local doctor, who informed him that the logical conclusion for such a long course of such a strength was indicative of a hospital that had serious issues with MRSA.
A colleague of mine went to the RBH to have some stitches put in his nose after an accident, and was given a course of antibiotics. He was concerned by the length and dose level of the treatment, as it was twice as long as he had ever had before. So he consulted his local doctor, who informed him that the logical conclusion for such a long course of such a strength was indicative of a hospital that had serious issues with MRSA. speedy231278

9:42am Wed 18 Dec 13

shh I am at work says...

If Tony Spotswood should go, cant run the hospital, wastes money and morale with an attempted takeover of Poole.

What does it take to change the management, nothing they just move them around.
If Tony Spotswood should go, cant run the hospital, wastes money and morale with an attempted takeover of Poole. What does it take to change the management, nothing they just move them around. shh I am at work

9:47am Wed 18 Dec 13

bobthedestroyer says...

I trust Spotswood will fall on his sword......they need new leadership. The current regime spend money in all the wrong places.....like car parking for staff, when they should be encouraging them to use this bus or cycle like every other business in the country.

There is no defending RBH when a report categorically states it is "dangerous and inadequate" every employee there has a role to play in turning this round. If management don't support you then go to the press.

And no doubt Tobias "completely blody useless" Ellwood will not get involved at all and it is in his patch (I was a Tory but I won't be voting for that idiot)
I trust Spotswood will fall on his sword......they need new leadership. The current regime spend money in all the wrong places.....like car parking for staff, when they should be encouraging them to use this bus or cycle like every other business in the country. There is no defending RBH when a report categorically states it is "dangerous and inadequate" every employee there has a role to play in turning this round. If management don't support you then go to the press. And no doubt Tobias "completely blody useless" Ellwood will not get involved at all and it is in his patch (I was a Tory but I won't be voting for that idiot) bobthedestroyer

9:53am Wed 18 Dec 13

bobthedestroyer says...

HoldenWorther wrote:
If only we could name and shame staff. I know someone who should not be allowed to work in this place.
Send the details to the CQC
[quote][p][bold]HoldenWorther[/bold] wrote: If only we could name and shame staff. I know someone who should not be allowed to work in this place.[/p][/quote]Send the details to the CQC bobthedestroyer

9:56am Wed 18 Dec 13

bobthedestroyer says...

"Are services responsive to peoples’ needs? Children’s care, critical care and end of life care were particularly responsive to people’s needs. However, improvements in one part of the hospital were not necessarily shared across all services. Some people felt that when they made a complaint, the trust was dismissive of their concerns. This meant that they either chose to have care elsewhere or continued to feel dissatisfied."

I have made two complaints about care at the hospital and both were basically snubbed . The usual "we're sorry" crap from Spotswood and nothing changes.

The third time that I had cause for complaint, I just didn't bother as I knew the response, instead I went through the courts. Funny how that gets a more proactive reposnse from the Trust
"Are services responsive to peoples’ needs? Children’s care, critical care and end of life care were particularly responsive to people’s needs. However, improvements in one part of the hospital were not necessarily shared across all services. Some people felt that when they made a complaint, the trust was dismissive of their concerns. This meant that they either chose to have care elsewhere or continued to feel dissatisfied." I have made two complaints about care at the hospital and both were basically snubbed . The usual "we're sorry" crap from Spotswood and nothing changes. The third time that I had cause for complaint, I just didn't bother as I knew the response, instead I went through the courts. Funny how that gets a more proactive reposnse from the Trust bobthedestroyer

9:58am Wed 18 Dec 13

Crabby apple says...

Interesting, I have just read the report in it's entirety and large parts of the report seem to be confusing and at odds with the summary at the beginning. On page one it says that "Patients were complimentary about the care they received and the professionalism of staff on surgical services', Two paragraphs later it says that 'other services requiring improvements to patients' experience include A&E, surgical services and outpatients'.
I don't understand what conclusions we are supposed to draw from surgery. And this is a report written by a government agency, useless if you ask me!
Interesting, I have just read the report in it's entirety and large parts of the report seem to be confusing and at odds with the summary at the beginning. On page one it says that "Patients were complimentary about the care they received and the professionalism of staff on surgical services', Two paragraphs later it says that 'other services requiring improvements to patients' experience include A&E, surgical services and outpatients'. I don't understand what conclusions we are supposed to draw from surgery. And this is a report written by a government agency, useless if you ask me! Crabby apple

10:05am Wed 18 Dec 13

bobthedestroyer says...

speedy231278 wrote:
A colleague of mine went to the RBH to have some stitches put in his nose after an accident, and was given a course of antibiotics. He was concerned by the length and dose level of the treatment, as it was twice as long as he had ever had before. So he consulted his local doctor, who informed him that the logical conclusion for such a long course of such a strength was indicative of a hospital that had serious issues with MRSA.
Although bad on the one hand, proactive on the other. Trying to make sure your colleague didn't end up with a far worse problem.
[quote][p][bold]speedy231278[/bold] wrote: A colleague of mine went to the RBH to have some stitches put in his nose after an accident, and was given a course of antibiotics. He was concerned by the length and dose level of the treatment, as it was twice as long as he had ever had before. So he consulted his local doctor, who informed him that the logical conclusion for such a long course of such a strength was indicative of a hospital that had serious issues with MRSA.[/p][/quote]Although bad on the one hand, proactive on the other. Trying to make sure your colleague didn't end up with a far worse problem. bobthedestroyer

10:05am Wed 18 Dec 13

Hessenford says...

bobthedestroyer wrote:
I trust Spotswood will fall on his sword......they need new leadership. The current regime spend money in all the wrong places.....like car parking for staff, when they should be encouraging them to use this bus or cycle like every other business in the country.

There is no defending RBH when a report categorically states it is "dangerous and inadequate" every employee there has a role to play in turning this round. If management don't support you then go to the press.

And no doubt Tobias "completely blody useless" Ellwood will not get involved at all and it is in his patch (I was a Tory but I won't be voting for that idiot)
Although the Trust initially paid for the new multi story car park I think you will find that the staff pay to park at the hospital so the Trust are recuperating the cost.
As far as making staff use the bus or bike, some front line staff live miles away and start and finish their shifts at times when buses are not available, perhaps you should try cycling for miles this time of year in the weather we have been getting and then work a 12 hour shift before having to cycle miles home again.
[quote][p][bold]bobthedestroyer[/bold] wrote: I trust Spotswood will fall on his sword......they need new leadership. The current regime spend money in all the wrong places.....like car parking for staff, when they should be encouraging them to use this bus or cycle like every other business in the country. There is no defending RBH when a report categorically states it is "dangerous and inadequate" every employee there has a role to play in turning this round. If management don't support you then go to the press. And no doubt Tobias "completely blody useless" Ellwood will not get involved at all and it is in his patch (I was a Tory but I won't be voting for that idiot)[/p][/quote]Although the Trust initially paid for the new multi story car park I think you will find that the staff pay to park at the hospital so the Trust are recuperating the cost. As far as making staff use the bus or bike, some front line staff live miles away and start and finish their shifts at times when buses are not available, perhaps you should try cycling for miles this time of year in the weather we have been getting and then work a 12 hour shift before having to cycle miles home again. Hessenford

10:24am Wed 18 Dec 13

TheDistrict says...

RBH has been like this, going back to 1998 when my father was admitted after a heart attack. He was deaf, and his hearing aid was removed because of the equipment being used. He had trouble communicating with staff, but it was up to us to supply a writing pad and pen for the staff to write down what they wanted of him, but he complained that they did not use it. He was also treated with undue care and attention, and on at least two occasions he had passed urine, and was so distraught at this and trying to make contact with staff. Sadly he passed away a week or so later. Again in 2002, my mother was admitted to RBH suffering from a stroke. Her care and treatment from the outset was appauling. She was left on an open gurny, which she fell off, she passed urine on a number of occasions and staff were sat at their desk oblivious to what was going on until me and my wife arrived. She was so distraught, unable to speak, yet nothing or non one cared or was with her. When in the AAU Ward, she was not cared for, notes were not kept up to date, or falsley inputted. It was left to me and my family to care for her, resulting in one of us staying over night to ensure she was cared for. When my mother passed away, we reported in detail every thing to the Trust, a meeting was held, but a well planned meeting, a well rehearsed meeting. Files were brought up to date, records showed inputs that were not there when she passed away. Even the Sister of the Ward, who was not present over that weekend, insisted that everything was carried out correctly and in accordance with the hospital premise. I called her a liar, as I did the nursiing manager, and indeed the CEO. Eventually we had a written apology which meant nothing. Probably a filed copy kept for such events, and then signed. God help anyone admitted to RBH. Yes sach Mr. Spotwood, and many of the other executive staff. All a waste of money, which could be used elsewhere.
RBH has been like this, going back to 1998 when my father was admitted after a heart attack. He was deaf, and his hearing aid was removed because of the equipment being used. He had trouble communicating with staff, but it was up to us to supply a writing pad and pen for the staff to write down what they wanted of him, but he complained that they did not use it. He was also treated with undue care and attention, and on at least two occasions he had passed urine, and was so distraught at this and trying to make contact with staff. Sadly he passed away a week or so later. Again in 2002, my mother was admitted to RBH suffering from a stroke. Her care and treatment from the outset was appauling. She was left on an open gurny, which she fell off, she passed urine on a number of occasions and staff were sat at their desk oblivious to what was going on until me and my wife arrived. She was so distraught, unable to speak, yet nothing or non one cared or was with her. When in the AAU Ward, she was not cared for, notes were not kept up to date, or falsley inputted. It was left to me and my family to care for her, resulting in one of us staying over night to ensure she was cared for. When my mother passed away, we reported in detail every thing to the Trust, a meeting was held, but a well planned meeting, a well rehearsed meeting. Files were brought up to date, records showed inputs that were not there when she passed away. Even the Sister of the Ward, who was not present over that weekend, insisted that everything was carried out correctly and in accordance with the hospital premise. I called her a liar, as I did the nursiing manager, and indeed the CEO. Eventually we had a written apology which meant nothing. Probably a filed copy kept for such events, and then signed. God help anyone admitted to RBH. Yes sach Mr. Spotwood, and many of the other executive staff. All a waste of money, which could be used elsewhere. TheDistrict

11:38am Wed 18 Dec 13

BmthNewshound says...

