Premature baby at Queen’s Hospital

I had a baby prematurely at Queens hospital in romford. During labour, most of the staff were nice, minus one who was rude. I was seen very quicky and assessed and was let into a private room where they tried to stop my labour while i could have steroids to help develop my babies lungs. The midwife there at the time was great, however my mother said (i didnt really remember much myself) she almost dropped my placenta on the floor :S. I was treated pretty well, however i did notice as i came in that triage was full of women, in labour on the floor, the place seemed really disorganised. Also when i asked for toast i was given bread :S

Also at another interval i had to come back for my post natal check, previously i was discharged, although my little boy was still in hospital at the time. They put me in a room with lots of mothers with their new borns, kept me waiting for ages and with a dvd showing child birth and how important it was to bond with your newborn. Not something which was very nice to watch when you had to be seperated from your baby. I had to stay for my check, but i didnt go back for my 2nd. I think staff should consider the feelings of patients like myself more.

The majority of the staff in the NICU were very nice, minus a few. The first rude staff member i encountered was when i saw my son for the first time. We were discussing milk expression, i wanted to know how long you could keep it for and it was a lot to take in on the first day of being a mum to a premie, so i asked i doctor for further advice and he was happy to oblige, although the nurse wasnt happy and said to the doctor “i already told her what she was meant to do” and i can honestly say i left that place feeling rubbish. However that incident was topped by an incident where a member of staff was extremely rude to me, accusing me of not changing my child nappy and “paying more attention to his mouth care” which led to me bursting into tears and my mother and her having a heated row in the NICU. Also there was another nurse there would not take my son out of his incubator so i could feed him. She came over held him up in the incubator put the bottle in and when he was done she layed him back down a shut the door. There were also occasions when i came in to see my son and he had no clothes on, even though his drawer was full of clothes. There was also occasions when nappies were being taken from his drawer and my partner and i resorted to having to count them all.All the other nurses there however, were lovely and they couldnt do enough, however i believe some members of staff I met let the caring nurses down.

Since, my boy has being doing really well. He was transferred to King George, Goodmayes, which i preferred. In my opinion it was a more relaxed atmosphere. At the time there, i kept getting lots of colds, but the nurses told me not to worry, to ring in for his progress and hope i felt better soon.

My experience at Queens was mixed, my opinion however was that the kind staff out weighed the bad ones. I felt they let the others down. From my experience I also think there needs to be major improvements regarding triage, as I found it quite disorganised.


The excellent care afforded to my daughter-in-law and grandson

My daughter-in-law was pregnant with her first child and was so excited about the prospects of becoming a first time mother. Unfortunately things did not go as the text book described and both my son and daughter in law were extremely distressed. The staff on the ante-natal ward and then in Labour ward were excellent. Everything was explained to them at each of the stages. The medical team and the nursing team gave reassurance and inspite of my daughter-in-laws insistance on having a normal birth she was advised it would be safer to consent to having the baby by caesarean section. Following the birth both mother and baby received the required intensive treatment leading to their discharge eight days later. My thanks go out to the Maternity team staff and the Infection Control Team and Microbiology staff for so swiftly acting on what could have been a very different outcome.

Not content with being the star of the show in the Maternity Unit the baby was readmitted to the Childrens Unit where the staff again gave my son and his wife the support and care they needed along with the excellent care afforded to their baby. Again thank you seems a very small thing to say when faced with such a daunting situation.

I must thank also the Car Parking Team who provided my son with a Car Parking permit available whenever patients relatives are faced with long term visiting. Thank you for your excellent support


Good labour care, but felt let down afterwards

I gave birth to my son at Worcester Royal Hospital in July via forceps delivery. I was 41 weeks pregnant exactly and my labour was induced as I had become increasingly worried about reduced movements even though looking back on it I am pretty sure he would have been absolutely fine to stay inside me until he was ready!

I had been anxious the whole of the pregnancy as he was an ICSI baby (Intracytoplasmic sperm injection) due to my husbands low sperm count and some issues with myself.

After The BMI The Priory Fertility Clinic told us we were pregnant I had some bleeding for a few days and ended up in Worcester Royal Hospital in a lot of pain. The Lavender gynae ward where I stayed looked after me really well that night although I had to wait a really long time to see a Doctor.

