STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

Robbie Powell post death falsifying medical records. Please read, thank you. Will Powell father of Robbie

Robbie Powell, aged 10, from Ystradgynlais, Powys, died at Swansea’s Morriston Hospital, of Addison’s disease in 1990.

Very serious allegations have been made since 1990 regarding the post death falsifying of Robbie’s medical records by both the Ystradgynlais Group Practice and Morriston Hospital. 

Some facts

Please click on the link to read       Robbie-Powell-150x150

Robbie Powell The Crown Prosecution Service

 

 

Filed under: Named & Shamed, NHS, NHS Blunders, , ,

Barcode technology helping to improve patient safety

Barcodes are being used to trace NHS patients and their treatments, manage medical supplies and monitor the effectiveness of equipment.

The barcode technology used in major industries such as aerospace and retail is being introduced to the NHS in England to improve patient safety. Barcodes are being placed on breast implants, replacement hips, medication and surgical tools.

The £12 million Department of Health ‘Scan4Safety’ project is already helping staff to quickly and easily track each patient through their hospital journey. From the unique barcodes on wristbands patients receive when they enter hospital, to the barcodes used to record their medication and the equipment used in their treatment, each code can be scanned to show which member of staff administered each treatment, at what time and where.

By using barcodes, anything that might develop a fault years later, for example a screw used in a knee operation or breast implant, can be traced. The details, such as when it was used and the surgeon who carried out the procedure, can be found quickly and easily. This technology will also help to eliminate avoidable harm in hospitals, including errors such as patients being administered the wrong drugs and surgery being performed on the wrong part of the body.

Click on the link to read more

https://www.gov.uk/government/news/barcode-technology-helping-to-improve-patient-safety

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Filed under: NHS, NHS Blunders, ,

Wall of silence that shames the NHS: Grieving families who complain over blunders are ‘fobbed off’, damning report reveals

  • Some relatives are even left not knowing why their loved ones have died
  • Fobbed off with reports written by medics that absolve the NHS of blame
  • Hospitals cleared staff in 73% of cases where failures led to death or harm
  • Dame Julie Mellor made five recommendations to patient safety service

Grieving families face a wall of silence when they complain about NHS blunders, the health ombudsman warns today. Julie Mellor’s damning report reveals that some relatives are left not even knowing why a loved one has died. They are fobbed off with impenetrable reports that absolve the NHS of blame and are often written by the medics at fault.

‘Parents and families are being met with a wall of silence from the NHS when they seek answers as to why their loved one died or was harmed,’ said Dame Julie. ‘People want answers, to understand what happened and why, and to know that action is being taken to prevent the same thing happening again to others.’

But her report found that hospitals cleared staff in 73 per cent of 150 cases where failures had led to avoidable death or serious harm.

Dame Julie’s team said internal probes in English hospitals were not ‘consistent, reliable or transparent’. In half of internal investigations, the medics leading the review were not ‘independent of the events complained about’.

Click on the link to read more

goo.gl/qi9jfr

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Filed under: NHS, NHS Blunders,

Exclusive: Trust guilty of serious service failure over child’s death by Shaun Lintern written for HSJ

A litany of failings in the care and treatment of a four year old boy who died at a specialist children’s hospital were so severe they amounted to service failure, according to a new investigation.

The damning report, seen exclusively by HSJ, reveals a list of 22 failures by nurses and doctors at Bristol Royal Hospital for Children and also casts doubt over the conclusions of an earlier independent review of the case which was commissioned by NHS England.

Sean Turner, who died in March 2012, was left so seriously dehydrated due to poor management of his condition by hospital staff that his parents described him as sucking moisture from wet wipes. He died from a bleed on the brain following major heart surgery following weeks of poor care. In one incident staff at the hospital gave him clot-busting treatment for three days instead of the recommended six hours and failed to stop his blood-thinning medication at the same time when they should have done.

Click on the link to read more

https://drive.google.com/file/d/0B5Ub2mgQJFZzRHN2ZWx5Z0UyU1k/view

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Sean Turner

Filed under: NHS Blunders, ,

Boss of scandal-hit hospital with 287 unexplained deaths apologises for suffering patients endured

Libby McManus has issued the apology after taking over from former hospital chief executive, Julie Lowe

The new boss of a scandal-hit hospital where there were 287 unexplained deaths has apologised for the harm and suffering patients endured. Libby McManus was drafted in to run the North Middlesex Hospital in North London after a damning Care Quality Commission investigation uncovered a series of damning failures.

Among them was the case of a patient – who was found dead and with rigor mortis after being left for four hours in A&E. Inspectors also found evidence of elderly people suffering abuse, neglect and lack of fluids on wards for care of the elderly

Julie Lowe, the former chief executive of the North Middlesex has been moved on and been secretly found a new NHS job. In a meeting with The Sunday People Libby McManus said: “I want to apologise to all those relatives and patients who have suffered in the past. “We are starting to do things differently now and we are confident that in time we can turn things round.”

Mrs McManus also promised to look at some of the mortality data for the hospital highlighted by Professor Brian Jarman whose work exposed the scandal at Stafford Hospital where there were up to 1200 avoidable deaths. He said the failings at the North Middlesex had all the hallmarks of the harm and suffering experienced by patients at the Midlands Hospital.

An investigation by the People has found the Edmonton based hospital in breach of nearly a dozen laws designed protect the public following the Stafford Hospital scandal.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/north-middlesex-hospital-boss-apologises-8859750

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Libby McManus has taken over the Chief Executive role in the wake of the damning report

Filed under: Named & Shamed, NHS Blunders

‘We were told not to pick a fight with the NHS’: Parents of three-year-old who died needlessly from sepsis were made to feel like the tragedy was ‘just bad luck’

  • Sam Morrish died at Torbay Hospital in South Devon in December 2010 
  • His parents took him to see health professionals four times in 36 hours
  • Initial investigation by health Ombudsman said death was avoidable
  • Parents called for a second investigation as questions were unanswered 
  • Second damning report ruled NHS organisations refused to accept blame 

The parents of a three-year-old boy who died needlessly of sepsis have told of how they were warned ‘not to pick a fight’ with the NHS. Sam Morrish succumbed to the illness in 2010 following a catalogue of failings by out-of-hours GPs, hospital doctors and NHS call centre staff.

A damning report into his death yesterday by the Parliamentary and Health Service Ombudsman accused the NHS of failing to investigate mistakes and refusing to accept blame. His parents, Scott and Sue Morrish, who live in Newton Abbot, Devon, spoke of how they were made to feel the tragedy was bad luck.

The little boy – described as a ‘force of nature’- died in December 2010 just 36 hours after they first sought medical help. Over that time they were sent away and dismissed by GPs, hospital doctors and call centres at NHS Direct, which has since become NHS 111. An initial report by the Ombudsman in 2014 concluded that his death was avoidable and he would have been saved had doctors picked up on early warning signs.

Click on the link to read more

http://goo.gl/fhsHsa

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Three-year-old Sam Morrish died from sepsis in 2010 after a catalogue of errors by various NHS bodies. A damning report into his death today accused the NHS of failing to properly investigate the tragedy

 

Filed under: NHS Blunders,

Doctors’ basic errors are killing 1,000 patients a month. Biggest ever study of errors in British hospitals finds one in ten patients affected

Almost 12,000 patients are dying needlessly in NHS hospitals every year because of basic errors by medical staff, according to the largest and most detailed study into hospital deaths ever performed in the UK.

The researchers from the London School of Hygiene and Tropical Medicine and colleagues found something went wrong with the care of 13 per cent of the patients who died in hospitals. An error only caused death in 5.2 per cent of these – equivalent to 11,859 preventable deaths in hospitals in England.

Helen Hogan, who led the study, said: “We found medical staff were not doing the basics well enough – monitoring blood pressure and kidney function, for example. They were also not assessing patients holistically early enough in their admission so they didn’t miss any underlying condition. And they were not checking side-effects… before prescribing drugs.”

Click on the link to read more

http://goo.gl/FFgshf

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Kane Gorny’s mother Rita Cronin with her lawyer outside court PA

Filed under: NHS Blunders, ,

Listen to parents of sick children rather than tests, NHS tells doctors

New recommendations say medical staff must listen to parents who report their child is deteriorating, even if tests show no cause for alarm.

Doctors and nurses must listen to parents who report that their sick child is getting worse and investigate their concerns, even if the usual tests suggest there is no cause for alarm, say new NHS recommendations. NHS Improvement, which has reviewed the care of children who deteriorate while in hospital, says parents at the bedside are well placed to see any change in their child, but are not always heard and can be afraid to speak up.

Too often parents worry “about ‘time-wasting’ with any repeated concerns” or that they won’t be listened to, but “it is imperative that parents feel welcome and encouraged to speak up”, said Dr Mike Durkin, the NHS national director of patient safety. Children can deteriorate very quickly and die if they do not get the right treatment fast. Sepsis – blood poisoning – sometimes caused by meningitis, kills babies and children if they do not rapidly get antibiotics.