Damning report into the RBH from the Chief Inspector of Hospitals, Damning report into Bournemouth schools from OFSTED, Incompetent Council that constantly gets it wrong....... What is happening to this town ?
Damning report into the RBH from the Chief Inspector of Hospitals, Damning report into Bournemouth schools from OFSTED, Incompetent Council that constantly gets it wrong....... What is happening to this town ? BmthNewshound

11:41am Wed 18 Dec 13

darrensgirl says...

my uncle was recently in bournemouth hospital. he was in agony overnight and begging for morphine which he should have been having regularly. he called my aunt in the morning begging her to help him so she went into the ward. After she asked the ward sister to tell her how much morphine he had been given, she threw something at my aunt and told her she didnt have to take this abuse??... it was obvious that she didnt like the fact someone had picked up on her failing to medicate my uncle! My aunt packed his bag and brought him straight home! disgusting! this wasn't the only thing that happened either!
my uncle was recently in bournemouth hospital. he was in agony overnight and begging for morphine which he should have been having regularly. he called my aunt in the morning begging her to help him so she went into the ward. After she asked the ward sister to tell her how much morphine he had been given, she threw something at my aunt and told her she didnt have to take this abuse??... it was obvious that she didnt like the fact someone had picked up on her failing to medicate my uncle! My aunt packed his bag and brought him straight home! disgusting! this wasn't the only thing that happened either! darrensgirl

11:44am Wed 18 Dec 13

Square Old Codger says...

All very sad reading, but it doesn't end there, RBH has been restricting services to the elderly for many months, with cataract treatment, replacement hips, knees etc strictly rationed, as is admission to clinics too for treatment. It is increasingly difficult too to find Doctors Nurses prepared to work in Gereatic Medicine or Emergency either. The pressures are such that they simply feel that other branches of medicine are more rewarding. Then there's the "political elemnent ,hundreds of beds were closed by the last Conservative Government and funding reduced. As it is now in real terms with training places removed too for Nurses. When RBH was built , it reduced the number of beds available in the area, the Royal National, for example had 166 beds - it was given just 22 at the RBH, the very good man that ran the Royal resigned in protest, not willing to reduce the standard of care his hospital provided. It's all very well to be critical of a Hospital for putting extra beds in wards and keeping patients on trollies - but if patients need to be in hospital or cant be discharged because there is nowhere else to go, what else can they do? Close their doors? It''s all very well saying Consultants and Senior Doctors must be available 7 days a week. ( and GP's) but the simple fact is they can't it's just not possible physicaly or mentally to do so. To give that sought of cover you would require approx 100,000 more Doctors ,plus suporting staff, Nurses, technicians etc. That would take both time and a great deal of money. We have a doctrinaire Government with no interest at
all in the Public Sector, intent on everything being done for profit by the private sector, that includes the NHS. Most of the men at the head of the Government had large share holdings in private health suppliers at the time of the last election, that were placed into "Blind trusts" , who knows if they have retained them.
All very sad reading, but it doesn't end there, RBH has been restricting services to the elderly for many months, with cataract treatment, replacement hips, knees etc strictly rationed, as is admission to clinics too for treatment. It is increasingly difficult too to find Doctors Nurses prepared to work in Gereatic Medicine or Emergency either. The pressures are such that they simply feel that other branches of medicine are more rewarding. Then there's the "political elemnent ,hundreds of beds were closed by the last Conservative Government and funding reduced. As it is now in real terms with training places removed too for Nurses. When RBH was built , it reduced the number of beds available in the area, the Royal National, for example had 166 beds - it was given just 22 at the RBH, the very good man that ran the Royal resigned in protest, not willing to reduce the standard of care his hospital provided. It's all very well to be critical of a Hospital for putting extra beds in wards and keeping patients on trollies - but if patients need to be in hospital or cant be discharged because there is nowhere else to go, what else can they do? Close their doors? It''s all very well saying Consultants and Senior Doctors must be available 7 days a week. ( and GP's) but the simple fact is they can't it's just not possible physicaly or mentally to do so. To give that sought of cover you would require approx 100,000 more Doctors ,plus suporting staff, Nurses, technicians etc. That would take both time and a great deal of money. We have a doctrinaire Government with no interest at all in the Public Sector, intent on everything being done for profit by the private sector, that includes the NHS. Most of the men at the head of the Government had large share holdings in private health suppliers at the time of the last election, that were placed into "Blind trusts" , who knows if they have retained them. Square Old Codger

11:49am Wed 18 Dec 13

KerriR says...

My father got home on Monday after 6 weeks in RBH after having 2 toes amputated. Nobody ever told us what was going on and could never find a doctor to talk to.
One day the doctor actually rammed the trolley into his bad foot - no care or diligence. Some days a doctor never came to see him at all.
His blood pressure was very low and they continued to give him low blood pressure pills. He also lost 1.5 stone in weight.
He has now come home with Norovirus.
My father got home on Monday after 6 weeks in RBH after having 2 toes amputated. Nobody ever told us what was going on and could never find a doctor to talk to. One day the doctor actually rammed the trolley into his bad foot - no care or diligence. Some days a doctor never came to see him at all. His blood pressure was very low and they continued to give him low blood pressure pills. He also lost 1.5 stone in weight. He has now come home with Norovirus. KerriR

12:17pm Wed 18 Dec 13

uberbloke says...

Not sure it will do any good but contact your Governor and tell them in no uncertain terms what you think

http://www.rbch.nhs.
uk/working_with_us/g
overnors_membership/
governors.php

If you have the time to comment here take the same amount of time to email/phone them. I already have.
Not sure it will do any good but contact your Governor and tell them in no uncertain terms what you think http://www.rbch.nhs. uk/working_with_us/g overnors_membership/ governors.php If you have the time to comment here take the same amount of time to email/phone them. I already have. uberbloke

12:25pm Wed 18 Dec 13

dog the hunter says...

I have been complaining for weeks about the poor care and posted it on their website. I spoke to staff and nothing was done. A patient i am a registered carer for was in there ward 1 for 8 weeks. I found blood stained bedding and changed the bedding myself,was told it was not my responsibility but if they don,t do it then who else would. I found blood splatteres up the wall and floor and not been cleaned up also soiled dressings on the floor. I found some of the nursing staff uncommpassionate,the HCA,s were better than the trained nurses. I could not get any information about the patients condition unless I booked an appointment with a doctor who only gives you a 5 minute slot and due to my working hours this was not possible as the slots are between 14,00 and 15.00. I saw patients with medication left in front of them when asleep,controlled drugs being left unattended and left on patients table. Why do they not watch the patient taking the meds,they could be storing them,disposing of them ,selling them,the list goes on. When I raised concerns the doctor kept pestering the patient to ask me to have a meeting,he has my phone no and should not be sending messages to me via the patient. He was more interested in what i did for a job and where i worked than the patient. The doctor told the patient he would sue me for slander if i wrote any more bad reviews on the website.I was just writing the truth. I am releived now that cqc have proved me right.If only i could name and shame i would. As a visitor some staff treated me like something they trod on in the street,i dreaded visiting in the end due to their uncaring behaviour. I had to resort to meeting the patient outside or in the canteen. They do not keep relatives informed at all. i could go on forever about the poor practices i witnessed. The neglect,lack of safeguarding,. If they are understaffed then why did i see them all sat there looking at pics of male models on the internet while on shift?
I have been complaining for weeks about the poor care and posted it on their website. I spoke to staff and nothing was done. A patient i am a registered carer for was in there ward 1 for 8 weeks. I found blood stained bedding and changed the bedding myself,was told it was not my responsibility but if they don,t do it then who else would. I found blood splatteres up the wall and floor and not been cleaned up also soiled dressings on the floor. I found some of the nursing staff uncommpassionate,the HCA,s were better than the trained nurses. I could not get any information about the patients condition unless I booked an appointment with a doctor who only gives you a 5 minute slot and due to my working hours this was not possible as the slots are between 14,00 and 15.00. I saw patients with medication left in front of them when asleep,controlled drugs being left unattended and left on patients table. Why do they not watch the patient taking the meds,they could be storing them,disposing of them ,selling them,the list goes on. When I raised concerns the doctor kept pestering the patient to ask me to have a meeting,he has my phone no and should not be sending messages to me via the patient. He was more interested in what i did for a job and where i worked than the patient. The doctor told the patient he would sue me for slander if i wrote any more bad reviews on the website.I was just writing the truth. I am releived now that cqc have proved me right.If only i could name and shame i would. As a visitor some staff treated me like something they trod on in the street,i dreaded visiting in the end due to their uncaring behaviour. I had to resort to meeting the patient outside or in the canteen. They do not keep relatives informed at all. i could go on forever about the poor practices i witnessed. The neglect,lack of safeguarding,. If they are understaffed then why did i see them all sat there looking at pics of male models on the internet while on shift? dog the hunter

12:59pm Wed 18 Dec 13

dunster says...

Quote ....We found the trust overall was not ensuring effective
leadership and governance across the hospital. .....

Spotswood has to go, he's wasted 5 Million on the failed merger and put lives at risk. The money could have been used to provide more staff and training.

From a patients points of view you never see him on the wards. How can you run a hospital if you are not in touch with what's going on.
Quote ....We found the trust overall was not ensuring effective leadership and governance across the hospital. ..... Spotswood has to go, he's wasted 5 Million on the failed merger and put lives at risk. The money could have been used to provide more staff and training. From a patients points of view you never see him on the wards. How can you run a hospital if you are not in touch with what's going on. dunster

1:24pm Wed 18 Dec 13

Sue Liversidge says...

We complained to RBH following my mums death about the very issues that the CQC have failed them on.

Our complaints proceedure was a complete sham and they obviously never listened to us or took action, despite saying they would as here we are 5 years on with exactly the same problems. People dying uneccesarily! Shame on you Simon Dursley, shame on you Belinda Atkinson, shame on you Tony Spotswood - I don't know how you sleep at night.
We complained to RBH following my mums death about the very issues that the CQC have failed them on. Our complaints proceedure was a complete sham and they obviously never listened to us or took action, despite saying they would as here we are 5 years on with exactly the same problems. People dying uneccesarily! Shame on you Simon Dursley, shame on you Belinda Atkinson, shame on you Tony Spotswood - I don't know how you sleep at night. Sue Liversidge

1:58pm Wed 18 Dec 13

jazzy jenkins says...

Yes ..well..say no more..if the government sorted our needs in this country instead of sending billions to other countries ..we'd be ok
Yes ..well..say no more..if the government sorted our needs in this country instead of sending billions to other countries ..we'd be ok jazzy jenkins

2:50pm Wed 18 Dec 13

stateofflux says...

dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this?
dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this? stateofflux

2:51pm Wed 18 Dec 13

dorsetlady says...

I worked at RBH on the bank and was appalled at the staffing levels on the elderly care wards. It was disgusting - two HCAs for 15 patients that all needed full care including feeding.
I worked at RBH on the bank and was appalled at the staffing levels on the elderly care wards. It was disgusting - two HCAs for 15 patients that all needed full care including feeding. dorsetlady

3:07pm Wed 18 Dec 13

coster says...

How often we have called for Spotswood to go!, always the comments and article are removed from the Echo but no comment or action by RBH. Maybe this will initiate some action - but don't hold your breath.
How often we have called for Spotswood to go!, always the comments and article are removed from the Echo but no comment or action by RBH. Maybe this will initiate some action - but don't hold your breath. coster

3:21pm Wed 18 Dec 13

hoppy says...

All I can say is that I have received the best of care,treatment & understanding from my many stays in RBH whilst treating my cancer.
I have no complaints at all.
The problem will always be Goverment cut backs,not enough staff & of course our expectations of treatment & now treatment for things that a few years ago could not have been dealt with.
Give thanks that you all have a hospital to go to & yes all things might not be right but most are.
The more you criticize the staff the more disillusioned they will become.
Give credit where it is due & of course complain where it is needed.
All I can say is that I have received the best of care,treatment & understanding from my many stays in RBH whilst treating my cancer. I have no complaints at all. The problem will always be Goverment cut backs,not enough staff & of course our expectations of treatment & now treatment for things that a few years ago could not have been dealt with. Give thanks that you all have a hospital to go to & yes all things might not be right but most are. The more you criticize the staff the more disillusioned they will become. Give credit where it is due & of course complain where it is needed. hoppy

3:32pm Wed 18 Dec 13

mark.s says...

RBH is a joke, the place really is a death trap. The staff try their best and work unbelievable hours that would make you or me exhausted just thinking about them. The management MUST have accountability.
RBH is a joke, the place really is a death trap. The staff try their best and work unbelievable hours that would make you or me exhausted just thinking about them. The management MUST have accountability. mark.s

3:46pm Wed 18 Dec 13

Maiseymo says...

I can only comment on the treatment I am receiving at RBH for bladder cancer, which is excellent. I cannot fault any of the staff I have had contact with. During my two visits to the Day Surgery ward I was well looked after. I have a fantastic consultant and oncology nurse and continue to have faith in all concerned. My thanks to them all for helping me through what is a very difficult time.
Maiseymo
I can only comment on the treatment I am receiving at RBH for bladder cancer, which is excellent. I cannot fault any of the staff I have had contact with. During my two visits to the Day Surgery ward I was well looked after. I have a fantastic consultant and oncology nurse and continue to have faith in all concerned. My thanks to them all for helping me through what is a very difficult time. Maiseymo Maiseymo

3:50pm Wed 18 Dec 13

stateofflux says...

stateofflux wrote:
dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this?
And if i read correctly, the chief executive enjoyed a £30,000 total pay increase between 2012 and 2013 from £175,000 to £205,000. that is almost 20% and presumably, more than the cost of a ward nurse? Others on the board seem to be experiencing big increases also.
[quote][p][bold]stateofflux[/bold] wrote: dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this?[/p][/quote]And if i read correctly, the chief executive enjoyed a £30,000 total pay increase between 2012 and 2013 from £175,000 to £205,000. that is almost 20% and presumably, more than the cost of a ward nurse? Others on the board seem to be experiencing big increases also. stateofflux

4:02pm Wed 18 Dec 13

richardcompton3 says...

Chief Executive Tony Spotswood the buck stops with you. You should be sacked with no severance pay. The same goes for the head of nursing staff. An absolute disgrace.
Chief Executive Tony Spotswood the buck stops with you. You should be sacked with no severance pay. The same goes for the head of nursing staff. An absolute disgrace. richardcompton3

4:03pm Wed 18 Dec 13

bmwe46 says...

dorsetlady wrote:
I worked at RBH on the bank and was appalled at the staffing levels on the elderly care wards. It was disgusting - two HCAs for 15 patients that all needed full care including feeding.
When i visited my sister in WARD 3,earlier this year one bank nurse told me he would NOT be working in that ward again, due to bad practice and short staffing . One poor man asked the ward staff nurse ...how long is my mother going to be laying in her own s~~~t. ?
[quote][p][bold]dorsetlady[/bold] wrote: I worked at RBH on the bank and was appalled at the staffing levels on the elderly care wards. It was disgusting - two HCAs for 15 patients that all needed full care including feeding.[/p][/quote]When i visited my sister in WARD 3,earlier this year one bank nurse told me he would NOT be working in that ward again, due to bad practice and short staffing . One poor man asked the ward staff nurse ...how long is my mother going to be laying in her own s~~~t. ? bmwe46

4:20pm Wed 18 Dec 13

60plus says...

Now you know why they wanted to merge with Poole,who got top marks,they would not have this problem if they let nurses run the place
Now you know why they wanted to merge with Poole,who got top marks,they would not have this problem if they let nurses run the place 60plus

4:30pm Wed 18 Dec 13

rubellie says...

Things haven't changed obviously since 2005.My late hubby had leukaemia but was also diagnosed with T.B.He was on oxygen and a lot of chemo drugs.However out patient appts were cancelled and the only time he saw the consultant was when he was admitted to ward 2 and 3.Filthy wards,staff forgetting to give him medication and turning oxygen off to name a few things that happened.After I lost him the coroner told me no signs of T.B but he had pancreatic cancer clinically undiagnosed.
It's obvious that things haven't changed and Tony Spotswood promised me that big changes would be made
Things haven't changed obviously since 2005.My late hubby had leukaemia but was also diagnosed with T.B.He was on oxygen and a lot of chemo drugs.However out patient appts were cancelled and the only time he saw the consultant was when he was admitted to ward 2 and 3.Filthy wards,staff forgetting to give him medication and turning oxygen off to name a few things that happened.After I lost him the coroner told me no signs of T.B but he had pancreatic cancer clinically undiagnosed. It's obvious that things haven't changed and Tony Spotswood promised me that big changes would be made rubellie

4:40pm Wed 18 Dec 13

wool525 says...

my mother in law just came home today with needle still in her arm, very good care !
my mother in law just came home today with needle still in her arm, very good care ! wool525

4:55pm Wed 18 Dec 13

Hessenford says...

One of my friends who works at RBH has told me today that the staff had hourly meetings yesterday conducted by the management namely Stuart Hunter and Richard Renault, the meeting was a self congratulating speech and completely opposite that of the CQC report although they were informed that there were areas that needed improving.
At the meeting my friend attended the staff were told that local and national press may visit the hospital the next day, the staff were also advised that they shouldn't talk to the press, obviously the management don't want any members of staff dropping the Trust into the s**t any further.
One of my friends who works at RBH has told me today that the staff had hourly meetings yesterday conducted by the management namely Stuart Hunter and Richard Renault, the meeting was a self congratulating speech and completely opposite that of the CQC report although they were informed that there were areas that needed improving. At the meeting my friend attended the staff were told that local and national press may visit the hospital the next day, the staff were also advised that they shouldn't talk to the press, obviously the management don't want any members of staff dropping the Trust into the s**t any further. Hessenford

5:59pm Wed 18 Dec 13

animagic21 says...