I then had some other small bleeds during the first trimester and due to this was referred twice to the early pregnancy unit for scans at 6 weeks and 8 weeks. I found this unit extremely helpful and reassuring as when I was concerned I could just phone up and they would book me in for a scan.

During the labour itself I found the staff on the delivery suite were fantastic and for the most part reassuring. I had an epidural which didn’t really work that well and due to the extra fluids I was given because of the epidural I swelled up and baby couldn’t come out after 1.5 hours of pushing. I was then taken to the surgery room and given a spinal block as they said I would need a c-section. At this point I was terrified of having a c-section and frustrated that after getting to 10cm dilated on my own that I would need surgery. I just wanted everything to be ok and luckily they were able to get my son out with forceps. I had an episiotomy and was sewn up quickly and the surgeon did a fantastic job of sewing me back up.

I had to have antibiotics during labour as I had heard about Group B Strep causing illness in newborns delivered vaginally so I got myself tested during the end of my pregnancy which came back positive. I wonder now whether I really needed the antibiotics and if they did more harm than good?

Worcester Hospital was let down by the care in the post natal ward. After my baby was born I couldn’t really move and was disoriented by all the drugs. As my husband was told to go home at 10pm (he was exhausted anyway!) I felt alone and confused and nobody was really around to check I was ok.

One of the nurses made me feel really stupid because my baby was crying and I didn’t know why. I asked to be discharged the next day as I figured I would get more support at home than in the hospital and it is a shame that I felt like that.

It was far too early for me to be going home and I struggled at home since then until I developed post-natal psychosis 3 months after my boy was born. I am recovering well now and know that in time I will be myself again. Throughout all this our son has been just fine and a wonderful bundle of joy which makes everything worthwhile!

I just wanted to write my account of the treatment I received in hospital so the staff can understand how I felt about it.

Cat Lover

Diabetic/Ante-natal care at Heart of England NHS Foundation Trust

I have been a diabetic for 13 years and have recently fell pregnant with my second child. As with my first pregnancy I was prepared for the extra care and appointments that go along with my condition and pregnancy.

Having being booked in at 5/40, I was attending regular appointments and had regular contact with the diabetic specialist doctors, nurses and midwives. Unfortunately I have found this more of a hindrance than a help.

My ongoing care regarding my diabetes is usually done at my GP surgery by a specialist nurse. The care and advice given is consistent and really helped me control my historically erratic BMs.

Since attending the ante-natal clinic I was told by a diabetic nurse that my own nurse’s advice was incorrect and to change my insulin doses. I was then seen by a doctor who then confirmed that what I had been told all along was good advice. The follow up call was then from a different nurse, only to be told completely different advice again. I have now been seen/called by at least 6 different doctors/nurses and have been given conflicting advice every single time.

I have found this extremely stressful at a time where stress is the last thing I need, and only now being 8/40, I have taken the decision to discharge myself from the joint clinic and to have my care by the nurse at my GP surgery, as I have explained to the head consultant that the care I have received so far is unacceptable and fear is putting myself and baby at risk.

Solihull Diabetic Mum

Care of my wife during the birth of my first child

I would like to place on record my appreciation and thanks for the care and attention shown to my wife, my newborn baby son and myself during her time under the maternity unit of Walsall Manor Hospital. Her care has been first class, from the first scan through to her discharge from the unit.

As first time parents to be, you naturally have lots of questions, and neither I or my wife were ever made to feel silly about asking them. As her pregnancy was classified as ‘high risk’, this meant that my wife had several scans, as well as fairly regular visits to consultants clinics. I was delighted about this, as it meant that both my wife and the baby were being checked regularly, and I tried to be present at as many of the ante-natal appointments as possible. All of the staff at these, from the sonographers to the nurses were great. I would particularly like to mention the sonographer Santosh, who scanned my wife twice and was very reassuring, giving us lots of useful information.

The main experience then came in early February 2013, and after my wife was experiencing reduced movements on the Friday, we visited the Maternity Triage, where my wife was monitored for around an hour. The doctor wasn’t concerned by the results, but wasn’t thrilled either, so we were asked to return the next morning.

As this was the second time at Triage for us with reduced movements, the doctors decided to go ahead and book us in for induction of the baby on the Sunday, since the pregnancy was also 4 days over full term. We duly returned on the Saturday, and my wife was then monitored again, and the readings were still a little inconclusive, so we returned that afternoon. It was at that point, after a time being further monitored, that the staff decided to admit my wife, and begin the induction process that evening, rather than waiting for the Sunday.