According to NHS Improvement, research shows that more than a quarter of preventable deaths in children and adults happen because they are not properly monitored so a change in their condition is not noticed.

Click on the link to read more

https://www.theguardian.com/society/2016/jul/13/listen-to-parents-of-sick-children-rather-than-tests-nhs-tells-doctors

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Filed under: NHS Blunders, , , ,

Church Crookham baby death sparks national review into care for newborns

15 years since the tragic death of their newborn daughter, Anne and Graeme Dixon have welcomed an investigation into the care of babies who need extra support.

A health watchdog has released the results of a national review into the care of newborns who need extra support, sparked by a Church Crookem  couple who tragically lost their baby. Anne and Graeme Dixon’s daughter Elizabeth was born at Frimley Park Hospital in 2000 and was brain damaged after her high blood pressure was not treated for 15 days.

She was left disabled and needed a tracheostomy, or tube, to breathe, but suffocated and died at home days before her first birthday when it was not maintained during a home visit by an agency nurse who transpired to be newly-qualified.

The Care Quality Commission (CQC) investigation found there is a significant risk to hundreds of babies and children because of inconsistent practice and a lack of clear guidance on treatment. The watchdog said it has uncovered concerns about the way the NHS identifies and manages clinical risk in unborn and newborn babies.

In the first report of its kind, it also raises fears that key information might not be shared between clinical teams and says there needs to be more consistent support for families with children requiring long term ventilation at home. Among its recommendations for improvement, the CQC says every unborn fetus should be assigned a unique identification number to ensure important information from a mother’s clinical notes is properly transferred to the baby’s records after birth.

Click on the link to read more

Church Crookham baby death sparks national review into care for newborns

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Baby Elizabeth Dixon died in 2001

Filed under: NHS Blunders,

Children’s hospital ‘let down by parents’

Following the Independent Review of Children’s Cardiac Services in Bristol, NHS England pledged to ensure that “a consistent level of care is available for every patient in every part of the country”.

Good Morning Britain…”We’re joined by Faye Valentine, whose son Luke passed away following a heart procedure, and Rachel Pacua, whose son Jack has been left with permanent brain damage after open heart surgery, both at Bristol Hospital.

We’ve been fighting for four years” – both mothers are demanding justice after the hospital admitted the failing was the fault of the staff, but only in private.

Click on the link to see the Good Morning Britain interview

http://www.itv.com/goodmorningbritain/news/childrens-hospital-let-down-by-parents

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Luke Jenkins died at Bristol Children’s Hospital

Filed under: NHS Blunders, Uncategorized, ,

Midwife sacked over new Morecambe Bay death

A midwife who is being probed over the death of a baby eight years ago has been sacked following an investigation into a new fatality.

Lindsey Biggs is one of a band of midwives accused of colluding to cover up blunders which contributed to the deaths of 12 mothers and babies in the Morecambe Bay scandal. The group – who dubbed themselves “the musketeers” – have continued working at the NHS trust despite public outrage over the deaths, which occurred between 2004 and 2013.

Ms Biggs is currently under investigation by the Nursing and Midwifery Council (NMC) for alleged failings linked to the case of baby Joshua Titcombe, who died in 2008. She is due to appear in front of regulators this week over the case. But it has now emerged that she has been dismissed by University Hospitals of Morecambe Bay trust over the death of another baby, just four months ago.

Click on the link to read more

http://www.telegraph.co.uk/news/2016/06/26/midwife-sacked-over-new-morecambe-bay-death/

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Lindsey Biggs is accused of failings over the deaths of two babies

Filed under: Named & Shamed, NHS Blunders, , ,

Coroner puts hospital’s weekend staffing in spotlight after death of woman

A coroner will raise his concerns about weekend staffing levels at a hospital following the death of a grandmother-of-nine after a routine hernia operation.

Margaret Gleeson, 70, died on a Sunday just two days after being admitted to Wigan’s Royal Albert Edward Infirmary. An inquest into her death was told that weekend staffing was a concern with a consultant surgeon admitting he could not give the same attention to patients.

One on-call medical team was being asked to do the job of four teams with emergency admissions taking priority and leading to delayed and shorter medical reviews of elective cases, Bolton Coroner’s Court was told. Widow Mrs Gleeson, a stewardess at her local bridge club, was described by her family as “a fit and active woman” before she went into hospital on October 2 last year.

The surgery was initially thought to have been a success but Mrs Gleeson’s condition began to deteriorate the day following the operation and doctors found that tissue in the bowel had been torn – described as “a rare complication”. The court heard an ‘early warning score’ used by medics to establish the risk to a patient’s health had earlier been incorrectly recorded.

Coroner Simon Jones concluded that Mrs Gleeson, of Swinley, Wigan, died of cardiac arrest suffered when she was anaesthetised for surgery to repair damage from the initial operation.

Click on the link to read more

http://www.herefordtimes.com/news/national/14573793.Coroner_puts_hospital_s_weekend_staffing_in_spotlight_after_death_of_woman/

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Margaret Gleeson died on a Sunday, two days after being admitted to the Royal Albert Edward Infirmary

Filed under: NHS Blunders, ,

£177k forked out by NHS on New Cross whistleblower bill

An independent report on New Cross Hospital’s botched investigation into a whistleblower’s claims cost the NHS nearly £180,000, it can be revealed.

Investigative consultants Verita were called in to look at New Cross bosses’ handling of Sandra Haynes-Kirkbright’s allegations relating to an alleged cover up over mortality rates. A Freedom of Information request by the Express & Star reveals the firm was paid £134,879 for producing the report, with a further £42,688 spent on legal fees.

The total figure of £177,567 has been branded a ‘scandalous waste of taxpayers’ money’ by a prominent city councillor, while Walsall Manor Hospital whistleblower Dr David Drew said he was appalled that such vast sums had been ‘squandered’ rather than being spent on patient care.

Verita’s inquiry led to calls for the trust’s chief executive David Loughton to stand down over his treatment of Mrs Haynes-Kirkbright. It found that the Royal Wolverhampton NHS Trust’s investigation into claims of malpractice was ‘significantly flawed’ and criticised Mr Loughton for being ‘dismissive’ of the allegations.

Click on the link to read more

http://www.expressandstar.com/news/health/2016/06/19/177k-forked-out-by-nhs-on-new-cross-whistleblower-bill/

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Sandra Haynes-Kirkbright

Filed under: NHS Blunders, Whistleblowing, ,

Hospital apologises to parents after damning report on handling of baby’s death

Bristol Children’s Hospital has issued an ‘unreserved’ apology to the parents of a baby who died in its care, after a report found staff had been ‘insensitive’ and had ‘failed to get a grip of the real issues’ following the death of Benjamin Condon.

In one incident, senior staff held a recorded meeting with Benjamin’s parents, and when Allyn and Jenny Condon left the room, the doctors admitted mistakes had been made in Benjamin’s care, and then tried to delete that part of the recording:  Eight week-old Benjamin Condon died of a lung infection while in Bristol Children’s Hospital. Doctors there had originally diagnosed him with a virus – thought to be part of a common cold. But he continued to deteriorate.

On 17 April 2015, nurses told Benjamin’s parents that they would start him on a course of antibiotics, but they were not administered. By the afternoon, he was diagnosed with sepsis and organ failure, and suffered a cardiac arrest. Antibiotics were finally given around 8pm, but he died slightly more than an hour later. His parents were not told about the secondary infection until seven weeks after his death.

A two-day inquest into his death begins tomorrow morning (Tuesday 21 June) at Avon Coroner’s Court, to determine exactly how he died.

Click on the link to read more

http://www.itv.com/news/west/2016-06-20/hospital-apologises-to-parents-after-damning-report-on-babys-death/

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Benjamin Condon shortly before he died. Credit: Condon family

Filed under: NHS Blunders,

‘I survived sepsis – only for it to kill my son’: Mother whose baby boy died after medics missed killer illness discovers she had battled blood poisoning first

  • William Mead, one, died in 2014 after medics failed to spot signs of sepsis 
  • Inquiry after his death revealed a staggering 15 failures in his care
  • Melissa Mead has met with Jeremy Hunt to discuss a sepsis campaign
  • Was shocked to learn only months ago she too battled sepsis in 2011 

Melissa Mead finds it hard to recall the time when she knew nothing about sepsis or the devastating swiftness with which it can kill.

Since her baby son, William, died from it, aged one, in December 2014, following a catalogue of errors, misdiagnoses and missed opportunities by doctors and the NHS helpline, she’s become an expert on the subject, campaigning to raise awareness and ensure others don’t die needlessly. So consider her shock when she learned, only months ago, that she herself had almost died from the condition. Following surgery in 2011, she became critically ill with an infection.