We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign.
We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign. animagic21

6:03pm Wed 18 Dec 13

O'Reilly says...

Anybody for the high jump? I won't hold my breath..... these people seem to have fireproof pensions and retire on one with more zeros than a freephone number. Inadequate football managers seem similarly blessed.
Anybody for the high jump? I won't hold my breath..... these people seem to have fireproof pensions and retire on one with more zeros than a freephone number. Inadequate football managers seem similarly blessed. O'Reilly

6:10pm Wed 18 Dec 13

O'Reilly says...

Hessenford wrote:
muscliffman wrote:
Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.
Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels.
I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff.
Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care.
Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times.
Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health.
Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care.
R.B.H take note and get your house in order, more front line staff and less penpushers.
The only reason front line staff have been cut....is to provide better bonuses for 'the great and good' (puke). The NHS is now no different to McDonalds, Costa, Google, Starbucks or Amazon.....they could not give a FF.
[quote][p][bold]Hessenford[/bold] wrote: [quote][p][bold]muscliffman[/bold] wrote: Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.[/p][/quote]Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels. I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff. Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care. Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times. Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health. Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care. R.B.H take note and get your house in order, more front line staff and less penpushers.[/p][/quote]The only reason front line staff have been cut....is to provide better bonuses for 'the great and good' (puke). The NHS is now no different to McDonalds, Costa, Google, Starbucks or Amazon.....they could not give a FF. O'Reilly

6:37pm Wed 18 Dec 13

Hols_blue says...

I work in the NHS. I know care can be unacceptable but on occasions staffing is so bad that staff just don't have the time to care for patients properly. The amount of note writing (I have to write my notes twice in 2 different places!) is ridiculous. We spend more time writing notes etc than we have with patients. It's wrong but it's what we have to deal with. I'm not condoning poor treatment of patients, that is completely wrong and unnecessary but general poor standards is down to not enough staff and too much admin.
I work in the NHS. I know care can be unacceptable but on occasions staffing is so bad that staff just don't have the time to care for patients properly. The amount of note writing (I have to write my notes twice in 2 different places!) is ridiculous. We spend more time writing notes etc than we have with patients. It's wrong but it's what we have to deal with. I'm not condoning poor treatment of patients, that is completely wrong and unnecessary but general poor standards is down to not enough staff and too much admin. Hols_blue

6:40pm Wed 18 Dec 13

dunster says...

stateofflux wrote:
stateofflux wrote:
dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this?
And if i read correctly, the chief executive enjoyed a £30,000 total pay increase between 2012 and 2013 from £175,000 to £205,000. that is almost 20% and presumably, more than the cost of a ward nurse? Others on the board seem to be experiencing big increases also.
Disgraceful. How do these Fat Cats sleep of a night! There are staff on the minimum wage and these guys earn over 30 times their salary.

To chime a comment above, call the hospital and have your say.
[quote][p][bold]stateofflux[/bold] wrote: [quote][p][bold]stateofflux[/bold] wrote: dear bournemouth echo. this article prompted me to look up the annual report for the bournemouth NHS. to my utter astonishment, it would appear that the directors have awarded themselves inflationary busting pay increases this year - am I reading this correctly? disgraceful if so, perhaps they should have employed more nurses instead. where is the public accountability in this?[/p][/quote]And if i read correctly, the chief executive enjoyed a £30,000 total pay increase between 2012 and 2013 from £175,000 to £205,000. that is almost 20% and presumably, more than the cost of a ward nurse? Others on the board seem to be experiencing big increases also.[/p][/quote]Disgraceful. How do these Fat Cats sleep of a night! There are staff on the minimum wage and these guys earn over 30 times their salary. To chime a comment above, call the hospital and have your say. dunster

6:42pm Wed 18 Dec 13

Ex PHC says...

What contribution does the Chief Executive Tony Spotswood actually make to the effectiveness in running RBH. The FAT CATS at the top always look after themselves by cutting staff at the bottom. Anyone with a brain could do his gob for a much less salary, he should go immediately without a golden handshake.
What contribution does the Chief Executive Tony Spotswood actually make to the effectiveness in running RBH. The FAT CATS at the top always look after themselves by cutting staff at the bottom. Anyone with a brain could do his gob for a much less salary, he should go immediately without a golden handshake. Ex PHC

6:52pm Wed 18 Dec 13

Hessenford says...

O'Reilly wrote:
Hessenford wrote:
muscliffman wrote:
Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.
Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels.
I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff.
Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care.
Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times.
Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health.
Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care.
R.B.H take note and get your house in order, more front line staff and less penpushers.
The only reason front line staff have been cut....is to provide better bonuses for 'the great and good' (puke). The NHS is now no different to McDonalds, Costa, Google, Starbucks or Amazon.....they could not give a FF.
Wrong, the front line staff do give a FF, its the managers, accountants, pen pushers and Tony Spotswood who stop the staff from doing so.
[quote][p][bold]O'Reilly[/bold] wrote: [quote][p][bold]Hessenford[/bold] wrote: [quote][p][bold]muscliffman[/bold] wrote: Perhaps if all the Hospital's Doctors and Consultants were to be contractually required to devote exclusive attention to their NHS patients and in future rostered to cover a full seven day week in the wards, instead of using their NHS training to lucratively work weekends and 'out of hours' in private health establishments, we could see a marked improvement in the quality of the Hospital's patient care.[/p][/quote]Its not just lack of doctors at R.B.H, most of the problems are down to staffing levels. I know a few people who work there and listening to all of them talk about the problems within leads to one conclusion, not enough staff. Front line staff have been cut so far that they have become ineffective in providing the correct amount of patient care. Areas such as maternity, critical care, children’s care, outpatients and end of life care seem to have scored highly, could this be down to the fact that maternity and children's care are virtually non existent at R.B.H anyway, departments such as .CCU,ITU & HDU should always score high as the very nature of their work dictates that they have highly trained staff at all times. Front line staff do their best, it is the constant cutbacks for the jobsworths and accountants who are in charge of today's NHS that cause the problems we face today, in effect putting money before health. Under staffing is not the fault of the millions of nurses, doctors, housekeepers, porters and maintenance staff, is is the fault of those in charge who produce nothing towards patient care. R.B.H take note and get your house in order, more front line staff and less penpushers.[/p][/quote]The only reason front line staff have been cut....is to provide better bonuses for 'the great and good' (puke). The NHS is now no different to McDonalds, Costa, Google, Starbucks or Amazon.....they could not give a FF.[/p][/quote]Wrong, the front line staff do give a FF, its the managers, accountants, pen pushers and Tony Spotswood who stop the staff from doing so. Hessenford

7:51pm Wed 18 Dec 13

royeveleigh says...

you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!!
you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!! royeveleigh

8:26pm Wed 18 Dec 13

LJT1966 says...

royeveleigh wrote:
you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!!
Think you need to check your facts - It's called the Royal Bournemouth and Christchurch NHS Trust. And for the record none of us wanted to merge with Poole anyway and take on their financial deficit!
[quote][p][bold]royeveleigh[/bold] wrote: you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!![/p][/quote]Think you need to check your facts - It's called the Royal Bournemouth and Christchurch NHS Trust. And for the record none of us wanted to merge with Poole anyway and take on their financial deficit! LJT1966

9:04pm Wed 18 Dec 13

Dateline says...

Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally...
Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally... Dateline

9:24pm Wed 18 Dec 13

mumble says...

My fathers treatment last year in Ward 25 was appalling, and any of our concerns were dismissed. The lowest had to be, when he hadn't had anything to eat or drink for 5 days and I asked at what stage he would be fed by IV, I was told "There's no point as he won't have a drip at home". He was suffering from the early stages of Vascular Dementia, but was only admitted for observation after hurting his arm in a fall, and was up to that point eating 3 good meals a day and taking himself to the toilet.
We were told by a manager when we expressed concern that he was getting himself to the toilet, and was sat out in a chair every day, but by a nurse that he was put in a nappy immediately upon admission, and hadn't been out of bed at all during his stay. Other concerns were met with ' Don't know, I've only just come on shift'.
Three days in, he'd contracted pneumonia, but was left lying down struggling to breathe, and because nobody had made a basic effort to help him drink, he became unable to swallow. A bloody dressing from his arm sat on his bedside table for 2 days, and when he finally did get iv antibiotics for the pneumonia, the canula wasn't checked for 2 days and had leaked, causing his hand to swell to 3 times it's normal size. The pain must have been unimaginable, but when I told the nurse that the check date on the iv bag was 2 days previously she said she'd just forgotten to update it. Staff shortages may be quoted as an excuse, but there were plenty of nurses about, it was just getting their attention that was difficult, they seemed particularly adept at either not catching your eye at the desk, or passing the buck. I could go on unfortunately, but we got to the point where we didn't believe a single word we were told and to be honest we were disgusted at the uncaring attitude and lack of common sense.
How difficult is it to warn a patient before coming up from behind and jamming a thermometer in their ear?, sitting them up to ease breathing, wheeling a table back within reach of a bed, or making sure a patient is covered decently in time for visiting. It's not rocket science is it? The staff were there, they just didn't care, and that sadly sums up the problem.
My fathers treatment last year in Ward 25 was appalling, and any of our concerns were dismissed. The lowest had to be, when he hadn't had anything to eat or drink for 5 days and I asked at what stage he would be fed by IV, I was told "There's no point as he won't have a drip at home". He was suffering from the early stages of Vascular Dementia, but was only admitted for observation after hurting his arm in a fall, and was up to that point eating 3 good meals a day and taking himself to the toilet. We were told by a manager when we expressed concern that he was getting himself to the toilet, and was sat out in a chair every day, but by a nurse that he was put in a nappy immediately upon admission, and hadn't been out of bed at all during his stay. Other concerns were met with ' Don't know, I've only just come on shift'. Three days in, he'd contracted pneumonia, but was left lying down struggling to breathe, and because nobody had made a basic effort to help him drink, he became unable to swallow. A bloody dressing from his arm sat on his bedside table for 2 days, and when he finally did get iv antibiotics for the pneumonia, the canula wasn't checked for 2 days and had leaked, causing his hand to swell to 3 times it's normal size. The pain must have been unimaginable, but when I told the nurse that the check date on the iv bag was 2 days previously she said she'd just forgotten to update it. Staff shortages may be quoted as an excuse, but there were plenty of nurses about, it was just getting their attention that was difficult, they seemed particularly adept at either not catching your eye at the desk, or passing the buck. I could go on unfortunately, but we got to the point where we didn't believe a single word we were told and to be honest we were disgusted at the uncaring attitude and lack of common sense. How difficult is it to warn a patient before coming up from behind and jamming a thermometer in their ear?, sitting them up to ease breathing, wheeling a table back within reach of a bed, or making sure a patient is covered decently in time for visiting. It's not rocket science is it? The staff were there, they just didn't care, and that sadly sums up the problem. mumble

