Getting help when nobody seems to care

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Hi All

i have read a couple of posts this morning and many more in the past that indicate that people are not getting the help and support from NHS services in a timely manner for distressing symptoms.

At the start of our PCa journey , although my husband was symptom free, we experienced delay after delay in getting timely appointments for the various diagnostic tests and the results. So, I know how frustrating and upsetting it is when the NHS simply is not there for us when we need it.

we do, of course, have various channels we can go through - PALS, GP , MP , advocacy services, Healthwatch, CQC ( you can complain directly to the CQC I believe) , letters of complaint to CEO's,  media etc etc etc. But - they don’t really seem to get us far.

From our own experience - the activity that worked the best for us was to keep a diary of every contact made with anybody connected with the NHS and the prostate cancer service delivery. For each and every contact I recorded exactly what was said, the name of the person we spoke to and direct telephone contact details. I found a lovely lady in the hospital urology services management office who actually took ownership of our problem. She chased everything up for me and really helped. If you stumble across somebody like this - cherish them! In a service that is not meeting its obligations, these people are few and far between but they do go the extra mile. I learned that we literally had to monitor our own pathway and be politely but firmly assertive and state, ‘on such and such date you promised… and this has not happened, why not? Etc etc

i have come to realise that the NHS  focuses very much on science and statistics and very little on the psychology of illness . But this disregard of the psychology seems to extend to a complete ignorance of how much of a burden cancer, its treatment and the physical and mental side of things impacts those who love the patient - spouses, partners, family members etc. 

I do hope that everyone here manages to navigate through a complex system to get the help needed for themselves or their loved ones but I am wondering whether there is anything that MacMillan can do for patients who are continually bounced around the system with little attention to or resolution of their problems? 

  • Hello  

    What a cracking and informative post - that's just what I did. I kept everyone's details telephone numbers, e-mail address and what they did and yes it did come in useful.

    I am aware Macmillan are trying to improve the cancer journey for patients but it's not easy. On a personal front off the Community I am involved in a project called "The Lived Experience" where people like me and you who have "been there - got the T Shirt" try and advise folk, through our own journey how to advocate for themselves and to ensure they get the correct and timely treatment.

    The big issue is nothing is "joined up". The NHS App only works in England and that's once you have asked for full access to your medical records. Different NHS Trusts use apps such as "My Chart" and "Patient Knows Best". Not every Health Authority offers every treatment (Brachytherapy isn't offered everywhere), The NICE Guidelines to advise people of after/side effects of treatments are ignored and the effects on partners/family etc are never taken into account.

    I will say - this Community fills many of the gaps left by the NHS and the support all of the Community members bring with their collective knowledge from thrir personal journey is immense - so thank you again to everyone who contributes even one post. It all helps.

    If only everything was perfect.

    Thank you for bring this up - it's something we all have to deal with and as you say, the mental and physical stress of a cancer journey impacts us all.

    Kind Regards - Brian.

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  • Excellent post, thank you. I’ve just shared with friends who are struggling with this but it’s not a diagnosis of cancer - indeed the trouble is they haven’t been able to pinpoint what is wrong and have been pushed from pillar to post in the NHS. I think your advice is helpful for all sorts of conditions and illnesses, with co-morbidity, that cross departments and expertises.

  • Morning  

    thank you for this post . You have hit it all on the head. At time of diagnosis nobody is interested in science or stats. I found exactly the same and my beloved just sat and took it . I on the other hand wanted to know the real bits and what they were going to do. 

    this past 20 months have been hard physically & emotionally for us both . But are thankful he is still here . 

    I think in many areas of NHS they actually don’t see the human element as this was proven when they are so matter of fact. When I pulled up our Oncologist on our third visit . It made him take a step back and now we find him more approachable. I kinda get it due to the work I did BUT no excuse. 

    the support on here is so important to us and we thank you for being there when we need it 

    hugest hugs tk you all 

    Liz & OH xx

  • Hello  , that is a superb post hitting so many 'nails' on the head.

    Like you I found that face to face with a member of the appointments staff resolved the delay in obtaining a date for the start of my RT when numerous telephone conversations had met bland responses.  See my profile for details.

    On the subject of complaints procedures. As a result of an A&E visit when the member of staff who should have seen me couldn't be bothered to ask for me by name in the waiting area. I made a complaint via PALS which resulted in the hospital taking almost two years to offer a very half hearted apology!

    Administration -- Hospital records which had to be photocopied and sent to me as hard copy. Scans that they didn't even know how to send to me, I had to suggest that they put them on a USB memory device and even then the first time I received an anonymised version which I had to point out could have been anyone's.

    Waste -- yesterday, in one envelope I received my copy of a report and reminder for my next PSA test. These letters are sent digitally to a private mailing company 125 miles away who post them to patients. BUT the hospital creates the blood test form which is sent to me in another envelope direct from them. Both of these arrived with me in the same post, one with a separate sheet of paper telling me that the report had been sent to my GP electronically. You couldn't make it up!

    Message to everyone, be proactive, positive and above all polite and don't feel guilty for pressing your own personal case. 

    Rod

  • Hello Rod

    i have two big concerns. What happens to the people who can’t be proactive and assertive and have no one to act on their behalf? And - how much does all this need to be proactive seriously undermine physical and mental wellbeing at some of the most vulnerable times in our lives?

  • Hello  you do have a very valid point there but here on this forum we can only do our best to support those who come forward to us. It is for those both part of the Macmillan organisation and beyond to pressure the NHS, GPs and other support organisations to offer help to those who need it.
    In defence of my local GP network I was contacted by their cancer care coordinator and out of politeness met her at my GPs practice. At that meeting I was made aware of various support options that she could offer. As it happens I felt quite able to pursue things myself, and had to! That contact was rather late in my journey but perhaps due to me changing GP practices in the period.

    Rod