'She was terrified of the very people who should have been there to care for her'

Isabella Bailey was admitted to mid Stafford hospital with a hiatus hernia. During her hospital stay her family became so concerned about standards of care on ward 11 they decided to keep watch over her 24 hours a day.

Isabella Bailey was admitted to mid Stafford hospital with a hiatus hernia. During her hospital stay her family became so concerned about standards of care on ward 11 they decided to keep watch over her 24 hours a day.

Isabella’s daughter, Julie Bailey has written about her mother’s stay in hospital and what happened to other patients on ward 11. Her book “From Ward to Whitehall” is a horrific personal account of neglect and abuse.  

Reading it I found myself underlining, turning over page corners and sadly recognising some of things nurses do when they stop seeing the person in the bed.

These quotes give some insight into the scale of the problem:

On ward culture

“Each day there is unkindness because there are so many uncaring staff on this ward, the negativity feeding off itself and multiplying.”

On caring for confused patients

“Nurse Ratchet has moved Mavis, she has had a mattress placed in the corridor opposite the nurses’ station. Every time she gets out of bed she shouts at her, ‘Get back into bed!’ you can hear her hollering all the way down the corridor.”

Feeling safe

“Every time a nurse came near her, she was terrified, terrified of the very people who should have been there to care for her.. .when the staff came near her she would dig her nails into my hand in fear.”

On raising concerns

“If you contact management you’ll just get us into trouble and that won’t help anybody,” she [nurse] tells me.

Hydration

“The woman in the isolation room wasn’t the only patient I saw drinking out of the flower vases that were piled up along the main corridor.”

On nutrition

“Sitting watching them [patients] claw at their food was heartbreaking… The ward was so starved of staff it was impossible to manage a ward and care for all those patients.”

On personal care

“Without further ado the bowl is emptied and Mavis hasn’t had a wash since at least Thursday, despite being covered in faeces. I’m surprised as they must have smelt her, as we have all weekend.”

On communication

“You rarely get eye contact with any of the staff, they could just walk straight past you, without any form of acknowledgement. You can stand at the nurses’ station for minutes without any of the staff even raising their eyes.”

On good nurses

“20% of the staff are lovely, absolute gems in this uncaring environment. Their presence can light up a room… I realise that their presence calms the ward, even the confused patients are less agitated when they are on duty, they respond to their kindness. The problem is because there are three different shifts a day and very few caring staff, a kind word is rare.”

So tomorrow the Francis report is published.  This inquiry happened because patients suffered and died due to lack of care in a health system that no longer saw care as its primary function. As a profession we have to gather the strength and confidence to ensure this never happens again – and ensure that patients and their families can feel confident when they are admitted into our care.

safeandsound | 15-Feb-2013 8:37 AM

When my mother was in a North London Hospital I realised after a number of mishaps that the only way she was going to be properly cared for was if I was there 24/7. No mean feat so while I was at work I paid for somebody to sit by her bed so if she wanted water it could be given, if she wanted to go to the toilet she wouldnt have soil the bed, and when food arrived it could be given to her before it was stone cold. At one point my mother had a fall when neither the carer or I was there. I was appalled and complained. When I said I was going to stay all night by her bedside the hospital assured me they would have somebody sit with her during the night. When I arrived in the morning the nurse said "your mother has had a fnatastic night - she hasn't stirred all night" of course not she was in a coma!!! She died 3 weeks later

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Anonymous | 15-Feb-2013 10:03 AM

I left NHS and work in the private sector because was always shortage of staff owing to staff sickness. This happened often when the ward is busy and staff would ring in the night before to say that they are sick and unable to come in to work the next day. In the private sector, all patients are referred as clients and they have every right to complain if they are not happy with their care. Although I have to work longer hours, less annual leaves and no NHS pension I am happy and enjoy my work and delivering care to my patients as there is a high morale and staff do not often goes off sick. Maybe this is what is lacking in the NHS as it is free every body took it for granted.

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