9:30pm Wed 18 Dec 13

wonderway says...

After this report the whole board should be removed

and a joint board with laymen doctors and a independent accountant should go through all financial transactions of hospital for last 4 years reset funding to staff requirements, open all departments 7 days aweek clear backlog outstanding surgery and replace board in twelve months time with lower wages and open responsibility for inadequate care and governance. which includes instant removal from posts for mismanagement
After this report the whole board should be removed and a joint board with laymen doctors and a independent accountant should go through all financial transactions of hospital for last 4 years reset funding to staff requirements, open all departments 7 days aweek clear backlog outstanding surgery and replace board in twelve months time with lower wages and open responsibility for inadequate care and governance. which includes instant removal from posts for mismanagement wonderway

9:57pm Wed 18 Dec 13

Back to my sea views says...

The inconsistencies and contradictions in the report make a me question the contents accuracy, I have no doubt there is need to improve the standards of care mentioned in the elderly care services at Bournemouth hospital, however the report is unbalanced and inaccurate, possibly the CQC simply trying to make a point and justify their own jobs given their serious questionable standards of practice and scrutiny in the last year. Tony Spotswood should be given a chance to put the areas in question right, he's a great leader and will continue to proves this.
The inconsistencies and contradictions in the report make a me question the contents accuracy, I have no doubt there is need to improve the standards of care mentioned in the elderly care services at Bournemouth hospital, however the report is unbalanced and inaccurate, possibly the CQC simply trying to make a point and justify their own jobs given their serious questionable standards of practice and scrutiny in the last year. Tony Spotswood should be given a chance to put the areas in question right, he's a great leader and will continue to proves this. Back to my sea views

10:05pm Wed 18 Dec 13

Hessenford says...

Dateline wrote:
Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally...
I would have thought that was obvious, you have answered the question yourself.
[quote][p][bold]Dateline[/bold] wrote: Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally...[/p][/quote]I would have thought that was obvious, you have answered the question yourself. Hessenford

10:06pm Wed 18 Dec 13

Hessenford says...

royeveleigh wrote:
you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!!
Christchurch is part of RBH.
[quote][p][bold]royeveleigh[/bold] wrote: you ever want evidence to PROVE that Poole and Christchurch Hospitals SHOULD NOT be merged with RBH this is it... Still not convinced then you are a total loon!![/p][/quote]Christchurch is part of RBH. Hessenford

12:54am Thu 19 Dec 13

Len Brock says...

animagic21 wrote:
We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign.
My family and I have experienced the very same as yours. My wife was dropped by 2 nurses on ward 9 at 0300hrs, after having a knee replacement, a pacemaker fitted, that resulted in her being transferred to Poole Hospital for another operation, she had an injury to her hip. The result of her being dropped resulted in my wife going into a coma that she didn't recover from, she was being kept alive on a support machine I had to give my consent for the machine to be switched off. Nothing at all has been learnt from this tragic happenings. Promises by Simon Dursley, Belinda Atkinson, and Tony Spotswood have all been one BIG JOKE. Mr Spotswood, here is one for you to make an important decision on. I am requesting you to hold a meeting and invite EVERYONE of us who have gone through great family torments and agonies, as these comments show, face to face so that we can OUR SAY to you. I will not be placing any bets on you giving us a satisfactory reply.
Mr L G Brock. 01202 579227.
[quote][p][bold]animagic21[/bold] wrote: We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign.[/p][/quote]My family and I have experienced the very same as yours. My wife was dropped by 2 nurses on ward 9 at 0300hrs, after having a knee replacement, a pacemaker fitted, that resulted in her being transferred to Poole Hospital for another operation, she had an injury to her hip. The result of her being dropped resulted in my wife going into a coma that she didn't recover from, she was being kept alive on a support machine I had to give my consent for the machine to be switched off. Nothing at all has been learnt from this tragic happenings. Promises by Simon Dursley, Belinda Atkinson, and Tony Spotswood have all been one BIG JOKE. Mr Spotswood, here is one for you to make an important decision on. I am requesting you to hold a meeting and invite EVERYONE of us who have gone through great family torments and agonies, as these comments show, face to face so that we can OUR SAY to you. I will not be placing any bets on you giving us a satisfactory reply. Mr L G Brock. 01202 579227. Len Brock

1:56am Thu 19 Dec 13

dorsetlady says...

Hessenford wrote:
Dateline wrote:
Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally...
I would have thought that was obvious, you have answered the question yourself.
I'm sure that RBH are in such a good financial position because they don't staff the wards adequately.
[quote][p][bold]Hessenford[/bold] wrote: [quote][p][bold]Dateline[/bold] wrote: Im curious to know how RBH with their relatively good financial position can get it so wrong with the quality of their service when down the road at Poole a hospital that may have financial problems next year is rated as one of the top quality hospitals in the country and offers a level of services lauded nationally...[/p][/quote]I would have thought that was obvious, you have answered the question yourself.[/p][/quote]I'm sure that RBH are in such a good financial position because they don't staff the wards adequately. dorsetlady

10:20am Thu 19 Dec 13

Smudgersmiff says...

I recently sent in by my doctor as an emergency to the acute emergency unit with a blocked stent in the liver/bile duct, on Wednesday morning. I was quickly assessed
and put on to the cardiac ward, I assumed there were no beds in Endoscopy ward at this time. As I should have been sent to Endoscopy, but I was promised that a senior doctor would be up to see me. For 2 day I kept asking why I had not seen anyone and was promised some one was on their way. In the end although I was very ill and severely jaundiced I had to make a serious complaint to the senior doctor on the ward to get someone from endoscopy to see me. Luckily my wife was with me and she followed the doctor to make sure he called endoscopy straight away.

Within the hour a registrar arrived to tell me that there was no more slots in today's schedule to remove the blocked stent and replace it, he then told me there was no operating staff in on Friday to do the procedure, but he would try to get a slot Monday. We said that this was not good enough as I had been there since Wednesday I was very ill and the problem with liver induces terrible itchy skin all over the body.

He said he would go and try and find staff to come in tomorrow, I suggested he might also try Poole and Southampton to see if they could find a slot. He came back an hour later telling me none of the staff wanted to come in tomorrow (Friday) and could not get a slot at Poole or Southampton. He did manage to get me in to the Endoscopy ward and started me on an antibiotic drip to start tackling the infection. In the end I did have to wait till late morning on Monday before they could operate. When I got to the theatre I was told that the anaesthetist had been called away on an emergency (so I am not even considered as an emergency having been very ill for a week now!) but they could do it under heavy sedation. Which I agreed to.

The endoscopist, usually a gastroenterologist (doctor who specializes in the gastrointestinal system), uses a special endoscope (a long, flexible tube with a light and camera at the end) to examine the inside of the digestive system. The endoscopist identifies the place where the bile duct comes into the intestine and then feeds a tiny catheter (a plastic tube) into the duct and squirts in a contrast agent into the bile system and sometimes the pancreas while X-rays are taken. The contrast agent allows the doctors to see the ducts of the bile system, gallbladder, and pancreas on the X-rays.

Unbelievable you may think but TRUE.

