1/5
One of the most appalling examples of NHS GP service ever encountered.
Booking a double-appointment to deal with multiple long-standing disabilities was impossible due to the practise policy of ‘one very rapid appointment for one very specific complaint’.
I have recently transferred to the surgery with several established conditions pre-diagnosed several years ago; practice associate clinician was immediately eager to ‘revoke’ and investigate an established diagnosis of a longstanding severe disability to be ‘reassessed from scratch’ on the grounds he had not seen a case of this diagnosed musculoskeletal condition in over 25 years, to the point where he was required to attempt to rediagnose me via Google as to the symptoms of Suprascapular Nerve Palsy (already established elsewhere by NMSK Specialists in Cardiff over two years ago).
This Associate Practitioner - who refused to clarify his status as a qualified MD - made it clear he had not encountered such a condition and therefore would refute any diagnosis by a more experienced or more senior professional. He was made aware of the fact that the condition causes total paralysis of the associated limb alongside severe (level 10+) pain alongside total parasthesia of the associated radial/ulnar nerves and loss of function of the right hand: his attitude toward all of this is that this very longstanding condition is best treated very conservatively with mild exercise via gentle physiotherapy: it is very apparent that, with the exception of this afflicted shoulder, I am of more than average physical strength, with decades of experience of rowing at Oxford, associated physical training, and a general predilection to attend the gym for intensive resistance training (now inhibited by this condition.)
I find the service grotesquely negligent and as if I have reverted over two years in my medical care by having faith in entrusting my healthcare to HeartOfBath; while I considered NHS Wales to be clinically and educationally substandard, I am inconceivably disappointed to now discover that the NHS in England vis a vis a low-traffic surgery in an affluent area of Bath seems incapable of meeting even the lowest conceivable standards of healthcare. Clearly, the standard of medical training in England is of even lower quality.
I have further appointments for longstanding and excruciating musculoskeletal issues, mental health issues relating to domestic abuse, and other poorly-addressed issues; the St James’s Surgery/Heart of Bath policies are clear that no clinical interest exists in quality patient care or in booking appropriate appointments with any degree of urgency.
Overall, my initial impression of Heart of Bath/St James’ Surgery is that it exists as a paradigm of the concept of ‘unfit for purpose’ - the premises, and its practitioners, would serve the community far better as a convenience store than a medical practice, and I greatly expect to see the premises functioning better as a late-night Co-Op within the next three years.