I went home on the evening, and had a message from my wife telling me her waters had broken of their own accord in the early hours of Sunday morning. When I arrived in the morning, she was then put back on the monitor, but it was clear that the midwives weren’t too happy with how things were progressing.

My wife was then moved quickly to a private delivery suite, and Jo, her main midwife then took over full care of my wife. Jo was absolutely amazing all day, and barely left her side. There were fairly regular visits from the midwife team leaders, who popped in from time to time to check on progress. Myself and my wife’s mother were also given tea and coffee, which I tried to offer money for, but they wouldn’t let me pay!

The baby’s heartbeat was still causing some concern, and the monitor said that the beats were quite high. Eventually, this evened out a bit, and the baby became more settled, so Jo decided to start the drip to bring on contractions. She was also able to help with a different way of monitoring the baby, attaching a monitor to the top of his head which meant that she no longer had to wear the belt monitor. This was useful to assist with the pains of contractions.

My wife was experiencing a lot of discomfort, so Jo was able to advise us of the options for pain relief, and after trying the gas and air, my wife opted for the epidural. The anaesthetist on call, Mr Qasi was promptly along once my wife had decided to go for this, and was extremely efficient in administering the procedure. The epidural was very helpful, and began to ease the pains of contractions.

A short time later, the monitor was showing that the baby’s heart rate was dipping, and this was prompting some concerns over the amount of oxygen he was getting in the womb. The doctor (Dr Morse) decided to test the baby’s levels by taking a small amount of blood from the top of his head – despite this test being quite uncomfortable, it was carried out quickly and carefully.

The test results had come back borderline, and the doctors then realised that the baby was showing some small signs of fetal distress.

A very rapid decision was then made to take my wife straight to the operating theatre for an emergency Caesarean Section. This was of course very scary for me, however after we had attended an ante-natal class a few months previously, I knew what the procedure involved.

Within seconds, there were staff swarming into the room, ensuring she was prepared for the operation. I was so impressed with the cool manner with which they went about their work, and it was clearly a well drilled set of plans, executed with superb timing. There was no longer than a 10 minute gap between us being told about the section, and my wife being wheeled away. This was naturally a very upsetting and worrying time for me, but a member of staff asked me if I was going to come in, (I said yes without hesitation!) showed me to a room and asked me to get changed into some scrubs.

It was at this point that I had my single only thing which I thought could have been handled slightly better.

Once my wife had been taken to theatre, her mother and I then had to move her bags from the delivery suite to the recovery room, where she would be brought straight after the operation. Her mother was her second birthing partner, alongside me, and was told to sit in recovery with me whilst I waited to be shown in. Just before I went in, she was unceremoniously asked to leave in case she spread infection. I can understand this, and neither of us would have wanted my wife to contract anything, however her mother was beside herself with worry for both her daughter and the baby, and maybe a small room where she could have sat outside of the recovery room would have been a better place to have asked her to go. In the event, her mother ended up outside the unit, and since I was in theatre, she had no way of knowing what was happening. This is the only thing which I would suggest could be improved, in situations where there is more than one birthing partner.

I was eventually shown into the operating theatre, and this was cleverly done so that I was unable to see behind the sheet that had been put in front of my wife’s chest. I was allowed to sit with her, and the same anaesthetist, Mr Qasi who had done the epidural, was also with us. The doctors then worked fairly quietly, as I tried my best to keep my very anxious wife calm (and myself!). All of a sudden, Mr Qasi said “moment of truth” and then about 3 seconds later, our beautiful baby boy was lifted up and shown to us over the top of the sheet. He was taken over to the far side, and then we heard him cry for the first time, which was a very special moment. Jo was then able to hand my son over to me and I held him for the first time.

She was transferred firstly to recovery, where she was given toast and a cup of tea, and kindly a little blue bobble hat for the baby that looked as if it was hand knitted. Jo then finished her shift, so we thanked her gratefully for everything. She was a marvellous comfort to us all, keeping us informed at all stages of the labour. I wish to place on record my personal thanks to her for keeping both my wife and baby safe and me calm throughout that traumatic day.

We were then transferred to the Foxglove ward at the hospital, and her post-natal care commenced, under the excellent supervision of the staff on the ward. All of the midwives who we saw were amazing, and all of the advice and support I was given as a new dad was fabulous.