David

Sent from my iPad
I recently sent in by my doctor as an emergency to the acute emergency unit with a blocked stent in the liver/bile duct, on Wednesday morning. I was quickly assessed and put on to the cardiac ward, I assumed there were no beds in Endoscopy ward at this time. As I should have been sent to Endoscopy, but I was promised that a senior doctor would be up to see me. For 2 day I kept asking why I had not seen anyone and was promised some one was on their way. In the end although I was very ill and severely jaundiced I had to make a serious complaint to the senior doctor on the ward to get someone from endoscopy to see me. Luckily my wife was with me and she followed the doctor to make sure he called endoscopy straight away. Within the hour a registrar arrived to tell me that there was no more slots in today's schedule to remove the blocked stent and replace it, he then told me there was no operating staff in on Friday to do the procedure, but he would try to get a slot Monday. We said that this was not good enough as I had been there since Wednesday I was very ill and the problem with liver induces terrible itchy skin all over the body. He said he would go and try and find staff to come in tomorrow, I suggested he might also try Poole and Southampton to see if they could find a slot. He came back an hour later telling me none of the staff wanted to come in tomorrow (Friday) and could not get a slot at Poole or Southampton. He did manage to get me in to the Endoscopy ward and started me on an antibiotic drip to start tackling the infection. In the end I did have to wait till late morning on Monday before they could operate. When I got to the theatre I was told that the anaesthetist had been called away on an emergency (so I am not even considered as an emergency having been very ill for a week now!) but they could do it under heavy sedation. Which I agreed to. The endoscopist, usually a gastroenterologist (doctor who specializes in the gastrointestinal system), uses a special endoscope (a long, flexible tube with a light and camera at the end) to examine the inside of the digestive system. The endoscopist identifies the place where the bile duct comes into the intestine and then feeds a tiny catheter (a plastic tube) into the duct and squirts in a contrast agent into the bile system and sometimes the pancreas while X-rays are taken. The contrast agent allows the doctors to see the ducts of the bile system, gallbladder, and pancreas on the X-rays. Unbelievable you may think but TRUE. David Sent from my iPad Smudgersmiff

12:21pm Thu 19 Dec 13

nickynoodah says...

ROFL
ROFL nickynoodah

11:19am Fri 20 Dec 13

Dorset Logic says...

Hello all

Sent from my chalk and slate acoustic coupler (300 bps)
Hello all Sent from my chalk and slate acoustic coupler (300 bps) Dorset Logic

1:19am Sat 21 Dec 13

myrgnfriend says...

mumble wrote:
My fathers treatment last year in Ward 25 was appalling, and any of our concerns were dismissed. The lowest had to be, when he hadn't had anything to eat or drink for 5 days and I asked at what stage he would be fed by IV, I was told "There's no point as he won't have a drip at home". He was suffering from the early stages of Vascular Dementia, but was only admitted for observation after hurting his arm in a fall, and was up to that point eating 3 good meals a day and taking himself to the toilet.
We were told by a manager when we expressed concern that he was getting himself to the toilet, and was sat out in a chair every day, but by a nurse that he was put in a nappy immediately upon admission, and hadn't been out of bed at all during his stay. Other concerns were met with ' Don't know, I've only just come on shift'.
Three days in, he'd contracted pneumonia, but was left lying down struggling to breathe, and because nobody had made a basic effort to help him drink, he became unable to swallow. A bloody dressing from his arm sat on his bedside table for 2 days, and when he finally did get iv antibiotics for the pneumonia, the canula wasn't checked for 2 days and had leaked, causing his hand to swell to 3 times it's normal size. The pain must have been unimaginable, but when I told the nurse that the check date on the iv bag was 2 days previously she said she'd just forgotten to update it. Staff shortages may be quoted as an excuse, but there were plenty of nurses about, it was just getting their attention that was difficult, they seemed particularly adept at either not catching your eye at the desk, or passing the buck. I could go on unfortunately, but we got to the point where we didn't believe a single word we were told and to be honest we were disgusted at the uncaring attitude and lack of common sense.
How difficult is it to warn a patient before coming up from behind and jamming a thermometer in their ear?, sitting them up to ease breathing, wheeling a table back within reach of a bed, or making sure a patient is covered decently in time for visiting. It's not rocket science is it? The staff were there, they just didn't care, and that sadly sums up the problem.
As an RGN myself who has worked for RBH for a period of 8months 2 years ago, I find this hospital to be dirty, poorly run and full of nurses with the wrong skills for their directorate, possibly as they get moved between wards to where the major shortages are.

I can't speak for all nurses, but in my experience, this is likely to be one of the reasons why the nurses cannot always instantly discuss the patient/provide an update with the relatives, because they genuinely do not know the answer or even (saddens me to say) the patient, and are working outside of their comfort zone. They however should go and find out the answers for you.

I have experienced many a shift where the staff would try to get you to work without a handover if they were busy. This is unsafe practice. I would refuse to work until I had been provided with a handover. I like to know who my patients are and at the very least, their diagnosis and current treatment.

However in my experience the nurse is then interrupted by many other relatives and asked further questions that they also need to go and find the answer to, on top of doing the oral medications, the IV medications, admit patients, discharge patients, be updated by doctors, be told to do something by a doctor/colleague, double checking a colleague, assisting a doctor/colleague with a bedside procedure, have discussions with physio/occupational health, phlebotomist, social services, etc, answer the telephone, make phone calls, make referrals to community services, take down IV's, stop patients from wandering out of the ward and assisting them safely back to their bed space, pressure area care, reassuring patients/relatives , fill out the reams of forms and pathways, cannulate, catherterise, provide woundcare, toileting, and assisting with personal care and aiding patients to eat/drink, amongst many many more responsibilities . We are only human and have one pair of hands. However we have more than one patient to care for.

On top of this, nurses are now terrified , due to the culture we live in, on discussing in detail cases with families as if appropriate care has not been able to have been given, due to the above list of responsibilities, they do not want to lose their registration, be sued, and then be out of a job. I am not trying to make excuses for inadequate care, I am merely pointing out the numerous shortfalls that do occur due to the disgusting staff shortages.

Also may I point out, we earn £21k per annum before tax, and in this area of the UK, we cannot afford to even own our own home let alone contemplate starting families. On top of this, nurses sacrifice every other weekend not being with their families to work, as well as night shifts, and other unsociable shift patterns such as working over the Christmas period, all because we do actually care about our patients.

They should raise wages, and hire more RGN's and HCA's. That would encourage more individuals to train to become nurses, and also raise moral in the work place when you know you can afford the roof at home over your head.

My fiancé's nan died two years ago at RBH due to inadequate care over the Christmas period. I thank my lucky stars I no longer work for the trust.
[quote][p][bold]mumble[/bold] wrote: My fathers treatment last year in Ward 25 was appalling, and any of our concerns were dismissed. The lowest had to be, when he hadn't had anything to eat or drink for 5 days and I asked at what stage he would be fed by IV, I was told "There's no point as he won't have a drip at home". He was suffering from the early stages of Vascular Dementia, but was only admitted for observation after hurting his arm in a fall, and was up to that point eating 3 good meals a day and taking himself to the toilet. We were told by a manager when we expressed concern that he was getting himself to the toilet, and was sat out in a chair every day, but by a nurse that he was put in a nappy immediately upon admission, and hadn't been out of bed at all during his stay. Other concerns were met with ' Don't know, I've only just come on shift'. Three days in, he'd contracted pneumonia, but was left lying down struggling to breathe, and because nobody had made a basic effort to help him drink, he became unable to swallow. A bloody dressing from his arm sat on his bedside table for 2 days, and when he finally did get iv antibiotics for the pneumonia, the canula wasn't checked for 2 days and had leaked, causing his hand to swell to 3 times it's normal size. The pain must have been unimaginable, but when I told the nurse that the check date on the iv bag was 2 days previously she said she'd just forgotten to update it. Staff shortages may be quoted as an excuse, but there were plenty of nurses about, it was just getting their attention that was difficult, they seemed particularly adept at either not catching your eye at the desk, or passing the buck. I could go on unfortunately, but we got to the point where we didn't believe a single word we were told and to be honest we were disgusted at the uncaring attitude and lack of common sense. How difficult is it to warn a patient before coming up from behind and jamming a thermometer in their ear?, sitting them up to ease breathing, wheeling a table back within reach of a bed, or making sure a patient is covered decently in time for visiting. It's not rocket science is it? The staff were there, they just didn't care, and that sadly sums up the problem.[/p][/quote]As an RGN myself who has worked for RBH for a period of 8months 2 years ago, I find this hospital to be dirty, poorly run and full of nurses with the wrong skills for their directorate, possibly as they get moved between wards to where the major shortages are. I can't speak for all nurses, but in my experience, this is likely to be one of the reasons why the nurses cannot always instantly discuss the patient/provide an update with the relatives, because they genuinely do not know the answer or even (saddens me to say) the patient, and are working outside of their comfort zone. They however should go and find out the answers for you. I have experienced many a shift where the staff would try to get you to work without a handover if they were busy. This is unsafe practice. I would refuse to work until I had been provided with a handover. I like to know who my patients are and at the very least, their diagnosis and current treatment. However in my experience the nurse is then interrupted by many other relatives and asked further questions that they also need to go and find the answer to, on top of doing the oral medications, the IV medications, admit patients, discharge patients, be updated by doctors, be told to do something by a doctor/colleague, double checking a colleague, assisting a doctor/colleague with a bedside procedure, have discussions with physio/occupational health, phlebotomist, social services, etc, answer the telephone, make phone calls, make referrals to community services, take down IV's, stop patients from wandering out of the ward and assisting them safely back to their bed space, pressure area care, reassuring patients/relatives , fill out the reams of forms and pathways, cannulate, catherterise, provide woundcare, toileting, and assisting with personal care and aiding patients to eat/drink, amongst many many more responsibilities . We are only human and have one pair of hands. However we have more than one patient to care for. On top of this, nurses are now terrified , due to the culture we live in, on discussing in detail cases with families as if appropriate care has not been able to have been given, due to the above list of responsibilities, they do not want to lose their registration, be sued, and then be out of a job. I am not trying to make excuses for inadequate care, I am merely pointing out the numerous shortfalls that do occur due to the disgusting staff shortages. Also may I point out, we earn £21k per annum before tax, and in this area of the UK, we cannot afford to even own our own home let alone contemplate starting families. On top of this, nurses sacrifice every other weekend not being with their families to work, as well as night shifts, and other unsociable shift patterns such as working over the Christmas period, all because we do actually care about our patients. They should raise wages, and hire more RGN's and HCA's. That would encourage more individuals to train to become nurses, and also raise moral in the work place when you know you can afford the roof at home over your head. My fiancé's nan died two years ago at RBH due to inadequate care over the Christmas period. I thank my lucky stars I no longer work for the trust. myrgnfriend