The revelation that the infection was sepsis came during a session with the psychiatrist who has treated her for depression and post-traumatic shock since William died.

There are no words to explain how profoundly the trauma of losing William affected my mental health,’ she recalls. ‘I am still having intensive therapy, and during one session my psychiatrist asked me: “How does it make you feel to know you survived sepsis and William didn’t?” I was confused. I said: “What do you mean?”

‘He has access to my medical notes and he said: “When you were very ill in hospital five years ago, you had sepsis.” ‘I can’t really remember the rest of the conversation because I was so shocked. I asked him to explain and he told me the infection after my operation was sepsis. ‘I wonder now if I’d been aware of what it was and what to look out for, whether we’d have been more alert to the symptoms when William developed it. ‘We should have been told. If we had been, things could have been so different.’

Click on the link to read more

http://goo.gl/Uyt35I

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Filed under: NHS Blunders,

NHS failing to learn lessons from complaints, says health ombudsman

A snapshot of complaints received by the Parliamentary and Health Service Ombudsman (PHSO) reveals a high number of complaints made to the NHS and consistent failure to learn from mistakes, the PHSO has said.

Of the 133 cases in the report, which were investigated between July and September last year, 93 were about the NHS. In another PHSO report last year, nearly 80% of complaints were about the NHS.

Julie Mellor, the PHSO, said: “The NHS provides excellent care for patients every day, which is why it is so important that when mistakes are made they are dealt with well.

“These cases bring home all the suffering patients and their families experience when things go wrong, particularly when complaints are not handled effectively at a local level. Families have been left without an explanation as to why their loved ones died, mistakes have not been admitted, which means that much needed service improvements are being delayed.”

In one incident in the report, Alder Hey Children’s FT was required to pay £1,000 compensation to the complainant after it took 29 months to diagnose her son with autism and dyslexia, meaning he missed out on early intervention and support.

Click on the link to read more

http://www.nationalhealthexecutive.com/Health-Care-News/nhs-failing-to-learn-lessons-from-complaints-says-health-ombudsman

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Filed under: NHS Blunders, , ,

My Story With Addisons Disease – Justice for Robbie Powell! article by Malisha Fuller

Let’s see how many shares we can get for justice for this family and awareness.

Because of negligence by medical professionals, Robert Darren Powell [Robbie] died on April 17, 1990 at the young age of 10. Four months before his death, he suffered from all the classical symptoms of Addison’s disease or Adrenal Insufficiency. Robbie had suffered from an Addisonian crisis and almost died in December 1989 when he was admitted to hospital as a medical emergency.

The medical professionals suspected Addison’s disease and ordered the ACTH test but did not share this information with his parents who would have ensured the test was carried out. Instead, the physicians blamed Robbie’s symptoms on gastroenteritis, which was untenable in the absence of diarrhoea, the high potassium, low sodium and low blood sugar.

Robbie was seen by 5 different doctors, on 7 separate occasions, in the last 15 days of his life. He was seen by 3 doctors, 4 times, in his last 3 days. Although the young boy was obviously unwell not one physician performed blood tests or even checked his blood pressure during this period. The medical physicians failed Robbie by not referring the child to a specialist, as requested in the medical notes. They also failed to admit him to the hospital to evaluate his condition thoroughly until it was too late to save his life. An Addison’s patient does not produce sufficient amounts of the hormone cortisol so therefore needs daily steroids to maintain life. Infection, stress, injury and surgery for Addison’s sufferers require additional steroids.

Click on the link to read the whole story

My Story With Addisons Disease

Robbie Powell

 

Filed under: GP's, NHS Blunders, ,

Girl, 14, died at Bristol Children’s Hospital after overstretched staff operated on her by torchlight

The family of 14-year-old girl who died during an over-stretched hospital night shift have called for more NHS staff to be on duty around-the-clock.

Emma Welch underwent an apparently successful operation to correct a curvature of her spine just days after undertaking a charity walk up Mount Snowdon. But the following night she suffered an internal bleed which triggered a fatal heart attack and she required emergency surgery.

However, just two of nine operating theatres at Bristol Children’s Hospital were open at the time because it was late at night – and they were both in use. There were not enough anaesthetists or emergency staff to open another theatre so medics had to operate on her by torchlight on a ward.

Doctors battled through the night to try and replace the blood she was rapidly losing but she tragically died at 3.42am on June 4.

Click on the link to read more

http://www.telegraph.co.uk/news/2016/04/27/girl-14-died-at-bristol-childrens-hospital-after-overstretched-s/

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Emma on her ascent of Mount Snowdon

Filed under: NHS Blunders,

Southern Health chief executive to face MPs

The leader of an under-fire health trust criticised for the “preventable” death of an 18-year-old will be scrutinised by MPs.

Chief executive of the Southern Health NHS Foundation Trust, Katrina Percy, will address MPs in a special meeting at Westminster on Tuesday. The trust was criticised for “longstanding risks to patients”.

In 2013 Connor Sparrowhawk drowned in a bath after suffering an epileptic fit in Oxford.  The chief executive will address MPs at a meeting of the Hampshire All-Party Parliamentary Group. Ms Percy has previously apologised for the issues that came to light following several inspections by government watchdogs.

After an inspection in January, the Care Quality Commission (CQC) found there were “longstanding risks to patients” and investigations into deaths “were not good enough.” Scrutiny of the trust was sparked by the death of Connor Sparrowhawk at Slade House in Oxford in 2013.

Click on the link to read more

http://www.bbc.co.uk/news/uk-england-36073266

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Connor Sparrowhawk, who died at Slade House, had epilepsy and experienced seizures

Filed under: NHS Blunders,

Coroner gives cops deadline to finally interview staff at hospital over Seanpaul Carnahan death

Police have been given four weeks to interview witnesses over the death of a man in Belfast City Hospital three years ago.

Coroner Joe McCrisken told PSNI officers at a preliminary hearing into the death of Seanpaul Carnahan that he expected to see witness statements by May 13. Mr McCrisken, speaking at Laganside courts, said the situation had “gone on too long” and indicated a number of medical staff could be called to attend the inquest on September 26.

Mr Carnahan died aged 22 after being admitted to the hospital with a brain injury sustained during a suicide attempt. When admitted, the chef from the Beechmount area of west Belfast weighed 12 stone. When he died five months later in July 2013 he weighed five stone.

Official medical notes obtained by the family from the Belfast Trust – and seen by the Belfast Telegraph – show that during Seanpaul’s five months in hospital he was given a day’s worth of food in the space of two weeks. The lack of nutrition caused a serious condition known as refeeding syndrome, and in the last nine weeks of Seanpaul’s life he became more and more ill as his body attacked itself for food, before he eventually died. Last month this newspaper reported claims from his mother Tracy that police dragged their heels after her solicitor found the force had not formally interviewed any medical staff involved in Seanpaul’s care.

The solicitor and the family had been pushing for a corporate manslaughter or gross negligence charge to be brought against the Belfast Trust.

Click on the link to read more

http://goo.gl/erCHBc

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Seanpaul Carnahan

Filed under: NHS Blunders,

Datix appoints James Titcombe OBE as Patient Safety Specialist

Datix has appointed James Titcombe OBE in an advisory capacity as Patient Safety Specialist. James will work alongside the Datix senior management team on the development of the company’s pioneering software platform to help protect patients from harm in the UK and around the world. Formerly a project manager in the nuclear industry, James underwent a career change to become actively involved in patient safety following the tragic loss of his baby son Joshua, in 2008. Most recently, he has been working for the industry regulator the Care Quality Commission (CQC) as National Advisor on Patient Safety, Culture & Quality.

Delighted to welcome James to the team, Jonathan Hazan, Director of Datix said, “James is widely respected in the patient safety community in the UK and I am delighted to have him join our team. His enthusiasm is contagious and his commitment to improving patient safety is inspirational. James will be a real asset to Datix as we work on introducing new products to improve the quality of health and social care, improve patient outcomes and protect patients from harm.”

Click on the link to read more

http://www.datix.co.uk/news-and-events/news/datix-appoints-james-titcombe-obe-as-patient-safety-specialist/

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James Titcombe OBE

Filed under: NHS Blunders, ,

The number of ‘serious untoward incidents’ in the Welsh NHS has doubled in four years

The figures have renewed calls for the Welsh Government to hold an independent ‘Keogh-style’ inquiry into standards of care

The number of incidents in NHS hospitals which resulted in severe harm or avoidable deaths to patients has more than doubled in the past four years, it has been revealed. New figures show that 945 so-called ‘serious untoward incidents’ (SUI) were reported in 2014-15 compared to 414 in 2011-12 – a rise of 128.3%. But the Welsh Government said the number of incidents had increased because it asked the Welsh NHS to widen its scope to include infections and high-grade pressure ulcers.

