Done with knives, it's chemical warfare now....

2 minute read time.

Going in for first BCG treatment tomorrow. Had two "mechanical" removal sessions , or TRBTs as they're known, last year, and now it's time to get chemical....

I don't have any major qualms about the treatment or the procedure to administer it, but am rather spitting teeth over the administrative incompetence I have encountered along the way. I'm a fairly determined , coherent , articulate chap (even if I say so myself), and I've spent a whole month trying to track down the particular specialist nurse who, I had been told, would be contacting me to schedule this treatment "in early January".

After about 15-20 phone calls, over 5 weeks, to 2 different hospitals, goodness knows how many departments, and umpteen staff (some were at least polite, if not exactly effective..though the standard of English spoken by many hospital staff in London is frighteningly poor - if people aren't dying over misunderstandings amongst London hospital staff , I'd be very surprised..), I managed to weedle out the nurse's mobile phone number, called her and she knew nothing of my situation (February 5th), despite having a letter written by my supervising doctor on the 17th December (only got posted on the 7th January!!!) asking her to schedule me for treatment.

Goodness knows what would (or would not) happen if I was a meek and mild soul, who didn't want to make a fuss ! I'd probably still be waiting next Christmas.

I appreciate that workloads can be high, and some staff can be stretched, but where it impacts on patient care, and delays are artificially introduced, there's something far wrong with the system.

I work in a commercial business, and I'd be sacked if I said "I'm so busy that I haven't got round to reading my letters and emails from the past 4 weeks....".

Someone's going to get a rocket at the end of this.

In terms of actual care on wards, operating theatres etc, I've been pleasantly surprised by most aspects of NHS care at the coal face (Haven't touched the thing in 25 years....) but in terms of admin and organisation, I think that quite a few of the staff would be sacked within days in the outside world, for lethargic attitude, poor procedures, and appaling customer service.

I've realised that despite one or two notable exceptions, pretty much no-one inside the NHS is actively promoting my treatment, so I have to do that myself, constantly chasing who has sent what to who, what results have come back, when the next phase of treatment can begin etc.....

Good job I'm not ill !

Anonymous
  • FormerMember
    FormerMember

    Sadly you are not alone in having problems with NHS.  Admin staff just do not understand that when you have any form of cancer time is of the essense.  Have you coplaned to your the hospitals concerned, or your funding PCT?  I feel another Macmillan campaign comming on

    Best wishes for a speedy resolution, hope you get your treatment asap

    Daffie

  • FormerMember
    FormerMember

    As someone who works in Admin at our local hospital, it is upsetting to hear that you've had such a bad experience. I work at a hospital that is well aware of the target times for cancer patients. When I was working (been off since June 09) I attended a weekly meeting to discuss cancer patients and their pathway to ensure that they were seen when they should be and to highlight any forseeable difficulties in fitting patients into clinics because they have been cancelled or reduced (usually because of consultant/registrar holidays, bank holidays etc). This information enabled the manager of each specialty to arrange additional clinic(s) or an additional doctor to attend a clinic. I'm not saying that there are never hiccups, there are. For the service to work effectively, it requires the cooperation of consultants and registrars, and sadly not all consultants/registrars are coopertive, that is uinless, and I'm going to be controversial here, there is a very big bonus for them! It certainly pays to be a pest if you feel you have been forgotten, but as you said, there are people who don't like to make a fuss, and sadly they are the ones to suffer.

    Angela x

  • FormerMember
    FormerMember

    Hi

    I stay in Glasgow and I cannot fault the hospital one bit with regards to my appointment dates.  I got my dates for my first 6 BCG treatments within a week of seeing my consultant.  I was given the date of my cystoscopy at the last of my BCG treatments and also the dates of my next 3 BCG treatments.  After my last cystoscopy I now have the dates of my next 3 BCG treatments.  After reading about our delay I am glad I stay in Glasgow and not London.  Hope you get on alright with your treatment.  Take care Carol

  • FormerMember
    FormerMember

    Dear Kiltyboy

    I have often, recently, had reason to be very sorry for those who are 'meek and mild souls' who do not 'make a fuss.'  From our experience, cancer treatment in the UK so patchy and, for some cancers, if you are not really well informed, or not confident enough (or well enough!) to ask questions, to ask for second opinions, to chase people up, you will slip off the priority 'radar'.  It is, sadly a case of 'middle class' sharp elbows, prodding the system into action.   I have found the whole thing deeply depressing.

    My heart really does go out to those who do not have the strength themselves, or the support from others, to

    'chase up' their treatment.  

    I wish you the very, very best of luck.  I hope you have rattled their cages enough to get the treatment you deserve.

    PS I am in the North of Scotland.  I wish we were in Glasgow as far as treatment is concerned - much better, I suspect!