• At approx 16:30 on Saturday 22nd of June I had a mountain bike accident at Llandegla mountain bike centre, approx 500m from the end of the B-Line. Closest marker 230.

• I was taken by ambulance to Wrexham Maelor A&E and arrived at approximately 18:00.

• The following x-rays were taken

• I was taken into surgery at Wrexham Maelor at around midnight on the 22nd. The open would were cleared of debris and cleaned, and an X-Fix fitted to my broken wrist.

• The following x-rays were taken

• I awoke from surgery with less feeling in my wrist then I had before. This was of concern to the consultant.

• I was taken into surgery again on the 24th for further debridemont, cleaning and repositioning of the x-fix.

• I was discharged from the care of Mr Syed at Wrexham Maelor on the 25th of June.• I was informed by Mr Syed that no surgery could be performed on my forearm and

wrist until the puncture wounds I had sustained in the accident had healed.• I was prescribed codeine, morphine and a course of oral antibiotics and instructed

to attend A&E at Queen Elizabeth Woolwich as my forearm, wrist and collarbone would need further surgery.

• I spent one night at my parents house and travelled to London the next day.

I attended A&E at Queen Elizabeth Woolwich on the 26th of June and saw Mr A. Aziz and a junior surgeon called Alex, who were the A&E orthopaedics on call at the time.My dressing was cleaned and changed and I was instructed to report to the fracture clinic with in the next 7days. I made an appointment on leaving A&E. The earliest available appointment was with Mr Kumar on the 10th of July. I was told both Mr Aziz and the receptionist that this was too long a delay and if I were to call the fracture clinic and inform them of the situation this could be brought forward.

• I called the Fracture Clinic on the 27th of June and was told that it would not be possible to bring my appointment forward without the authority of a consultant.

• I inform the administrative staff that I did have authority of the consultant but was denied any sooner appointment.

• The next day, while attending the Queen Elizabeth Woolwich pharmacy to pick up more pain relief my partner visited the Fracture Clinic and persuaded the administrative staff to bring my appointment forward.

• I was given an appointment on the 5th of July.

I attended the fracture clinic on the 5th of July and was informed that there had been a mistake and would not be able to be seen.I argued that I should be seen and my stitches would need to be taken out and dressing changed.This was done.

I was seen briefly by Alex, the junior orthopaedic surgeon I had seen in A&E and another consultant who didn’t introduce himself.Both expressed concern at the level of swelling on my wrist, hand and forearm.Both confirmed that my collarbone would need operating on.

• I attended my appointment at Mr Kumar’s fracture clinic on the 10th of July.• My arm and xrays were reviewed by both Mr John Edwin and Mr Kumar.• I was informed that the x-fix on my arm had been positioned badly. • The foremost screws on the x-fix were into my thumb joint, rather then my 1st

knuckle of my hand. I was told that because the x-fix had made screw holes into the bone in the area required for a plate it would not be possible to remove the x-fix and plate my broken wrist joint. I was informed that the x-fix could be moved into a better position but I would have to wear the x-fix for a longer period (8 weeks) until the bones had naturally healed.

• I was informed that the mid shaft break on my arm could be plated.• I was also informed that only 3%of collarbone breaks would need surgery and

pins/plates, and that my break was severe enough to fall into that category. I would been seen for my collarbone under Mr Karadaglas.

• I was instructed to attend the Day Care Unit the following day for surgery, when the mid shaft break would be plated and the x-fix repositioned.

• I attended the Day Care Unit on the 11th of July and went into surgery at around midday• I awoke from surgery at around 1900 and found that the x-fix had been removed from

my left arm.• I was concerned by this as I was told that the fact my arm had been screwed into meant

that plating wasn’t a satisfactory procedure.• I was visited by John Edwin with 30mins of coming round from general anaesthetic. • I was told that during the operation when removing the x-fix my wrist had, quote ”fallen

apart” and that time pressures owing to the anaesthetic available had meant that my arm was “quickly plated”.

• John assured me that this was infact a preferable solution despite being told otherwise before the procedure.

• At this stage I spoke to John about the restricted mobility and loss of sensation in my fingers and hand and was told that the full orthopaedic team would assess this the next day.

• I was not examined.• I spent the night in the Day Care Unit.

• The next day I was informed by an SHO that both she and the consultants were concerned by the level of swelling, restricted mobility and loss of sensation in my hand and I would be kept in for another night for observation.

• At approximately 1700 I enquired with the nurses in the Day Care Centre what time the orthopaedic team would be visiting me.

• Around an hour later John Edwin attended my bedside and began telling me that my collarbone would not need surgery.

• I was not examined.• I informed him that I would like to talk about the surgery and prognosis for my broken wrist and arm.

He replied “why? I have told you all this yesterday”, apparently unable to recognise that a conversation with 30 mins of coming round from general anaesthetic might not be easily understood or recalled.

• He informed me that the original screw holes caused by the x-fix would heal themselves and that they did not comprimise the plating of my wrist, or it recovery or future strength.

• I enquired about what exercises or post op care I should have and was told “to squeeze a stressball a load of times”

• I was told again that my collarbone would not need surgery.• I was discharged with no follow on appointment, no physio exercises and no understanding of what

the next steps were for my care.

• On the 15th of July I received a referral letter to the fracture clinic at St Thomas’ hospital, under the care of Mr Gidwani.

• I spoke with Mr Kumars secretary and John Edwin on the phone neither of whom had any record of a referral being made to St Thomas’.

• I spoke to Mr Gidwani’s secretary who informed me that the referal had been made by Mr Syed clinic in Wrexham on the 12th of June and received by St Thomas’ on the 12th of July.

• I decided not to cancel the appointment at St Thomas’ as I have been unsatisfied with the quality of care and information I have been given at Queen Elizabeth Woolwich and would value a second opinion on my wrist and collarbone.