The Welsh Conservatives, who uncovered the figures, have renewed calls for the Welsh Government to hold an independent “Keogh-style” inquiry into standards of care. Shadow Health Minister Darren Millar AM said: “These figures highlight a growing number of shocking failings in care in the Labour-run Welsh NHS.

“Incidents such as these where patients could come to serious harm or death are avoidable and should never happen. “The fact that they are rising and have increased threefold in some health boards in recent years is very concerning and provides further evidence of the impact of Labour’s record-breaking cuts on the NHS budget in Wales. “One avoidable death is one too many and the alarming rate at which these incidents are being reported to the Health Minister suggests that there are problems which need to be urgently addressed.”

Click on the link to read more

http://www.walesonline.co.uk/news/health/number-serious-untoward-incidents-welsh-11092637

NHS-blunders

Filed under: NHS Blunders, ,

Francis adviser to lead inquiry into ‘heart breaking’ baby death – BY SHAUN LINTERN

An adviser to the Mid Staffordshire NHS Foundation Trust public inquiry will lead an investigation into the death and treatment of a baby girl whose case exposed a “regulatory gap” in the NHS.

Professor Peter Hutton, a senior consultant anaesthetist from the University Hospital Birmingham NHS Foundation Trust and a former chair of the Academy of Medical Royal Colleges and President of the Royal College of Anaesthetists, will conduct the inquiry into the death and treatment of baby Elizabeth Dixon. She was born prematurely at Frimley Park Hospital in 2000 and was left with permanent brain damage after hospital staff failed to monitor or treat her high blood pressure. Less than a year later she died of suffocation when a newly qualified nurse failed to keep her breathing tube clear.

The cause of her brain damage only emerged in 2013 and her parents have a dossier of evidence suggesting their daughter’s poor care was covered up by senior clinicians in a number of organisations. Health secretary Jeremy Hunt ordered an inquiry in September last year after Nursing Times’ sister titleHealth Service Journal highlighted the reluctance of national bodies, including NHS England and the health service ombudsman, to take on the case.

Click on the link to read more from The Nursing Times

An adviser to the Mid Staffordshire NHS Foundation Trust public inquiry will lead an investigation into the death and treatment of a baby girl

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Elizabeth Dixon

Filed under: NHS Blunders, ,

Newborn baby left dying alone at the Royal Free Hospital because doctors thought he had died

A newborn baby was left dying alone on a resuscitation table after doctors mistakenly gave him up for dead and medical staff ignored his gasps for breath, an inquest heard.

Baby Sebastian Sparrow revived himself an hour and a half after his parents were told by medics at the Royal Free Hospital that he had died. But Sebastian was too badly brain damaged to be saved, and died two days later after being transferred to University College Hospital. Coroner Mary Hassell was critical of several medical staff throughout last week’s inquest, and said that they must have realised the baby’s “agonal gasps” meant that he was “dying, and not dead”.

Sebastian was born by caesarean section on November 6 2013 after his mother, Sally Sparrow, experienced a prolonged labour. He was expected to be a healthy baby as no problems had been detected throughout the pregnancy.  It was suggested during the inquest that he may have sustained brain damage during the caesarean delivery as it took three attempts by different obstetricians to deliver the baby.

In a statement, Mrs Sparrow, a solicitor, and her husband, Jamie, an accountant, said they were left with “no real understanding of what had happened” after the mistaken diagnosis of death.

Click on the link to read more

http://goo.gl/40v7n9

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Filed under: NHS Blunders,

Mum dies after NHS 111 call handler cancelled her ambulance when it was just one minute from her home

A WOMAN was found dead in her living room ten hours after an NHS 111 call handler cancelled an ambulance when it was just one minute away from her home, an inquest heard today.

Tragic Ann Walters, 61, died after a nurse called off the emergency response team which had been heading to see her. A later investigation found Pete Richardson had ‘not demonstrated an understanding of heart failure’ when dealing with the call. At the hearing he confessed he made a mistake and apologised to the family. The inquest was told Mrs Walters called the NHS 111 service on December 28, 2014, asking for a doctor to be sent to her home.

Her breathlessness caused an initial call handler concern, so she was classed as an emergency. He was told by Mrs Walters – who at the time only had months to live – that she had a heart defect, and so dialled 999 himself for an ambulance to be sent to her home despite her asking to see a doctor instead. A crew was initially dispatched from Waterlooville to her home nearby in Portsmouth, but within four minutes a different ambulance was sent from Queen Alexandra Hospital in the city as it was nearer her home. However, in the meantime Mrs Walters was called at 8.24am by Pete Richardson, a qualified nurse and clinical support desk practitioner for the 111 service.

After talking with her, he took the decision to stand down the ambulance which was just one minute from her home.

Click on the link to read more

http://goo.gl/xeRfI7

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Mrs Walters (left) was found dead by her son Lawrence pictured here with his sister Felicity

Filed under: NHS Blunders,

NHS failing to answer patients’ questions, warns Ombudsman

The NHS too often fails to answer patients’ questions and forces them to contact the Ombudsman service for answers, according to a report  published today.

The Parliamentary and Health Service Ombudsman’s latest snapshot of cases report included many cases where questions about mistakes or oversights by the health service were unanswered by the NHS itself. The report contains a snapshot of 40 case summaries of the 544 investigations of unresolved complaints that the Ombudsman completed investigating in April, May and June 2015.

Around 80% of the cases investigated by the Ombudsman are about the NHS and the rest are about UK government departments and other organisations. The latest cases included that of one family that was forced to bring their complaint to the Ombudsman service, following the death of their nine-year-old son from sepsis after he was wrongly discharged from hospital.

Click on the link to read more

https://www.onmedica.com/NewsArticle.aspx?id=d014cf40-172b-4ca0-8c3a-b4a927f037f6

Click on the link to download report

Selected summaries of investigations by PHSO Apr-to-June-2015

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Filed under: NHS Blunders,

‘No criminal prosecutions’ of individuals over Stafford Hospital deaths

No doctor, nurse or manager will ever be held accountable for the hundreds of deaths at Stafford Hospital between 2005 and 2009. A report released today, thought to be the very last one into high mortality rates there, confirmed no criminal prosecutions of individuals will take place.

But some of the families involved say this police report tells them nothing new and is a waste of money. The family of John Moore Robinson who died in 2006 have spoken to our health correspondent Stacey Foster.

Click on the link to see the video report by the family of John Moore Robinson who died in 2006

http://www.itv.com/news/central/2016-03-01/no-criminal-prosecutions-over-stafford-hospital-deaths/

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John Moore Robinson

Filed under: NHS Blunders, ,

Neglect played part in death of mother after medics missed blood clot

Neglect contributed to the death of a mother-of-two who died after New Cross Hospital staff failed to detect a blood clot, an inquest heard.

Marie Rollason might have survived if the clot had been detected earlier, the hearing was told. Mrs Rollason visited the hospital’s A&E department twice in the weeks before her death on December 29 last year. The 43-year-old had been suffering from collapses, but these were attributed to a head injury sustained after she tripped and fell in the bathroom of her Wolverhampton home earlier that month.

Giving evidence at the inquest, consultant Rakesh Khanna said abnormalities in the results of an ECG test were a ‘potential red-flag’ – but the junior doctor who assessed Mrs Rollason decided she could be discharged without further investigations following discussions with a locum consultant. Dr Khanna added had the clot been treated following the test performed six days before Mrs Rollason’s death, she ‘more likely than not’ would have survived. But he also explained she had not displayed the predominant symptoms classically linked to a pulmonary embolism.

Coroner Zafar Siddique concluded: “On the balance of probabilities, had further tests been ordered and Mrs Rollason had been kept under observation, a basic medical procedure would have detected the pulmonary embolism and more likely than not she would have survived.

Click on the link to read more

http://www.expressandstar.com/news/2016/02/23/neglect-played-part-in-death-of-mother-after-medics-missed-blood-clot/

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Marie on holiday in Bulgaria

Filed under: NHS Blunders,

NHS 111 helpline safety questioned by top paediatrician

A leading child health specialist has questioned whether England’s NHS 111 helpline is safe and effective for young children.

Royal College of Paediatrics and Child Health president Prof Neena Modi said the system was unfair on call handlers, who are not medically trained. She said even clinicians would find it hard to assess small children by phone. NHS England acknowledged the importance of thorough training but said the royal colleges helped produce the protocols.

A report last month by NHS England described how NHS 111 missed chances to save 12-month-old William Mead, from Cornwall, who died in 2014 from blood poisoning following a chest infection after staff failed to recognise the seriousness of his condition. NHS England has said call handlers for the 111 service should be trained on how to recognise a complex call and when to call in clinical advice earlier.

The government has said this will happen as soon as possible. But the NHS England report concluded that if a medic had taken the final phone call, instead of an NHS 111 adviser using a computer system, they probably would have realised William’s “cries as a child in distress” meant he needed urgent medical attention.

