As it says on the tin...

A couple of things to share today... 


First of all, this blog is called 'Mother's Pride'.  Designed to reflect the story of a fit and relatively healthy 71 year old (I'll be on the naughty step again for bringing age up), I've got something to share today at the other end of the spectrum. 
http://www.itv.com/wales/major-presures-affecting-welsh-special-baby-care-units16845/
I know the mother of the two girls in this news feature, and only want to say 'Happy Birthday... 2 years of happiness for everyone who knows you'. 


In other news, Mum's had the second cataract done.  She'd had double vision after the first, because she was seeing out of an eye for the first time in decades.  She was told not to worry as this would go when the second eye was done.  


Second eye done.  She took the patch off later that day, but still the double vision was there.  Worrying.  But of course, a week later it's getting back to normal and she's back in the car.  For such a cheap procedure, it is one which brings stunning results.  Except Mum says she looks in the mirror and sees an 'old lady'.  But I bet she wouldn't swap the years of fuzzy vision for what she's got now - the ability to see colours and a determined skip in her very independent step.  And anyway, as all her friends say, they look old too. 


She's off on a cruise to see the Norwegian fjords this summer... that's not something she could have appreciated 6 weeks ago. 


Finally for today... take a listen to this from Radio 4's Today programme this morning http://news.bbc.co.uk/today/hi/today/newsid_9511000/9511417.stm

If there's anything which should make you sit up and listen if you have any thoughts of ever having to look at care for older people, it's this. 


I'm wondering if Southern Cross is the Northern Rock of the care sector. 

Yesssss

Well, the day of the procedure arrived.  Neither of thought it would actually happen, but at about 3pm yesterday, Mum had her first cataract sorted. 
She reports that the consultant was 'lovely', but he hadn't seen a cataract as thick as hers in the last ten years - 'it was like granite', apparently. 
This morning she went back to the clinic to have the patch removed and a quick cornea check.  
She was told to get there for 9.45am.  
She hadn't been seen by 11am, because there was a staff meeting taking place when she arrived.  You'd think they'd have had that in the diary yesterday afternoon. 

I wish I'd been there, because when the patch came off, Mum discovered she now has more sight in that eye than she's had since she was about 8 years old (it's always been a lazy eye).  
That is just wonderful.  

10 days to go until the other eye is sorted.  
There's a note on her notes which says, 'DO NOT CANCEL'.  
Yes, we approve of that.  
But it makes you wonder how many other people could be cancelled that day. 

I hope to find out the answer to that question, and others, when this is all done and dusted.  
I'm compiling a list of questions for a Freedom of Information request about the level of cancellations, postponements etc.  

But for now, I'm going to smile a lot and think about what it must be like to get your sight back in just one eye after such a long time.

You're Terribly Unlucky...

For the past month my life has been ordinary.  No headline news stories to shout from the roof tops. 

Life has just trundled on as normal.  And it’s been the same for my 71-year old mother.  We’ve been comparing notes on what’s doing well in the garden, and well, not much more than that.  Humdrum.  Mundane, even.

Except she’s been waiting for her cataracts to be sorted out. 

There are plenty of charities which carry out cataract procedures across the developing world and a glance at any of their websites shows it’s something which costs less than £20 to carry out if I’d like to make a donation.

We’re not talking about titanium hip replacements with hours of intricate surgery to treat a cataract.  It’s a couple of hours’ visit to a day surgery in a hospital, 24 hours wearing a patch, a month of eye drops, avoid wind and dust for a couple of weeks, avoid bending down, and don’t drive for a week.  Bob’s your uncle, you’ve got clear, colourful sight once more.

When I told friends that Mum had to have them sorted out, it seemed like a rite of passage for anyone over 70, and was healthily dismissed as a chore akin to putting the washing on the line.

The appointment for Eye Number One (ENO) was impending.  Given that she lives on her own, I arranged to take leave and go home for a few days.  She had the ‘pre-flight check’ phone call from the hospital.  The next day, another phone call.  ENO postponed.  Someone with greater need.  These things happen, and if I had a detached retina I’d want to be bumped up the list, too.  New appointment given – ENO was now being done on the day of Eye Number Two (ENT), and ENT pushed back. 

New arrangements were made for lifts to and from hospital.  This time I couldn't  take leave as work load just wouldn't allow. 

