Specialist nurse

Hello,

I have a relative who has had massive (genuinely, surgeon said they had never done a surgery that big) abdominal surgery for cancer at the specialist centre in Leeds.

Their care so far has been atrocious:

- cancer missed for over a year by GPs and local hospital

- initial treatment locally (radiotherapy and surgery)

- surgery not correct so cancer left in lymph nodes, which the team labelled as 'inflammatory nodes'

- recurrence missed for 6 months by GPs and cancer team who kept pretending nodes weren't cancer

- further radiotherapy and chemotherapy for recurrence

- eventually referred to Leeds, who said radical surgery should have been done earlier

- sepsis after discharge from Leeds surgery, admitted locally and never scanned despite recent surgery. 'getting better' on antibiotics, so no care where infection was

- sepsis again and finally scanned- abdominal infection found

Throughout all of this, we (family) have telephoned and telephoned every department repeatedly- GPs, surgical teams, oncology teams, local teams, Leeds etc etc

Every time we have known there is something going on, we just could not get anyone to listen or take us seriously or look at his history and join up the dots.

They desperately need a specialist nurse to coordinate care and be a point of contact for when they are sick, so we can get the right help and actually be taken seriously.

The local hospital they are 'officially' under does not have specialist nurses for colorectal (the cancer in question).

Is there any way at all in the UK to get assigned a nurse who can be a unified point of contact, and to escalate and get interventions when there are signs of deterioration?

  • Hi Bumpkin_humpkin and thank you for your post.

    I’m sorry to learn about your relative’s situation. It sounds like it has been very hard on you all. I appreciate that your family has been through so much.

    In the UK, some cancer patients have a Clinical Nurse Specialist (CNS) who acts as a key worker and main point of contact.

    Unfortunately, not every hospital has specialist nurses.

    While there isn't a national scheme that guarantees every patient a dedicated nurse coordinator,

    it is reasonable to ask who is responsible for coordinating your relative's care and who should be contacted when they become unwell.

    It may be worth asking the hospital specialist, or cancer team whether your relative can be assigned a key worker who could help coordinate care and act as a point of contact when concerns arise.

    If your relative is under a specialist centre such as Leeds, it may also help to ask whether they can remain in contact with that specialist team for advice when new problems develop, especially after major surgery.

    If you have not yet done so, it may be helpful to contact the hospital's Patient Advice and Liaison Service (PALS): (PALS) and voice your concerns.

    You could try contacting the Patients Association for support and advice. They campaign for better care and services for patients.

    Please get back to us if you need any more information or support

    It might help to talk things through with one of our nurses on the helpline. You can call for free on 0808 800 4040, Monday to Friday, 9am to 5pm.

    I hope your relatives has a more uneventful time going forward.

    I hope this information has been helpful.

    Kind regards

    Tina