Click on the link to read more

http://www.bbc.co.uk/news/health-35614575

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William’s mother Melissa said she found out-of-hours services ‘chaotic’

Filed under: NHS Blunders, , ,

More than 1,000 NHS ‘never’ errors in four years

More than 1,100 patients have suffered from NHS “never events” – mistakes so serious they should never have happened – in the past four years.

Around 800 of these have either had the wrong area operated on or “foreign objects” such as gauzes, swabs, rubber gloves, scalpel blades or needles left inside them.

Some of the worst mistakes revealed by a Press Association investigation include:

  • A woman having her fallopian tubes removed instead of her appendix
  • A man having a testicle taken off instead of just the cyst on it
  • One woman having a kidney removed instead of an ovary
  • Another patient had a biopsy taken from their liver instead of their pancreas
  • Operations were carried out on the wrong hips, legs, eyes and knees
  • Blood transfusions with the wrong blood were given
  • Feeding tubes were put into patients’ lungs rather than their stomachs -which can prove fatal
  • Diabetic patients were not given insulin
  • Other patients were given the wrong type of implant or joint replacement
  • Patients were mixed up with others
  • Drug doses given out were far too high in some cases

Click on the link to read more

http://www.itv.com/news/2016-02-18/more-than-1-000-nhs-never-errors-in-four-years/?

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More than 800 people have had the wrong area operated on or ‘foreign objects’ left inside them.

Filed under: NHS Blunders,

‘I wouldn’t wish it on anyone’: Heartbroken daughter to sue hospital after dad given wrong cancer diagnosis

A heartbroken daughter is planning to sue hospital bosses after medics diagnosed her dad with terminal lung cancer – but then wrongly changed their minds.

Doctors left Roger Taylor in a discharge area of North Manchester General Hospital for 15 hours after ordering the wrong ambulance, the Manchester Evening News reports. He died less than 24 hours after arriving home.

Mr Taylor’s daughter Elizabeth is now suing Pennine Acute NHS Trust, claiming he died prematurely due to its actions. Mr Taylor, from Bury , fell ill last May just a few weeks after his wife Janet – who he had cared for – lost her own battle with cancer. At the start of June, the hospital told him he had very advanced lung cancer, which had spread. It was decided he would not have chemotherapy, as it would prolong his life by only a few months. Two weeks later, on June 25, the hospital rang to say it was not lung cancer after all, but lymphoma – a disease that could be treated. Mr Taylor’s family cancelled what was going to be his last holiday, at a cost of £1,000, and prepared for treatment at the Christie.

At that point, his family made a formal complaint. But just a week later the hospital changed its mind again – and said he did have incurable lung cancer after all. He was admitted to the hospital a fortnight later for a separate health issue, a visit he made alone in the belief it would only take a couple of hours. But when the decision was taken to discharge him, the nurse did not order him a palliative ambulance – so transport provider Arriva did not pick up the request until the following morning. After 15 hours waiting, he arrived home and died 21 hours later.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/i-wouldnt-wish-anyone-heartbroken-7284108?

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Diagnosis: Roger Taylor, seen here with his wife Janet

Filed under: Cancer, NHS Blunders, ,

Hunt apologises to family of dead boy over NHS sepsis failings

Health secretary accepts recommendations of report on William Mead, who died despite visits to GP and call to helpline

Jeremy Hunt has accepted the recommendations of a damning NHS report which found that doctors and the NHS helpline missed four opportunities to save the life of a one-year-old boy. The health secretary offered a public apology to the family of William Mead, who died in September 2014 of the common sepsis bug, which went undetected despite repeated visits to the GP and a call to the NHS 111 helpline hours before his death. He promised that lessons would be learned from Tuesday’s report. Labour accused the government of ignoring warnings about poor sepsis care a year before William died.

Speaking in the Commons, Hunt said: “Whilst any health system will inevitably suffer some tragedies, the issues raised in this case have significant implications for the rest of the NHS which I’m determined we should learn from.”

Hunt said he had met William’s mother, Melissa, to offer his personal apologies. “Quite simply, we let her, her family and William down in the worst possible way through serious failings in the NHS care offered and I would like to apologise to them on behalf of the government and the NHS.”

Click on the link to read more

http://www.theguardian.com/society/2016/jan/26/hunt-apologises-to-family-of-boy-who-died-after-nhs-failed-to-diagnose-sepsis

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Filed under: NHS Blunders, , ,

Nothing can prepare you for seeing your baby in a coffin’: Bombshell report condemns NHS 111 service as not safe for sick children over blunders that cost baby his life

  • William Mead died after developing an abscess in his left lung aged one
  • His mother Melissa, 29, of Cornwall, called NHS out-of-hours service 
  • But non-medically trained call handler failed to realise how serious it was
  • NHS England report found service ‘unsafe for seriously ill children’

The out-of-hours NHS hotline is unsafe for seriously ill children, a bombshell report reveals. The 111 service puts parents at the mercy of a box-ticking process that can miss life-threatening symptoms. The shocking finding comes in a report into the death of a baby from sepsis. It said William Mead might be alive today had a 111 call handler realised just how ill he was.

That blunder is only one of 16 that contributed to the tragedy. But many of the problems are nationwide, the report says, because:

  • GPs are pressured not to prescribe antibiotics, including to children;
  • They are reluctant to refer sick patients to crowded casualty units;
  • Patients suffer ‘loss of continuity’ when taken ill over a weekend;
  • Out-of-hours doctors cannot access patients’ medical records, often leaving them in the dark.

The report is the result of a gruelling year-long campaign by Paul and Melissa Mead to know the truth about their son William’s death in December 2014. NHS England concluded that a doctor or a nurse taking their call would probably have seen the need for urgent action. But most 111 staff, who use computer scripts, are not medically trained. Other problems included the failure of GPs to carry out basic checks for signs of sepsis, and to give William the antibiotics that could have saved his life.

Mrs Mead said no words could explain her family’s profound loss. She called for lessons to be learnt from William’s death.

Click on the link to read more and watch the NHS Direct Video which shows how the 111 service works

http://www.dailymail.co.uk/news/article-3416346/Bombshell-report-condemns-NHS-hours-service-not-safe-sick-children-blunders-cost-baby-life.html

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William Mead, pictured with parents Paul and Melissa, died from sepsis after a series of medical blunders including an NHS 111 service operator not realising how serious his illness was

Filed under: NHS Blunders, ,

Doctor ‘responsible for the avoidable death of teacher following caesarean’ nearly killed another new mother

Dr Nadeem Azeez is one of two anaesthetists accused of failing to take basic steps to save the life of Frances Cappuccini, 30

An underqualified foreign doctor alleged to have been responsible for the “totally unexpected and avoidable” death of a young teacher following an emergency caesarean had nearly killed another new mother placed in his care, a court heard.  Dr Nadeem Azeez is one of two anaesthetists accused of failing to take basic steps to save the life of Frances Cappuccini, 30, as they attempted to bring her round from a general anaesthetic following the birth of her second child.

Mrs Cappuccini never regained consciousness and died in October 2012 following a massive heart attack as a result of a build-up of acid in her body from lack of oxygen. A report into her death following an internal investigation was redacted to remove reference to the previous incident involving Dr Azeez before it was sent to the coroner, Inner London Crown Court heard.

In March 2012, Dr Azeez, 52, had been responsible for anaesthetising a woman at the same hospital who had suffered a haemorrhage after giving birth and whose placenta needed removing in theatre.

Click on the link to read more

http://goo.gl/sbYTKT

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Dr Nadeem Azeez (right) is accused of failing to take basic steps to save Frances Cappuccini

Filed under: NHS Blunders,

Our baby choked to death in nurse’s care so why didn’t they admit it for 14 years? Mother was branded ‘mental’ for pursuing the truth after 11-month-old daughter died

  • Anne Dixon, 52, branded ‘mental’ in police notes during her 14-year battle for the truth behind death of her disabled 11-month-old daughter Elizabeth
  • An agency nurse, Joyce Aburime, with no experience had been looking after Elizabeth and failed to notice a blockage in her tracheostomy tube
  • Anne referred for psychiatric treatment over ‘unreasonable concerns’
  • Health Secretary Jeremy Hunt recently ordered an investigation into case

Anne Dixon sat in the back seat of an unfamiliar car, watching as her husband cradled the lifeless body of her 11-month-old daughter. Overcome with grief and shock, she gazed at Elizabeth’s tiny face, her still frame wrapped in her pink flannelette sheet. In what appeared to be a simple act of compassion, albeit a highly unusual one, Dr Michael Tettenborn – the doctor in charge of Elizabeth’s care – was driving the grieving mother, her husband and their dead baby home.  Also in the car was the nurse, Joyce Aburime, who they held responsible for their daughter’s tragic death. It was only later, after the shock of their loss had subsided, that Anne and Graeme Dixon realised how bizarrely inappropriate this journey home had been.

