Yet, in a fragmented system, a gap remains. We need a bridge.
What about those who are delivering "Care Packages" in the Community? The Community Nurse, and even Doctors, may be aware that neglect/ abuse is taking place, but be unable to do anything about it, as it is in the hands of another body.
This causes the "blinkered effect" as I call it. Unable to remedy the situation, they view themselves as liable only for the care they provide for their patients - not the care that is lacking.
As such, although much may be seen and experienced, little will be reported. I would love to hear of anybody bold enough to report an incidence of neglect in the Community - to whom was it reported, and what was the response, if any?
To Anonymous 21/6/
This last comment is a sad reflection on the state of Nursing today, compared to what used to be -when there were training hospitals.
But there may be a piece on that coming up - demonstrating the difference in mindset then. An intrinsic function of a training hospital was to ensure its nurses were supported and educated in patient care. It was a holistic process - and empathy was essential.
The competition for providing superior care was real: to be able to demonstrate your nursing skills as superior to the girl trained elsewhere, drove up standards. So a comment such as "The patients don't get dirty in bed" was unheard of!
I can only say that once upon a time, I could never have written such stories, and that, once upon a time, the patient was central - at the very core of everything we did.
Linda Jane McLean