It was also the small touches: helping me make up the first feed bottle; letting me stay longer over the regular visiting hours because my wife was the only person in the 4 bed room on the first night of him being born; moving her into a lovely private room with her own TV; finding me a fold out bed and letting me stay overnight in the room on the second night; checking on us regularly and making sure we were all okay.

It was all amazing, and we met so many staff, it is hard to thank them all without forgetting someone – so I will simply say that the staff on Foxglove that we met were all simply wonderful. Thank you all.

The other people I wanted to mention were the student midwives, who were always around during the days and nights we spent. As a teacher of many years, I am also a mentor of student teachers, and I know the time and effort that it takes to mentor someone and help them to become the kind of professional that you wish them to be. The mentoring and training that was evident throughout the time I was there was fabulous, and the students all seemed very clued up and knowledgeable, a clear sign of a good mentor.

I feel that teaching and hospital training programmes could have a lot to offer one another – we all mentor students towards a career in the public services, and despite the two jobs being incredibly different, there seem to be a number of ways in which the mentoring process is very similar.

I would recommend the care that we were given at Walsall Manor Hospital to anyone, and if you are having your child there any time soon, you will meet a fabulous and dedicated team of staff – you have given my family a great start to our new life. Thank you!


Brilliant ante/post natal care at LGI…

Everybody has a tale to tell about their birth experiences but when it comes to reviews, the bad ones always stick. Even I was guilty of checking out reviews for the LGI and to be honest, it didn’t look good and at one stage, I considered changing to Pontefract. But I need not have worried.

I was under community led care up until I developed the initial symptoms of pre-eclampsia. By 35 weeks I was totally at the mercy of the Ante Natal Day Care Unit, with thrice weekly checks for blood pressure fetal heart monitoring., 24 hour urine tests and blood tests. By 37 weeks, it was obvious that pre-eclampsia was setting in with a vengeance so they decided to keep me in on that day and induce. When I look back now, I can’t thank them enough for this decision.

I was initially taken to ward 57 where the friendly midwives welcomed me and gave me a quick tour of the facilities. Even the student midwives were knowledgeable and helpful. After I was induced, the staff monitored me closely, and again after the birth the delivery suite staff were aware of PE and blood pressure checks and blood tests were undertaken whilst they were caring for my son who was only 5lb (due to the pre-eclampsia). The whole time, I was informed of what they were doing, why and was told what would happen from then on. The care was excellent.

I’ve read some negative reviews of Ward 56. I don’t agree. Having stayed on the post natal ward for 5 days, I have to say that they were fantastic and I look back on my time there fondly. My stay was necessitated through my son being so small, feeding not being established enough and my own pre eclampsia symptoms.

The feeding problem was taken seriously by all the midwives and I couldn’t have received better support. Each midwife helped me with their words of encouragement, tips and practical support. I especially have to give thanks to Shirley, Agnes, Claire, Hugh and Georgina. Their perseverance gave me the strength to carry on feeding through some very teary times!!

I saw many women come and go on the ward, some within hours of giving birth. But my lengthy stay on the ward gave me the chance to tap into specialist knowledge and support that I wouldn’t have recieved had I gone home within 24 hours (which was my initial plan). And as a result, by the time I got home, I was very relaxed about having a baby at home and knew what I was doing, which is a considerably different story to some of my friends who got home and didn’t know what the hell to do!!

Ladies, the LGI is a very supportive place to give birth. Enter the experience positively, utilise the midwives experience wisely and if you talk to the midwives and ask them questions, I guarantee that they will help you to the ends of the earth. It’s what they love to do!

Enjoy the experience.


They attended to all my needs

Our beautiful baby girl was born at Queens Hospital, Maternity Unit, Romford recently. For a busy hospital, all the staff were fantastic. They attended to all my needs, my delivery midwife was amazing and the attention that was given from Triage to Post-Natal was second to none.

Due to all the bad press I was nervous about this hospital, however I would like to say that I feel that with so many births at this hospital, only complaints get reported.


Smiles all round

I had my ante natal care there, and gave birth there in May 2012. The care for both my son and I was lovely, and this is a massively good service which would be a loss to the wider community if it were to be closed.

Other BSBV Hospitals I doubt have the capacity to cope with the number of births St Helier deal with. To summarise, smiles all round. The only thing that could have been better is to let Mummies to be know about booking ante natal classes at their booking in appointment.


Poor aftercare at Queens Hospital Maternity Unit

I have a story about the Maternity Unit at Queens Hospital in Romford Essex. I have been unfortunate enough to have been subjected to bad experiences twice in 2 years now at Queens.

In 2008 I had my first child by emergency C-section. I was planning a nice calm home water birth, but my waters broke and no labour progressed, so I presented at Queens hospital in Romford, as my baby was at risk of infection.

I was induced twice with peccaries. Then I was left in an out-patients waiting room full of expectant mothers for 20 minutes in my nightwear and in labour whilst I awaited a scan to see how much water was around my baby. I felt this was embarrassing for myself, my husband and the awaiting out-patients. There was no fluid around the baby.

I endured an excruciating 14 hour labour before the medical staff realised that my pelvis was too small to deliver. From what I understand the reason that they thought I was ok to deliver was because my feet were a size 5! My baby nearly died during this time.

During the labour I was given 2 Epidurals. I begged for hours for the first Epidural which when finally administered, was inserted incorrectly, my leg shot up in the air involuntary and the pain never went away. Both my husband and I were scared as we knew that this was a dangerous situation. The anaesthetist seemed to be panicking, they shouted at me and left the room quickly. Even though I communicated that the epidural was not working to medical staff many times, lt was left that way for 4 hours before being corrected. I was in extreme agony and was being internally examined on a regular basis.

Then a male student came and asked to observe. My husband told him strongly that he could not. I was astonished that in such a sensitive situation I would be asked if I could have spectators. My husband tracked down the anaesthetist and found him taking casually with a nurse, he had strong words, which was when he made a reappearance.

The second time, the Epidural was inserted correctly. I was given a drip to induce again when I was fully dilated, as my baby would not descend. My baby’s heart-rate dropped and I signed a form for an emergency C-Section. During the operation, I was conscious. I was violently sick over the scrub nurse, as she told me that I was not going to vomit and did not get a bowl in time. I was aware that my blood pressure was dropping, as I was losing a lot of blood. I could hear a panicked conversation by the surgical staff. All I could worry about was whether my baby was alive. After my daughter was taken out, (she was ok), I started to feel pain, which was getting worse. My uterus was on the outside of my body as I had lost a lot of blood. I knew this, as one of the surgical staff had told me. This was terrifying to know, as I was feeling the pain worse and worse. My husband and I were both panicking. I felt my husband was mislead to get him out of the operating theatre by hospital staff. I finished off on gas and air as I was put back together and stitched up.

During my stay I felt I received atrocious after care from the midwives. I was actually insulted by one of them. I felt she scolded me for asking for painkillers and for trying to talk about my ordeal. The midwife told me that I was not the only woman to have a C-Section and that I was not the only one that needed painkillers. She also made a comment about my husband which disturbed me. I told her that my husband had skin to skin contact with my daughter. She told me that was only for the mother and asked me if my husband had undressed my daughter. I felt like she was accusing him of something.

I had trouble breastfeeding due to the distress and discomfort. The breastfeeding midwife merely pushed my daughter to my breast again and again until my daughter and I were both crying. I asked her to stop, she kept trying, and after this method was not working she left us alone. (I managed to breastfeed when I got home with the help tot my community midwife).

I complained to PALS but I felt fobbed off.

My daughter had a dent on her head when she was born where she was pushing against my pelvis bone due to the violent contractions caused by being induced. This evened out with breastfeeding. She has had no further problems. I had nightmares for a while about the surgery. I felt quite depressed for a while and suffered mild sciatica, which I managed with hot baths and over the counter pharmacy medications.

I had another child in January 2010 by Elective C-section. My son was so big that I nearly went into spontaneous labour twice before my C-section date. My local midwife told me to rest for 2 months before my due date, as there was a danger of going into labour. I suffered pelvic pain and abdominal pain and could not bear to lie down, so I slept in a chair for the last 2 months of my pregnancy which was very uncomfortable. I was told by a Junior Doctor at the antenatal clinic in the Hospital that I would probably be considered for a Vaginal birth after caesarean (VBAC) if I presented in labour. This caused me considerable distress. Then my actual consultant wanted to bring the date of the operation forward by 1 week because of the risk of going into labour before the operation date, but the Maternity Matron would not fit me in. I was taken into a side room to calm down as I was crying in view of other patients.

I luckily was able to hold onto my baby until the date of the operation. On the day, my bloods were lost 3 times, delaying the op further. 2 other patients went before me, I was supposed to be the first of the morning. I had an Epidural and Spinal. The surgery was fine, but my back spasmed violently afterwards. I was in considerable pain and was only given pracetamol. When I asked a midwife for something stronger, she told me I had a low pain threshold. When I saw the doctor he gave me codine. I felt that I, again, received bad aftercare from the midwives who treated me during my stay. On one occasion I was felt bullied by a member of staff was and physically pulled out of bed to empty my catheter bag in the toilet. I was not ready to walk and was awaiting my dose of painkillers. As this was against my will, this to my mind amounts to assault. I told her that I was not ready, but she made me do it by physically pulling me out of bed and across the room. She told me she had to do this due to guidelines.

I got the impression that the hospital was short staffed, another patient and I tried to help each other when we could. I was left with blood and urine in my bed for 24 hours. (My catheter leaked twice from staff failure to empty even though I communicated that this needed doing and my maternity pad was not changed).

One night there was only 1 midwife on duty, between 8 C-section patients. She told us that we had to do everything for ourselves, as she was the only one there. Luckily the dayshift midwife had not gone home yet. I spoke to her about this and told her that I was not happy. She made some phone calls and got 2 agency nurses for us. Despite this, I still felt neglected at times, as there was an emergency that night.

I could not feed my baby or even pick him up as my back was spasming and I could not risk dropping him. The nurses would not help as they were too busy. Another patient limped over and handed my son to me. He was crying because he was hungry. I tried to breastfeed him, but I could not due to pain and stress, so he had to go hungry. I comforted him and slept with him in my bed until morning. (I managed to breastfeed when I got home, but only for 2 weeks as the distress affected my milk flow).

I complained again to PALS in 2010 about my second stay at Maternity, but again I felt fobbed off.

My local Paper Romford Recorder did a short but fair article on it. It does not contain as much detail as I have given in this summary. I have copies of my letters of complaints and the letters that I received back from Queens Hospital.

I now have suffered from severe sciatica since the birth of my second child. I also have continuous backache. I believe that the incorrectly administered epidural in 2008 left me with sciatica and the further spinal and epidural in 2010 aggravated the problem further. I will receive Physio Therapy and I get prescribed strong painkillers, (which leave me drowsy at times). The sciatica is unpredictable and I dread it as it is more severe every time. It goes from my lower back, through my buttock, leg, ankle and foot, leaving the left side of my foot and toes numb. It lasts for around 2 weeks. This renders me unable to walk when it is at its worse and I can only lie down.

I also suffer from depression, partly post-natal and partly to do with a build up of pressures over the past 2 years. I was even depressed during my second pregnancy. I believe that the way that I was treated in hospital at both births in 2008 and 2010 has very strongly contributed to my depression. I have anxiety. I am prescribed Prozac for the depression and Diazapam for the anxiety. The diazapam also works for my back. I am on a waiting list for counseling. Thankfully, I have a very good GP, whom I hold in high regard. .

At my son’s 8 week check with my GP it was noticed that my son’s movements were jerky, shaky and he seemed to be very random in his movements. He was under a peadiatrian for a few months. I was worried that he had been born with brain damage due to the stress during the pregnancy, as the problem seemed to be neurological. He eventually caught up and his motor movements are absolutely normal now. I believe that he was probably born stressed out, as studies have shown that the stress hormone cortisan can cross the placenta if the levels are high and consistant. He is also now believed to suffer from asthma. I have asthma medications for him and he will receive blood tests. I am now reducing his dairy intake to see if that makes a difference. He is under the vigilant care of my GP and a peadiatrician.. I will always wonder if the fact that I could not breastfeed my son due to stress has contributed to this and also the fact that I suffered considerable stress during my pregnancy with him.


Atmosphere is just so much better

The NHS Treatment Centre is so much better than outpatients clinic at the old QMC. The nurses are better, smarter, friendlier and the atmosphere is just so much better. Everyone is always helpful in the gastro department. The IBD nurses are always prompt, clear and always helpful. The consultant care can’t be faulted. Dr. Browning’s manner is the best in the whole hospital!