12:33pm Sat 21 Dec 13

He Touched So Many...... says...

animagic21 wrote:
We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign.
Had exactly the same thing...all nurses who treat a patient are supposed to give sample signatures on the patient's notes. You've actually been obstructed from making an NMC complaint.
Spottiswood and Dearsley have had a scam running for years....all of the local solicitors were signed up to a business agreement never to sue them, in return for 'free advertising on their business premises' - all of the appointment cards and various information leaflets distributed to in- and out-patients (eg wound care leaflets, appointment cards) advertised the services of a personal injury claims management company. If you suffered an adverse incident, when you contacted them, they made sure you were referred to a solicitor on their 'panel'..who found the appropriate 'experts' ...who misadvised about the likelihood of winning a case against the hospital, and referred you back to the hospital complaints dept (run by Dearsley) when you'd been injured or a relative had even been killed. One firm these sharks allowed to advertise on the premises was ''Asyst Injury Panel' but the overall company involved was 'BOE PUBLISHING LIMITED'..who are registered as a 'supplier of medical information'....the whole thing is a scam, and it was made illegal for such firms to operate since April 2013, by the Legal Aid, Sentencing and Punishment of Offenders Act 2012 . So if anyone has an appointment AFTER April 2013 with this firm on it should report them to the Law Society AND the CQC/Dept. Of Health.

BOE website says ''Throughout BOE’s history, all solicitor firms that advertise on the scheme are vigorously vetted and are restricted (by contract) from pursuing any complaints or claims against the hospital (Trust), in fact they are required to refer the claimant through to the PALS/complaints organisation within the Trust." http://www.boe.uk.co
m/product-fundage.as
p You see how vile this is? The solicitors they refer you to have a con-tract with the hospital never to sue them, but to refer everyone back to Dearsley!!!!! No wonder that lady whose son was brain damaged by this craphole of a hospital had to wait 14 years for a payout for her son....she only got ANY money because she somehow managed to get a solicitor outside the local mafia. We had this sh't from Ellis Jones - and can prove it as they put it in an email to us! Does anyone else know of any other local solicitors involved in this scam? Dearsley is also responsible for liaising with the coroner....so he decides what records the coroner gets to see too....great system isnt' it?
[quote][p][bold]animagic21[/bold] wrote: We had a meeting with Tony Spotswood in 2002 following my mother's death from bowel cancer. She had told us that two nurses had hit her with a towel, telling her to hurry up, when she had her first bath after the initial operation. Despite a very comprehensive description of the nurses, Mr Spotswood told us it was impossible to trace these uncaring people. It is nearly 12 years since my mother died & things are no better. The time has come for Mr. Spotswood to resign.[/p][/quote]Had exactly the same thing...all nurses who treat a patient are supposed to give sample signatures on the patient's notes. You've actually been obstructed from making an NMC complaint. Spottiswood and Dearsley have had a scam running for years....all of the local solicitors were signed up to a business agreement never to sue them, in return for 'free advertising on their business premises' - all of the appointment cards and various information leaflets distributed to in- and out-patients (eg wound care leaflets, appointment cards) advertised the services of a personal injury claims management company. If you suffered an adverse incident, when you contacted them, they made sure you were referred to a solicitor on their 'panel'..who found the appropriate 'experts' ...who misadvised about the likelihood of winning a case against the hospital, and referred you back to the hospital complaints dept (run by Dearsley) when you'd been injured or a relative had even been killed. One firm these sharks allowed to advertise on the premises was ''Asyst Injury Panel' but the overall company involved was 'BOE PUBLISHING LIMITED'..who are registered as a 'supplier of medical information'....the whole thing is a scam, and it was made illegal for such firms to operate since April 2013, by the Legal Aid, Sentencing and Punishment of Offenders Act 2012 . So if anyone has an appointment AFTER April 2013 with this firm on it should report them to the Law Society AND the CQC/Dept. Of Health. BOE website says ''Throughout BOE’s history, all solicitor firms that advertise on the scheme are vigorously vetted and are restricted (by contract) from pursuing any complaints or claims against the hospital (Trust), in fact they are required to refer the claimant through to the PALS/complaints organisation within the Trust." http://www.boe.uk.co m/product-fundage.as p You see how vile this is? The solicitors they refer you to have a con-tract with the hospital never to sue them, but to refer everyone back to Dearsley!!!!! No wonder that lady whose son was brain damaged by this craphole of a hospital had to wait 14 years for a payout for her son....she only got ANY money because she somehow managed to get a solicitor outside the local mafia. We had this sh't from Ellis Jones - and can prove it as they put it in an email to us! Does anyone else know of any other local solicitors involved in this scam? Dearsley is also responsible for liaising with the coroner....so he decides what records the coroner gets to see too....great system isnt' it? He Touched So Many......

9:57pm Sat 21 Dec 13

johnreason says...

So sad to see the royal bournemouth once voted best hospital providing such poor care. The senior management were recently awarded a 10% increase in salary, the nurses were awarded a 1% increase in salary, ancillary workers got 1%. Patients got to lay in soiled beds. It shows what the senior managers at Royal Bournemouth focus upon.
trebles all round in the boardroom no doubt.
Lets hope patient focus is restored by others
So sad to see the royal bournemouth once voted best hospital providing such poor care. The senior management were recently awarded a 10% increase in salary, the nurses were awarded a 1% increase in salary, ancillary workers got 1%. Patients got to lay in soiled beds. It shows what the senior managers at Royal Bournemouth focus upon. trebles all round in the boardroom no doubt. Lets hope patient focus is restored by others johnreason

4:20am Sun 22 Dec 13

rbchbentashell says...