Earlier that morning, profoundly disabled Elizabeth was rushed to the A&E department at Frimley Park Hospital in Surrey after the tracheostomy tube that helped her breathe had become fatally blocked and Elizabeth was suffocating.  As would later emerge, an agency nurse with no experience had been looking after Elizabeth but failed to notice the blockage in the tube. To Anne and Graeme’s utter devastation, their daughter was pronounced dead.

Click on the link to read more

http://www.dailymail.co.uk/femail/article-3392107/Mother-branded-mental-pursuing-truth-11-month-old-daughter-died-E.html

Collect Photos showing Elizabeth Dixon being held by her Mother  Pix Info : about 4 months old in Great Ormond Street Hospital  Copyright  Photo Dixon Family MAIL ON SUNDAY ONLY  Sent by Les@leswilson.com 14th Oct 2015

Anne Dixon holding Elizabeth when she was about four months old in Great Ormond Street Hospital. Elizabeth was pronounced dead after a nurse with no experience failed to notice the blockage in her tracheostomy tube that helped her breathe. Anne battled health authorities for 14-years and it was only recently that an investigation was ordered by Health Secretary Jeremy Hunt

 

 

Filed under: NHS Blunders, ,

NHS paid more than £1m in compensation due to helpline’s bad advice

THE HEALTH service has had to pay out more than £1million in compensation to patients who suffered after being given poor advice from the controversial NHS Direct telephone helpline.

Legal documents from the NHS show that patients who rang the now-disbanded service have successfully sued for a range of ailments triggered by incorrect advice. One case involved the family of a patient who died. In another the patient suffered life-changing brain damage as a result of not getting treatment quickly enough. Other payouts involved patients left blind, in needless pain, requiring extra operations and a case where a man had to have a testicle removed.

In nearly all the cases NHS Direct accepted there was a delay or a ­failure to recognise the symptoms of an ­illness or to refer somebody to hospital quickly enough. The dossier of claims also lists cases where patients won compensation after suffering a heart attack, dental damage, burns and peritonitis, a serious abdominal infection. Over the past four years the NHS has paid out on 13 cases where it has accepted that a patient suffered because of negligent advice.

The total compensation involved is £1.4million. The figure has shot up in the past year as one of the most recent cases, believed to be where the victim suffered brain damage, was settled with a payment of more than £1million.

Click on the link to read more

http://goo.gl/8oq0fz

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Filed under: NHS Blunders, ,

Health Secretary Jeremy Hunt to meet grieving parents in NHS baby death cover-up case

  • Parents Allyn and Jenny Condon’s eight-week-old son Ben died in April
  • They exposed medics trying to cover up failings they say led to his death
  • Jeremy Hunt has agreed to a face-to-face meeting in the new year 

Health Secretary Jeremy Hunt will meet heartbroken parents who exposed health bosses trying to cover up failings they say led to the death of their baby. Mr Hunt, who is understood to have been deeply moved by the efforts of Allyn and Jenny Condon, has agreed to a face-to-face summit in the new year after The Mail on Sunday revealed their campaign for answers after their eight-week-old son Ben died in April.

When Ben died, medics told the couple that their son was not strong enough to fight off a virus. But two months later they were told Ben had also contracted a bacterial infection – which he could have picked up in hospital. The Condons then exposed how senior staff at Bristol Royal Children’s Hospital discussed deleting a key recording in which they admitted mistakes were made. On the recording, one doctor said Ben’s parents were ‘absolutely right’ to say Ben should have been given antibiotics much sooner.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3367375/Health-Secretary-Jeremy-Hunt-meet-grieving-parents-NHS-baby-death-cover-case.html

2F07EF0F00000578-3367375-image-a-43_1450565870877 Ben Condon

Watch the interview with LBC and listen to the recording.

http://www.lbc.co.uk/watch-nhs-tried-to-cover-up-my-sons-death-121261

Filed under: NHS Blunders, ,

Jack Adcock death: Doctor and nurse get suspended sentences for manslaughter

A doctor and an agency nurse who “seriously neglected” a six-year-old boy who died in hospital have been sentenced for his manslaughter.

Jack Adcock died of a cardiac arrest at Leicester Royal Infirmary after he developed sepsis. Doctor Hadiza Bawa-Garba, 39, and nurse Isabel Amaro, 47, of Manchester, were both given a two-year term, suspended for two years. The pair had denied manslaughter by gross negligence.

The two defendants “robbed” Jack of his chance of survival by failing to realise how seriously ill he was, prosecutors said. Jack, who had Down’s syndrome, was admitted to hospital with vomiting and diarrhoea in February 2011 but died about 11 hours later. On the day of his death, Bawa-Garba, of Leicester, stopped performing CPR after wrongly assuming Jack was subject to a do-not-resuscitate order.

Portuguese-born Amaro, from Manchester, failed “woefully” to monitor Jack’s treatment or alert colleagues when his condition deteriorated, the court heard during her trial. Both were found guilty of manslaughter by gross negligence at Nottingham Crown Court last month and both have already been suspended from their posts.

Click on the link to read more

http://www.bbc.co.uk/news/uk-england-leicestershire-35092309

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Jack Adcock

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Dr Hadiza Bawa-Garba (left) and agency nurse Isabel Amaro (right) were both found guilty of manslaughter by gross negligence

Filed under: Named & Shamed, NHS Blunders, ,

The NHS must stop victimising bereaved families. By Shaun Lintern for HSJ

Bereaved families of systemic failure-related deaths have far too often become second victims, due to the NHS’s misguided secrecy and focus on reputation management, writes Shaun Lintern

Losing a loved one is painful enough especially when that loss results from a mistake, a system error, or worse, clinical negligence. In too many cases the NHS fails to be open and transparent with grieving families, compounding their loss with obfuscation and secrecy. Insult is literally added to injury for people who, in the most part, are just desperate for the truth about what happened – as well as an assurance that it won’t be repeated.

Fighting Back

The problem for the health service is that times have changed. Families are no longer prepared to just accept what they are told. Many are fighting back with a rage and a fury the health service has perhaps not faced on such a scale before. HSJ has reported the stories of a number of families whose individual struggles for the truth date back years and the journey has left them with permanent emotional scars. In these and many other cases, the effect on those families cannot be underestimated. They are traumatised by their treatment at the hands of a health service that is supposed to have compassion as a core value.

They are the true second victims of NHS failures and many will struggle to trust the service again.

Click on the link to read more

http://www.hsj.co.uk/comment/the-nhs-must-stop-victimising-bereaved-families/7000919.fullarticle#.Vml6JUThz_w.twitter

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Shaun Lintern

Filed under: NHS Blunders, ,

NHS trust ‘failed to investigate hundreds of deaths’

The NHS has failed to investigate the unexpected deaths of more than 1,000 people since 2011, according to a report obtained by BBC News.

It blames a “failure of leadership” at Southern Health NHS Foundation Trust. It says the deaths of mental health and learning-disability patients were not properly examined. Southern Health, one of the country’s largest mental health trusts, has “serious concerns” about the report’s interpretation of the evidence.

The trust covers Hampshire, Dorset, Wiltshire, Oxfordshire and Buckinghamshire, providing services to about 45,000 people. The investigation, commissioned by NHS England and carried out by Mazars, a large audit firm, looked at all deaths at the trust between April 2011 and March 2015. During that period, it found 10,306 people had died. Most were expected. However, 1,454 were not. Of those, 272 were treated as critical incidents, of which just 195 – 13% – were treated by the trust as a serious incident requiring investigation (SIRI).

Click on the link to read more

http://www.bbc.co.uk/news/health-35051845

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Connor Sparrowhawk, who died at Slade House, had epilepsy and experienced seizures

Filed under: NHS Blunders, ,

NHS watchdog slams hospitals’ handling of patient complaints

Click on the link to download the ombudsman’s report

A review nto the quality of NHS complaints investigations single pages

 

Dame Julie Mellor warns that three out of four investigations fail to identify serious failings in care as families are often met with ‘wall of silence’

Three out of four investigations by hospitals into complaints that patients suffered avoidable injury or death fail to identify serious failings in care, leaving distraught families in the dark, the NHS ombudsman has warned. Inquiries by hospital staff are so often inadequate that many complainants seeking to understand what went wrong are met with “a wall of silence from the NHS”, according to Dame Julie Mellor. Mellor, the parliamentary and health service ombudsman, has demanded an urgent overhaul of how hospitals examine serious complaints made against them, in which mistakes allegedly led to patients being harmed or even killed.

Her review of the quality of internal hospital investigations uncovered a series of major weaknesses. In 73% of cases in which she found evidence of clear failings, the NHS hospitals trust concerned had concluded that no failings occurred. “Parents and families are being met with a wall of silence from the NHS when they seek answers as to why their loved one died or was harmed,” said Mellor. “Our review found that NHS investigations into complaints about avoidable death and harm are simply not good enough. They are not consistent, reliable or transparent, which means that too many people are being forced to bring their complaint to us to get it resolved.”

