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07/04/2013 at 15:14
I got J up from a nap earlier and he felt really hot, so I took his temperature, 40.1c. Panicked slightly, gave him a dose of Calpol and stripped him off to nappy, and called 111 to see if I needed to take him in to be looked at or just monitor it. Spoke to a non-nurse who asked some questions and said a clinician would call me back shortly. Finished the call, took J's temp again as had been 15 mins since the Calpol, down, but only to 39.8, so still really worried. Gradually over the next hour it dropped to 36.4, J cheered up a bit (though he's still not a happy bean) and he had a bf and some lunch, so I was no longer hugely worried. 2 1/4 hrs after I initially called I get my call back, and they advised keeping an eye on him, checking temp periodically, and calling back if he went downhill and I was worried or his temp went higher again. I really think that taking 2 hours to call back when a 9 month old has a temp of 40.1 is very poor. And advising I call back if he goes downhill again- er, no, if I'm worried I don't think I'll be twiddling my thumbs for 2 hours again, I'll take him into a&e! Not impressed.
07/04/2013 at 15:44
I was put through to them, when my GP surgery was shut for training.
I didn't actually need them, as I was only phoning for an appointment, but the lady was very helpful, and insisted on talking to me incase she could help at all.
Waiting 2 hours for a call back is very poor though.
07/04/2013 at 16:23
They prioritise returning calls based on clinical need, the fact that they didn't return the call for 2 hrs would indicate to me that there really wasn't much to worry about. A temp of 40.1 doesn't seem particularly dramatic to me, especially given it did come down with calpol.
07/04/2013 at 16:42
I agree with JB.
Also if you're really concerned call your local drs surgery and the voicemail will give you the OOH drs number which is different to nhs direct / 111
I find local OOH quicker to respond.
But again, a temp of 40.1 isn't too high if its coming down with Calpol, would be different if medicating wasn't changing the temp and it was rising.
07/04/2013 at 16:59
Our OOH has been replaced by 111. We had this with Ben a couple of weeks ago. His temperature was raised and he projectile vomited. Given that he was 12 weeks at the time, I was expecting a call back pretty quickly. It took them over 2.5 hrs to call back, by which time we were in A & E and B ended up being admitted for 3 days. So I'm with you on the not being impressed!
07/04/2013 at 17:01
My area has had 111 for a few years now. I have used it a few times and always been given advice over the phone there and then (never had to wait to be called back). Have always been happy with the service.
07/04/2013 at 17:04
Fair enough. I thought above 40 was high when they're fairly young still - the nhs website advises contacting the doctor at that temp. And at the point they didn't return the call they didn't know it had come down, hadn't asked what action I'd taken or whether I'd medicated, just told me I'd get a call back shortly, so his temp could have still been high or rising. I know the nhs is cash strapped and can't deal with everything instantly, and I know I'm probably still in the paranoid new mother category, but I do think 2 hrs is a long time to be waiting.
07/04/2013 at 18:55
I think 2 hours+ is pretty poor and I don't think you were paranoid to call for a temp of over 40. I would do the same and S is 3 in July.
I also find our OOH really helpful and fast to respond.
07/04/2013 at 19:03
We did this afternoon as my 5 month old has caught the vomiting bug her sister's had. Must have took between 2 to 3 hrs to be called back, told to keep giving her her milk, but to dilute it and take to the drs in the morning if worried. I thought it was a long wait, but I guess they presume that if we're more concerned we'd take them to A&E. I'd presumed that you'd speak to a nurse straight away, but guess it's cheaper to employ someone to answer the phone, take notes and get a nurse to phone back when they're available. I won't be using them again if I'm more concerned than just needing basic advice.
07/04/2013 at 19:12
We were in a&e today for 3.5 hours but when we left they said it had gone up to a 5 hour wait so the phone system is far quicker!
(1.5 hours before we even saw the triage nurse)
07/04/2013 at 19:16
I don't rate them, they tell everyone to go to a&e , its meant to reduce a&e workload of inappropriate attenders but because they work if scripts and flow charts then a lot more gets sent to a&e, its not been hugely advertised because they want to iron out all the issues first iyswim.
A temp of 40.1, in an otherwise well child (ie alert, coming down with calpol and drinking and wetting nappies) then I think their advice is right to keep a close eye and medicate and then go to ur own gp in the morning If still concerned
07/04/2013 at 19:18
Also I'd assume that if he had a temp if 40.1 and it was rising despite calpol I don't think anyone would wait for the call back, I'd assume they'd take the child to a&e
07/04/2013 at 19:41
His temperature has stayed normal this afternoon, but he's had a huge vomit of all of his dinner just before bed. Poor little sausage. I've given him his normal pre-bed breastfeed, put him down to sleep on his side, and will keep a close eye on him over the evening. I'm not sure if he's got a bug, or the sickness is just due to him having a bad cold and being full of snot and mucus. Either way he's not a happy little chap. It's horrid when your little ones are poorly.
@CP I'd vaguely heard that there was a new number, but it's what came up when I googled nhs direct. Sounds like its not really working all round if patients feel like they're getting a worse service and a&e are more overloaded than before.
07/04/2013 at 19:47
I'm not sure how it's any different to NHS direct, this 111 system? I'd have called with a temp like that too so i don't think you are being paranoid. Always better check than not.
Our OOH service is good, i've only used it once and it was for me not P. I assume it's not been taken over by the 111 thing but i'm not sure.
07/04/2013 at 19:53
Ar 111 is taking over nhs direct over the next year or so
07/04/2013 at 19:58
That's what i thought, i just assumed it was same system with a different number. So i couldn't work out the fuss in media etc and wondered if i was missing something different with it.
07/04/2013 at 20:05
I think with nhs direct you spoke straight to someone with medical training, whereas with the 111 you speak to a call handler with no medical training and a script, then according to what the computer says either they advise a&e, tell you no action's necessary, or get a nurse to call you back. As I understand it anyway.
07/04/2013 at 21:24
Last time I called NHS direct it was someone with a script (who insisted on asking me questions I'd already said the answers to), then a nurse called back so I think that's the same.
I've only had good experiences with NHS direct though really (I sound like I've called them all the time, I don't honest!).
I do think anyone calling about a baby should be phoned back ASAP really but that would depend on resources.
08/04/2013 at 00:55
O I don't agree marmite, I feel callers should be prioritised and those requiring immediate attention are dealt with straight away. I don't think children need to be dealt with immediately (barring things like unconsciounsess, shortness of breath, huge blood loss, etc), when there could be an adult who is short of breath and unable to speak iyswim. Iirc I think target wise there is a quicker call back response to children under 5 though,
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