TheDistrict wrote:
RBH has been like this, going back to 1998 when my father was admitted after a heart attack. He was deaf, and his hearing aid was removed because of the equipment being used. He had trouble communicating with staff, but it was up to us to supply a writing pad and pen for the staff to write down what they wanted of him, but he complained that they did not use it. He was also treated with undue care and attention, and on at least two occasions he had passed urine, and was so distraught at this and trying to make contact with staff. Sadly he passed away a week or so later. Again in 2002, my mother was admitted to RBH suffering from a stroke. Her care and treatment from the outset was appauling. She was left on an open gurny, which she fell off, she passed urine on a number of occasions and staff were sat at their desk oblivious to what was going on until me and my wife arrived. She was so distraught, unable to speak, yet nothing or non one cared or was with her. When in the AAU Ward, she was not cared for, notes were not kept up to date, or falsley inputted. It was left to me and my family to care for her, resulting in one of us staying over night to ensure she was cared for. When my mother passed away, we reported in detail every thing to the Trust, a meeting was held, but a well planned meeting, a well rehearsed meeting. Files were brought up to date, records showed inputs that were not there when she passed away. Even the Sister of the Ward, who was not present over that weekend, insisted that everything was carried out correctly and in accordance with the hospital premise. I called her a liar, as I did the nursiing manager, and indeed the CEO. Eventually we had a written apology which meant nothing. Probably a filed copy kept for such events, and then signed. God help anyone admitted to RBH. Yes sach Mr. Spotwood, and many of the other executive staff. All a waste of money, which could be used elsewhere.
They have been using the liverpool care pathway in that hole of a place since 2006 and not putting it on medical records. the lies they told us about our mum were utterly disgusting...I agree all they do in a complaints meeting is lie....all our mums files had been filled in by magic afterwards as what they did was manslaughter...she was misdiagnosed with 'cancer' which she simply did not have. Those drugs kill...all they said to us was 'can we make her comfy' by what are called the 'end of life care team'..we said no but she said we are going to act in her best interests..which is illegal! Since when has giving someone who is not in pain or breathless, and not remotely anxious a syringe driver of combined diamorphine, midazolam and cyclizine been anything other than reckless prescribing and manslaughter? Its the same drugs that were used to kill alll those non terminally ill bed blockers at the Gosport War Memorial Hospital. We have met 3 other families locally of elderly dementia patients who were also put on this without consent in their 'best interests' though they only went in for urinary tract infections and the like....they are disgusting ..they have an answer for everything and its fairly obvious what they are doing is gettign their workloads down in the community by tricking the elderly into accepting end of life /palliative care only, these creatures! Most of them are treatable , but they are lied to about the chance of a treatment being successful, lied to about the chances of resuscitation being successful, lied to about their fitness for certain high cost operations, and their relatives are lied to after they die. And the managers are perfectly happy with the situation continuing as it means they no longer have to pick up the bill for their care. Someone made a comment about the intensive care unit being OK...you try and get in there if you are over 70! I see the surgeons in some departments have already let their waiting list times go over the time limits so theycan refer patients to a 'friend' who gets paid a private fee to treat you...that is the culture in that place ...money money money! I hope Spottiswood and Dearsley the two faced complaints manage have need of their own services soon and pick up the CDiff they gave to several vulnerable elderly patients in 2010 and killed them with by bullying staff into using disposable feed tubes to save money! Pigs, the entire rotten lot of them!
[quote][p][bold]TheDistrict[/bold] wrote: RBH has been like this, going back to 1998 when my father was admitted after a heart attack. He was deaf, and his hearing aid was removed because of the equipment being used. He had trouble communicating with staff, but it was up to us to supply a writing pad and pen for the staff to write down what they wanted of him, but he complained that they did not use it. He was also treated with undue care and attention, and on at least two occasions he had passed urine, and was so distraught at this and trying to make contact with staff. Sadly he passed away a week or so later. Again in 2002, my mother was admitted to RBH suffering from a stroke. Her care and treatment from the outset was appauling. She was left on an open gurny, which she fell off, she passed urine on a number of occasions and staff were sat at their desk oblivious to what was going on until me and my wife arrived. She was so distraught, unable to speak, yet nothing or non one cared or was with her. When in the AAU Ward, she was not cared for, notes were not kept up to date, or falsley inputted. It was left to me and my family to care for her, resulting in one of us staying over night to ensure she was cared for. When my mother passed away, we reported in detail every thing to the Trust, a meeting was held, but a well planned meeting, a well rehearsed meeting. Files were brought up to date, records showed inputs that were not there when she passed away. Even the Sister of the Ward, who was not present over that weekend, insisted that everything was carried out correctly and in accordance with the hospital premise. I called her a liar, as I did the nursiing manager, and indeed the CEO. Eventually we had a written apology which meant nothing. Probably a filed copy kept for such events, and then signed. God help anyone admitted to RBH. Yes sach Mr. Spotwood, and many of the other executive staff. All a waste of money, which could be used elsewhere.[/p][/quote]They have been using the liverpool care pathway in that hole of a place since 2006 and not putting it on medical records. the lies they told us about our mum were utterly disgusting...I agree all they do in a complaints meeting is lie....all our mums files had been filled in by magic afterwards as what they did was manslaughter...she was misdiagnosed with 'cancer' which she simply did not have. Those drugs kill...all they said to us was 'can we make her comfy' by what are called the 'end of life care team'..we said no but she said we are going to act in her best interests..which is illegal! Since when has giving someone who is not in pain or breathless, and not remotely anxious a syringe driver of combined diamorphine, midazolam and cyclizine been anything other than reckless prescribing and manslaughter? Its the same drugs that were used to kill alll those non terminally ill bed blockers at the Gosport War Memorial Hospital. We have met 3 other families locally of elderly dementia patients who were also put on this without consent in their 'best interests' though they only went in for urinary tract infections and the like....they are disgusting ..they have an answer for everything and its fairly obvious what they are doing is gettign their workloads down in the community by tricking the elderly into accepting end of life /palliative care only, these creatures! Most of them are treatable , but they are lied to about the chance of a treatment being successful, lied to about the chances of resuscitation being successful, lied to about their fitness for certain high cost operations, and their relatives are lied to after they die. And the managers are perfectly happy with the situation continuing as it means they no longer have to pick up the bill for their care. Someone made a comment about the intensive care unit being OK...you try and get in there if you are over 70! I see the surgeons in some departments have already let their waiting list times go over the time limits so theycan refer patients to a 'friend' who gets paid a private fee to treat you...that is the culture in that place ...money money money! I hope Spottiswood and Dearsley the two faced complaints manage have need of their own services soon and pick up the CDiff they gave to several vulnerable elderly patients in 2010 and killed them with by bullying staff into using disposable feed tubes to save money! Pigs, the entire rotten lot of them! rbchbentashell

4:26am Sun 22 Dec 13

rbchbentashell says...

Hessenford wrote:
One of my friends who works at RBH has told me today that the staff had hourly meetings yesterday conducted by the management namely Stuart Hunter and Richard Renault, the meeting was a self congratulating speech and completely opposite that of the CQC report although they were informed that there were areas that needed improving.
At the meeting my friend attended the staff were told that local and national press may visit the hospital the next day, the staff were also advised that they shouldn't talk to the press, obviously the management don't want any members of staff dropping the Trust into the s**t any further.
you should report this to the Care Quality Commission...when they do their inspections they interview staff..we know someone who has a friend who works there, and we were told he makes sure they only speak to the 'tame' ones. The online form is here...http://www.cq
c.org.uk/directory/r
bd44#providertabs-1 We're sure Messrs Dearsley, Renault and Spottiswood use it to give themselves an excellent rating at the CQC! Is everything they do there faked?
[quote][p][bold]Hessenford[/bold] wrote: One of my friends who works at RBH has told me today that the staff had hourly meetings yesterday conducted by the management namely Stuart Hunter and Richard Renault, the meeting was a self congratulating speech and completely opposite that of the CQC report although they were informed that there were areas that needed improving. At the meeting my friend attended the staff were told that local and national press may visit the hospital the next day, the staff were also advised that they shouldn't talk to the press, obviously the management don't want any members of staff dropping the Trust into the s**t any further.[/p][/quote]you should report this to the Care Quality Commission...when they do their inspections they interview staff..we know someone who has a friend who works there, and we were told he makes sure they only speak to the 'tame' ones. The online form is here...http://www.cq c.org.uk/directory/r bd44#providertabs-1 We're sure Messrs Dearsley, Renault and Spottiswood use it to give themselves an excellent rating at the CQC! Is everything they do there faked? rbchbentashell

10:55pm Wed 1 Jan 14

rbchbentashell says...

see old stitchbury got a gong ....amazing...runs police into the ground, then presides over this as governer...picks up £50K a year and gets a gong!
see old stitchbury got a gong ....amazing...runs police into the ground, then presides over this as governer...picks up £50K a year and gets a gong! rbchbentashell

11:01pm Wed 1 Jan 14

rbchbentashell says...

rbchbentashell wrote:
see old stitchbury got a gong ....amazing...runs police into the ground, then presides over this as governer...picks up £50K a year and gets a gong!
take it back...its the other one! Better luck next year ....
[quote][p][bold]rbchbentashell[/bold] wrote: see old stitchbury got a gong ....amazing...runs police into the ground, then presides over this as governer...picks up £50K a year and gets a gong![/p][/quote]take it back...its the other one! Better luck next year .... rbchbentashell

6:12pm Fri 10 Jan 14

Tifa2014 says...

The treatment of my grand father last Christmas was appalling. Although he was due to come home, he was in for a gall stone,he didn't. We spent a majority of our time trying to explain that something was not right with him, for weeks. He had neither Alzheimer's nor dementia but they didn't listen. One nurse firstly told me that they hadn't read his notes and the proceeded to tell me my grandfather had Alzheimer's !!! HE DIDNT !!! And when they did eventually listen, they said that they didn't know anything and that they thought " he was always like that " He was left , in the very upsetting state he was in, with several infections ( which was causing the confusion and was not being treated for these infections) we were absolutely fuming. He was due to come home and developed Pneumonia and wasn't being treated properly at all. We had 2The Call " the day before he was due to come home. There was no understanding of his health despite being told from me and his family repeatedly. Not once did we have an apology, just the " we don't know what happened " I have every admiration for out nurses and doctors but you can not mess with peoples lives.
For all of you out there that have had bad experiences, my thoughts are with you .
The treatment of my grand father last Christmas was appalling. Although he was due to come home, he was in for a gall stone,he didn't. We spent a majority of our time trying to explain that something was not right with him, for weeks. He had neither Alzheimer's nor dementia but they didn't listen. One nurse firstly told me that they hadn't read his notes and the proceeded to tell me my grandfather had Alzheimer's !!! HE DIDNT !!! And when they did eventually listen, they said that they didn't know anything and that they thought " he was always like that " He was left , in the very upsetting state he was in, with several infections ( which was causing the confusion and was not being treated for these infections) we were absolutely fuming. He was due to come home and developed Pneumonia and wasn't being treated properly at all. We had 2The Call " the day before he was due to come home. There was no understanding of his health despite being told from me and his family repeatedly. Not once did we have an apology, just the " we don't know what happened " I have every admiration for out nurses and doctors but you can not mess with peoples lives. For all of you out there that have had bad experiences, my thoughts are with you . Tifa2014

12:23am Sat 11 Jan 14

Len Brock says...

Well! well! well! and this has happened once again, since the CQC Inspections that took place before last Christmas .The CEO of Royal Bournemouth Hospital - Mr Spotswood, says he won't resign, and that too was before last Christmas. He says that improvements have been made and yet once again for the numerous times that the staff will be re-trained .It just goes to prove that his words are not worth the paper they are printed on, just words to try to clear his lack of commitment to the Care of the Public of Bournemouth Area's that the RBH is responsible for.
Well! well! well! and this has happened once again, since the CQC Inspections that took place before last Christmas .The CEO of Royal Bournemouth Hospital - Mr Spotswood, says he won't resign, and that too was before last Christmas. He says that improvements have been made and yet once again for the numerous times that the staff will be re-trained .It just goes to prove that his words are not worth the paper they are printed on, just words to try to clear his lack of commitment to the Care of the Public of Bournemouth Area's that the RBH is responsible for. Len Brock

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