In just over half (52%) of the cases she examined, the investigation had been led by a doctor who was not independent of the events complained about.

For example, when a baby girl was left with brain damage after a blood transfusion went wrong, the hospital appointed a close colleague of the paediatrician at the centre of the complaint to investigate. The girl’s family had to wait three years before learning what mistakes had been made.

Click on the link to read more

http://www.theguardian.com/society/2015/dec/08/nhs-watchdog-julie-mellor-slams-hospitals-handling-complaints?CMP=share_btn_tw

 

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Dame Julie Mellor has demanded an urgent overhaul of how hospitals examine serious complaints made against them.

Filed under: NHS, NHS Blunders, ,

Up to 600 stillborn babies a year ‘are dying needlessly because of blunders by doctors and midwives’

  • Doctors and midwives accused of failing to intervene when babies become distressed in the womb
  • Inquiry was commissioned by the Department of Health and conducted by Oxford University
  • Comes as Health Secretary Jeremy Hunt launches drive to halve the number of stillbirths and deaths among new babies and mothers
  • UK had one of the highest rates of stillbirth in Europe in 2013

A confidential inquiry commissioned by the Department of Health is set to reveal that the lives of half of all stillborn babies could be saved every year in the UK. The report accuses doctors and midwives of failing to intervene in enough cases when the fetus is distressed in the womb, resulting in 600 avoidable deaths every year.

Approximately 1,200 babies are stillborn every year, but the inquiry conducted by Oxford University is expected to reveal that in many cases the deaths could have been prevented by closer monitoring and intervention to deliver the baby before the complications became serious. It is not the first time research has shown that the deaths of some full-term babies could be avoided, something campaigners have been keen to highlight for years.

Janet Scott, research and prevention head at Sands, the stillbirth and neonatal death charity, said: ‘If you knew that there were hundreds of avoidable deaths from some particular cause among infants or children or even adults, people would take that very seriously and that would be addressed. ‘It is mystifying that this doesn’t apply to this group of babies. ‘Very often, the things that go wrong are due to failure to identify risk during pregnancy and failure to act on a risk that has been identified.’

Click on the link to read more

http://www.dailymail.co.uk/health/article-3319616/Up-600-stillborn-babies-year-dying-needlessly-blunders-doctors-midwives.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: NHS Blunders, ,

‘I truly hope our loss is not in vain’ – mother of asthma death teenager Tamara Mills

The mum of a teenage girl who died from an asthma attack says she hopes that lessons will be learned from her family’s tragedy

South Tyneside coroner Terence Carney ruled that Tamara Mills’ death was contributed to by a lack of co-ordination between health professionals. The 13-year-old, who lived on the Woodbine Estate, South Shields, died on April 11, last year at South Tyneside District Hospital. She suffered a cardiac arrest after an asthma attack and could not be saved. Mr Carney said at the end of the four-day hearing: “The premature death of this young woman was contributed to by a lack of appreciation, and or reaction to the deteriorating nature of her chronic condition, and to the absence of any planning to direct, monitor, manage and co-ordinate her care.”

After the hearing, Tamara’s mum Dawn Wilson issued a statement through Browell Smith & Co Solicitors.

“I hope that the recommendations made in relation to the treatment of asthma patients in response to Tamara’s death will be implemented to prevent future deaths and other families suffering as we have. I truly hope that our loss has not been in vain”

Click on the link to read more

http://www.shieldsgazette.com/news/health/i-truly-hope-our-loss-is-not-in-vain-mother-of-asthma-death-teenager-tamara-mills-1-7520760

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Tamara Mills

Filed under: NHS Blunders,

Doctors ‘failed to spot’ Ebola nurse Pauline Cafferkey had fallen ill again

Toni Cafferkey says it was “absolutely diabolical” the way her sister was treated

The family of nurse Pauline Cafferkey have claimed doctors “missed a big opportunity” to spot she had fallen ill with Ebola again when she was told she had a virus when she attended a clinic. Toni Cafferkey said it was “absolutely diabolical” the way her sister, who originally contracted Ebola while volunteering in Sierra Leone last year, had been treated.

Pauline Cafferkey, 39, was admitted to the Queen Elizabeth University Hospital in Glasgow on Tuesday after feeling unwell. She has since been flown to the Royal Free Hospital in London where she is being treated in an isolation unit. Toni Cafferkey told the Sunday Mail that her sister had gone to a GP out-of-hours clinic at the Victoria Hospital in Glasgow on Monday night but the doctor who assessed her diagnosed a virus and sent her home.

She said: “At that point me and my family believe they missed a big opportunity to give the right diagnosis and we feel she was let down. “Instead of being taken into hospital, she spent the whole of Tuesday very ill.

Click here to read more

http://www.telegraph.co.uk/news/health/news/11925058/Doctors-failed-to-spot-Ebola-nurse-Pauline-Cafferkey-had-fallen-ill-again.html

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Pauline Cafferkey, 39

Filed under: NHS Blunders, ,

Wrong foot in the grave – EXCLUSIVE: Family kiss ‘dead mum’ goodbye… but she’s alive in ward next door

A DAUGHTER kissed her mum goodbye after being told she had died — then found seven hours later it was the wrong body.

Grieving Liz Page, 61, and husband Gerry, 72, were too upset to notice the hospital blunder when they were ushered into a cubicle. Liz said: “I couldn’t believe it. I was angry and delighted at the same time.” She added: “They said, ‘We’re very sorry, your mother’s not dead, she’s on another part of the ward.’ “They said the woman who died had a similar name and they pulled out the wrong file.”

A brain scan revealed some bleeding and Phyllis was put on oxygen. Liz and hubby Gerry spent the evening at her bedside before returning to their home nearby. Liz recalled: “I didn’t sleep very well and at about 4.50am I had a phone call from the hospital. “They said they were sorry to say my mum had passed away and asked if I wanted to see her. It was news I was expecting to hear.

“A nurse showed us into the cubicle. We were there about three or four minutes I suppose. “I just said, ‘Goodbye’ and kissed her forehead and came out.

Click on the ink to read more

http://www.thesun.co.uk/sol/homepage/news/6675381/Family-kiss-dead-mum-goodbye-but-shes-still-alive-in-ward-next-door.html

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Shock … Liz Page with mum Phyllis Lilley

Filed under: NHS Blunders,

Baby death at Shropshire maternity unit should be re-examined, says NHS review

The death of a baby girl hours after she was born at a Shropshire maternity unit should be re-examined, an independent review by NHS England has concluded.

Six years after the avoidable death of baby Kate Stanton-Davies, born at Ludlow’s midwife-led unit in March 2009, a review of the case has said a previous investigation into the case was “not fit for purpose” and called for it to be done again.

The report comes after years of parents Richard Stanton and Rhiannon Davies calling for an inquiry. A jury inquest in 2012 and an investigation by the Parliamentary Health Service Ombudsman in 2013 both concluded Kate’s death was avoidable and the result of serious failings in care. Shrewsbury and Telford Hospitals NHS Trust (SaTH) apologised to the couple in January but has now agreed to fully re-investigate the case and its handling of complaints.

Kate Stanton-Davies was born with anaemia at Ludlow Hospital before being transferred to Birmingham’s Heartlands Hospital but died six hours after she was born. The 2012 inquest found that Kate would have survived if she had been born elsewhere and that the original classification of the pregnancy as low-risk was a contributory factor in her death.

Click on the link to read more

http://www.shropshirestar.com/news/2015/09/22/baby-death-at-shropshire-maternity-unit-should-be-re-examined-says-nhs-review/

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Rhiannon Davies, of Ludlow, with daughter Kate

Filed under: Hospital, NHS Blunders, ,

Man suffers stroke after stopping pills on doctor’s advice

A MAN suffered a stroke after being given incorrect advice about stopping his blood thinning medication.

According to the Scottish Ombudsman, the patient, named only as “Mr C”, was taking rivaroxaban, a drug that thins the blood to minimise the risk of strokes, when he was scheduled for non-emergency surgery. He was told to stop taking his medication seven days before his operation because of the risk of excessive bleeding during 
surgery. But four days after coming off it, he suffered a stroke.

 The ombudsman said the health board concerned – NHS Fife – and Mr C’s consultant had “appeared unclear” about whether Mr C was on rivaroxaban or warfarin. The board said it had followed guidelines for warfarin, as rivaroxaban was a very new type of medication. It also said Mr C was classed as a low risk of having a stroke and the advice he was given was accurate, but that in light of his complaint, it would develop further protocols for staff.

Mr C said he should not have been classified as low risk and should not have been advised to stop his medication.

