This blog post was written after reading the report on the review of the quality of care at Aberdeen Royal Infirmary. I was both shocked and saddened to read this report:
In reading this report I was struck by how often staff mentioned the word “disconnect”:
Entry 9.24 of the report seems to capture the disconnect, with words used like “disengagement” and “detached”. It also raises the experience of frontline staff where concerns were “not being satisfactorily addressed” or “being met with silence”:
This report left me reflecting on my recent experience as an NHS doctor working in Scotland. I have two examples of such “disconnect”.
The first example consists of replies from a very senior NHS manager. This communication related to my considerations about care for the elderly whilst in hospital:
Sent: 16 January 2014
[my secretary] has helpfully jogged my memory and I must apologise. I dropped the ball having received your correspondence whilst out of the country in December ….and never caught up fully!
Date: 2 July 2014
I am out of the country for the next week and there will be a delay in responding to your email. If your message is urgent please contact my secretary
Date: 2 October 2014
I am at a conference for the next few days. If your message is urgent please contact my secretary
Date: 9 October 2014
I will be out of the office [dates redacted] If your message is urgent please contact my secretary
My experience is that this “disconnect” is not new. Here is a very short film that I made over a year ago: