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"Pediatrics Audiology Referral Ignored and Dismissed"

About: Goldfields Health

(as a parent/guardian),

My child was referred by their GP at 3yo in May last year to have a hearing test done at Kalgoorlie Outpatients Audiology Clinic. This was completed with no concerns reported by the audiologist. My child is now 4yo and in the year since their audiology test my child has still continued to experience issues with their ears and hearing. I revisited our GP a few months ago because as mentioned, my child still showed issues with their hearing and tells me multiple times a day that they can't hear me despite being right next to them and my child asks me to repeat myself multiple times. Considering my concerns, my GP referred us once again to the audiologist.

Fast forward to recently, I realise that we are still waiting to hear about an appointment for my child, so I go back to our GP who resends the referral and encourages me to follow up. My first attempts to contact the specialist I was unable to get hold of anyone after a couple of phone calls, so left a voicemail in the end which was returned a few days later. I missed the call, phoned back and got the Pediatrics team who said I needed to speak to outpatients. I was transferred to a quite rude staff member in outpatients who I felt barely let me speak and informed me I needed pediatrics. I let them know I'd just come from there and I felt they rudely told me well they couldn't help. I ended up hanging up whilst on hold, as I was tending to my children and couldn't wait.

I phoned population health to see if I could get assistance with an appointment via them and they were great and put me through to Allied Health who assisted in booking my child in to be seen in a couple of days time.

Within about half an hour, I received an email being sent to my child’s GP, that I'd been CC'd into by the Audiologist. This email was the audiologist sending the report from the previous appointment (last year!) and said apologies it was late and they'd closed the referral off.

I then received a phone call from the audiologist regarding my child's referral. They advised that they'd closed the referral. I explained that I'd actually revisited my GP because we as parents still had concerns and that my child is telling us that they cannot hear us, and were then provided a new referral a few months ago. The audiologist went on to tell me there was no point us bringing my child into be seen because the ‘results are the same’. I expressed my concerns and said 'how can the results be the same, when you haven't even tested my child for a second time'. Whilst I understand it is of course a possibility that the results are going to be the same, is it acceptable to just ignore a referral in this manner? I also explained that my child had been by a CHN where a hearing test was done, but would need to be redone as there were some discrepancies - which is another reason I went back to the GP when I noticed my child’s hearing issues seemed to be worsening. When I informed them of this, I recall they advised that Child Health Nurse's are not trained as well as them, and they (Audiologist) are better trained, therefore they know my child doesn't need to be seen again. I vented my frustration to the audiologist and tried to get my point across. In the end I told them to cancel our upcoming appointment because clearly they don’t want to take my child's referral on (despite being apart of the Public Health System, I didn't realise they could pick and choose their patients as they sees fit). I informed them that I will take my child to Perth if that means getting better health care than what they are seemingly willing to give. I'd rather pay for my child to be seen by someone who actually is going to listen and acknowledge a GP referral.

I am absolutely disgusted in how this person treated us. How can they seemingly deny to see someone (especially a 4yo child who only has their parents to speak for them!) when we've got a referral from our GP.

Whether the results were going to be the same or not - this wasn't something I believe they would know 100% without doing the second test. Who's to say my child’s hearing hasn't deteriorated in the last year and that's why they can't hear or does my child need to be referred to an ENT because they have ongoing ear problems? I'm not saying this is the case, but the whole idea of being referred was part of the investigation process to look into my child's issue.

I feel there was absolutely zero care given to my 4yo's referral and the issues they are experiencing. And the fact the audiologist didn't even send the initial report to our GP last year when we had our original referral, I believe just goes to show they really does not care.

I hung up the phone feeling so angry at them for how they treated us. I firmly believe the audiologist never made an appointment with us between a few months ago and now (when I contacted them to follow up) because they took it upon them to close the referral themselves, as  they felt it wasn't needed. I base this assumption off a few things that the person from Allied health said while I was making the appointment (things like "closed referral" etc).

Hopefully this complaint reaches the right place and helps better the healthcare given in the Goldfields. Not overly hopeful though - I think the audiologist needs a better attitude and probably should see patients that have been referred rather than just dismissing them because they feels results will be the same.

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Responses

Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields 4 months ago
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 9/09/2024 at 12:48 PM
Published on Care Opinion at 3:15 PM


picture of Peter Tredinnick

Dear sigmajz58

I really appreciate that you have taken the time to share your experience. It is distressing to hear that you have raised concerns regarding your child’s hearing and that you have not been supported by our service to access the follow up care required. I am very sorry for this, children’s hearing plays such a vital role in their early development, parents are often in the best position to notice when something isn’t quite right and should always be listened to. We place a lot of emphasis on teaching our health professionals to provide patient and family-centred care; that is explaining to patients and their carers the reason behind the care pathways being taken and actively including them in the decision-making process, I am sorry that this has not been the case for you and your family.

The WA Country Health Service Healthy Country Kids program supports access to child development services such as audiology and I would like to work with you towards resolving this issue and ensuring your child receives their hearing test as soon as possible. If you feel comfortable to do so, please make contact by either emailing my administration support, Sheree, wachs-goldfieldsexec@health.wa.gov.au or by calling 08 9080 5710, so that we can gather all relevant information and assist in making the necessary arrangements for your child’s hearing test.

I would also like to let you know about the Aishwarya’s CARE Call. We encourage our consumers to raise their concerns with the clinician who is caring for them or their loved one. If you feel that you are not being listened to, or the care pathway is not being explained fully to you, please make an Aishwarya’s CARE Call by calling 1800 976 123. This will ensure you are put through to a senior member of staff who will listen to your concerns and help you or your loved one with accessing the care needed.

Thank you again for advocating on behalf of your child and sharing your story, we hope to hear from you soon.

Yours sincerely

Peter Tredinnick
Executive Director
WACHS Goldfields

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