The day comes.  Arrangements for texts to be made to me when it’s all over and she’s back home.  The start of her day is thus: 8am: safe arrival at hospital.  Drops are put in.  Forehead is marked with an ‘X’ to ensure correct eye is treated.  She sits down, reads her book, and makes polite conversation with other cataractees in the queue.   An hour later, a text.  ‘It’s cancelled.  The machine’s broken.’  She's sent home without any mention of when it’ll be done again.

So I phone admissions, and am told by Mary the Admissions’ Coordinator she’ll be seen ‘as soon as possible’.  I ask what ‘as soon as possible’ means.  ‘Within 28 days’, says Mary.  I point out ENT is due to be done within that time.  Mary puts her hand over phone, there's a rustle of papers, and muffled voices.  ‘Well, seeing as you’re the first to call, she can come in next Monday, subject to the machine being mended’. 

The next day Mum phones the hospital to double-check on arrangements.  Yes, next Monday is fine.  Half an hour later, the hospital rings again.  Mary tells Mum it’ll have to be next Wednesday, as there’s another more pressing case for Monday. 

‘You’ve had terribly bad luck’, says Mary. 

Really, Mary?  Maybe your employers haven’t shared the annual strategic plan for your own hospital with you.  Search for it online.  I did.  And came across these two relevant bits:

"Increase operating capacity for cataract surgery to bring service into line with referrals demand and continue to provide assurance that we will meet our 18 week referral to treatment targets."

And this:

"It has become clear, however, that there are a number of opportunities to further improve our services – in particular by focussing on the way in which we manage patients through our systems. There are too many repeat visits for investigation, too many delays in surgery, too many cancellations of outpatient appointments and operations."

It’s the end of May.  Almost halfway through the ‘strategic’ plan year.  You’d have thought they might have made a bit of headway addressing these objectives.  On the plan there’s no mention of when they’ll have achieved all this, how they’re going to do it and how they’ll measure success.  Those boxes on the document are left blank.

Oh, how we try to laugh and shrug our shoulders.  We think that if we had £3,000 for ENO to be sorted in a private hospital by the same consultant, it could all be done by teatime tomorrow.  Oh, and £193 for another initial consultation as her notes can’t be transferred from the NHS.  Notes which were good enough to brief the same consultant on the NHS. 

So, £3,193 for the procedure for ENO in a private hospital.  But, remember, if you want to donate to a charity to do work on cataracts overseas, then it’s £20.

By chance, I come across this article http://www.dailymail.co.uk/debate/article-1388958/NHS-reforms-I-dont-know-whats-wrong-wonky-eye.html  So I now know that there are others encountering the same frustrations, and the Daily Mail's Tom Utley feels the same way as we do when you have 'terribly bad luck' with The System. 

I don’t think Mum has had ‘terribly bad luck’, Mary.  I think this is what we’ve got to look forward to for the next 20 or 30 years.  A couple of decades of low level, unsatisfying encounters with The System which don’t merit a headline but which are happening to hundreds, if not thousands of people all over England every week. 

The sum total of my mum’s medical encounters in the past decade has been to have a knee washed out, have her cholesterol watched and her cataracts sorted.  She’s healthy, she has an active life, she uses the internet, she thinks the Eurovision Song Contest has had its day, and she balks at paying ‘ten shillings for a first class stamp’.

Her encounter with the hospital clearly isn’t unusual.  Each case on its own is hardly headline news.  It’s not even worth making a call to a local radio phone-in.  But taken as a whole, every day across England there are probably far too many people like Mary telling people like my mum that they’ve had ‘terribly bad luck’. 

And isn’t this what we’ve got to wake up to?  An ageing population, still working, still able, still mobile, still sociable, but without a decent environment and systems able to cope with it all?

Currently everyone in Mum’s village is on stand by for  Wednesday.  She’s got to go and get a week’s food ready (legislating for a week off the roads), she’s got to find people available to take her to hospital and pick her up.  I’ve got to see if I could get to her house if there was a hiccup, and still juggle work.  All low-level stuff, but annoying and multiplied across the country it’s a huge waste of time, effort and resources. 

I have no manifesto for putting it right. I’m just sitting up and starting to smell the coffee.  This is our life for the next couple of decades, at least.