Click on the link to read more

http://www.scotsman.com/news/health/man-suffers-stroke-after-stopping-pills-on-doctor-s-advice-1-3895173

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Filed under: NHS Blunders, , ,

‘No apology’ tops patient complaints.

Not getting a good enough apology when things go wrong is the most common complaint escalated by NHS patients in England, figures show.

It was the reason behind 34% of cases investigated by the Parliamentary and Health Service Ombudsman in 2014-15. Errors in diagnosing conditions, poor treatment and a lack of communication were also among the top reasons acute hospital trusts were referred. The organisation upheld 726 complaints out of the 1,652 it investigated.

The PHSO is the final port of call for patients in England who are unhappy with a hospital’s original handling of their complaint. The ombudsman has itself been criticised in recent years for not doing its job well enough by investigating too few cases and dragging its heels over decisions. Its latest report shows it has investigated more complaints than last year – 1,652 in 2014-15, compared with 852 in 2013-14.

The investigations resulted in 36% of cases about the NHS being upheld, alongside 44% about acute hospital trusts.

Click on the link to read more

http://www.bbc.co.uk/news/health-34312126

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Filed under: NHS, NHS Blunders, ,

‘We’ve had to investigate the death of our son ourselves’

Jamie Appleby died in 2005 after being admitted to Ysbyty Glan Clwyd, but his mother says she has had to wait a decade for an inquest 

A mother whose epileptic and Down’s Syndrome son died in hospital 10 years ago has spoken of the heartache she has suffered waiting to find out what happened to her beloved boy. Jamie Appleby, 22, who also had a heart condition, died at Ysbyty Glan Clwyd in November 2005, almost a month after being admitted with sickness and pains in his head.

His mother Angie Hobson, from Denbigh, has spoken to the Daily Post about the strain of waiting for the coroner’s office to hold an inquest and rule on a cause of death – a process which has not allowed her to fully get over the pain of her loss. In an emotional interview, she revealed her resolve had been stretched to breaking point as she pursued her quest for answers surrounding her son’s death. She said: “It’s like having cloud over you isn’t it – for a very long time. “You go through peaks and troughs with it. “Because each time there’s a preliminary hearing you have to relearn the case.

Click on the link to read more

http://www.dailypost.co.uk/news/north-wales-news/jamie-appleby-inquest-glan-clwyd-10096263

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Jamie Appleby, who died at Ysbyty Glan Clwyd in 2005

Filed under: Disabilities, NHS Blunders, ,

Campaigning father invited to sit on NHS England safety body after Welsh ‘snub’

It has been my privilege to have known Will Powell for many years now and his perseverance in bringing justice for his son Robbie going on for 25 years. Will has helped so many people within that time who have also gone through trauma in losing a loved one. A worthy advocate for the Independent Patient Safety Investigation Service (Ipsis)  Joanna

Will Powell fought a lengthy battle to have criminal prosecutions brought against a number of medical staff involved in the negligent treatment of his 10-year-old son

A bereaved father who has spent 25 years campaigning for justice for his son has been invited to sit on a expert patient safety group by NHS England.

But Will Powell, of Ystradgynlais Powys, who has fought a lengthy battle to have criminal prosecutions brought against a number of medical staff involved in the negligent treatment of 10-year-old Robbie, said he was saddened that he was not taken as seriously by NHS Wales.

Robbie died of Addison’s disease, a rare illness that stops the adrenal glands pumping vital hormones. Doctors did not act on a suspicion that he had the condition and he did not receive the treatment that would have saved his life. Six years later the NHS accepted that negligence had occurred at Morriston Hospital, Swansea.

Click on the link to read more

http://www.walesonline.co.uk/news/wales-news/campaigning-father-invited-sit-nhs-10080421

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Will Powell and his son Robbie

Filed under: NHS Blunders, , , , ,

Tragic infant died following delayed Caesarean delivery caused by hospital IT blunder

Inquest hears how devastated Natasha and Sean Butler lost baby Spencer following catalogue of ‘missed opportunities’ at Royal Oldham hospital

An infant was delivered tragically late after an IT blunder at a major maternity unit, an inquest heard. Natasha and Sean Butler lost their baby Spencer after a catalogue of errors and “missed opportunities” at the Royal Oldham Hospital in May 2014. And the devastated Oldham couple suffered further distress when they accidentally received a letter congratulating them on the birth just days after he had died.

Spencer was one of seven baby deaths at the centre of an investigation into two maternity units ran by Penine Acute Trust. Medical staff from the Royal Oldham Hospital wept as they gave evidence at an inquest into Spencer’s death on Wednesday. The court heard how Mr and Mrs Butler’s concerns about their unborn child were ignored over four days by busy medical staff on Royal Oldham’s maternity unit.

The mum-to-be was already 42 weeks pregnant when admitted on May 16 – yet she repeatedly went hours without being examined by a doctor.

Click on the link to read more

http://www.manchestereveningnews.co.uk/news/greater-manchester-news/tragic-infant-died-following-delayed-10072341

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Filed under: Hospital, NHS Blunders, , , ,

Exclusive: Hunt orders investigation of ‘regulatory gap’ baby death case – By Crispin Dowler, Shaun Lintern for HSJ

The health secretary has promised an independent investigation of the death of a baby whose ‘incredibly distressing’ case highlighted a regulatory ‘gap’ in the NHS’s ability to probe historic complaints.

Jeremy Hunt told HSJ he had intervened in the “frankly heart breaking” case of Elizabeth Dixon after her family’s concerns had been “passed around the system” for “far too long”.

He said NHS England patient safety director Mike Durkin would commission an independent investigation of the case in his new role in charge of patient safety at NHS Improvement – the regulator to be formed by merging Monitor and the NHS Trust Development Authority.

Elizabeth was born prematurely at Frimley Park Hospital in 2000. She was left with permanent brain damage after hospital staff failed to monitor or treat her high blood pressure, and in 2001 she died of suffocation when a newly qualified nurse failed to keep her breathing tube clear. The cause of her brain damage was only confirmed in 2013.

http://www.hsj.co.uk/news/acute-care/exclusive-hunt-orders-investigation-of-regulatory-gap-baby-death-case/5090149.article

Click on the link below to read the artical in full

Exclusive Hunt orders investigation of regulatory gap baby

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Elizabeth Dixon

Filed under: Hospital, NHS Blunders, ,

Elderly patient left disfigured by minor operation

CONCERNS have been raised after NHS doctors failed to inform an elderly patient that removing a cancerous lump would leave him with “extensive facial disfigurement”.

James Whitecross, 76, was referred to the ear, nose and throat clinic at Forth Valley Hospital in January 2014 after discovering a small swelling behind his left ear. Doctors discovered it was cancerous and told Whitecross he would need surgery at the Southern General Hospital in Glasgow as most of the specialists were based there.

His daughter Lorna Tannock said the family were told it would be a minor procedure, but the result was a “mutilating surgery” which left her ­father unable to walk, eat properly or see in the initial weeks. Tannock, 40, said: “It looked like half of his face had been removed. I thought I was ­going to faint.”

The retired farmer had lost most of his left ear, and a 20cm flap of his cheek and neck had been completely cut away after the operation in March last year. He also had stitches in one eye and across his lips and a 38cm scar on his leg where a skin graft had been taken for his cheek.

Click on the link to read more

http://www.scotsman.com/news/health/elderly-patient-left-disfigured-by-minor-operation-1-3872632

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James Whitecross, pictured with his wife Christina, had surgery for a cancerous lump

Filed under: NHS Blunders,

National health review into care for newborns after death of baby in 2001

Fourteen years on from the tragic death of her newborn daughter Elizabeth, grieving Anne Dixon is still seeking answers

A national healthcare regulator is undertaking a review into the care of newborn babies who need extra support after a Fleet woman tragically lost her baby.

Anne Dixon’s daughter Elizabeth was born at Frimley Park Hospital in 2000 and was brain damaged after her high blood pressure was not treated for 15 days. She was left disabled and needed a tracheostomy, or tube, to breathe, but suffocated and died at home in Church Crookham days before her first birthday, when her tube was not maintained during a home visit by an agency nurse who transpired to be newly-qualified.

Now, the Care Quality Commission (CQC) is undertaking a national review into care for infants who need more support and how they are cared for both in hospital and by community services. It is the first time the body has used its powers to investigate a particular aspect of care across the NHS.Announcing the review, the CQC said it would examine 20 services across England, exploring how well fetal medicine, obstetrics, neonatal and community services work together to care for newborn babies with declining health problems, particularly those with high blood pressure and tracheostomies. The regulator said it did not expect the review, which will begin in September, to give a national picture of the quality of care, but hopes it will lead to development of clinical guidelines where needed.

But Mrs Dixon said she felt it did not stretch far enough and that an inquest into Elizabeth’s death, held in 2008/9, failed to get to the truth. She also said her concerns were ignored constantly and she felt she had been dubbed an “over-anxious mother”.

Click on the link to read more

http://www.gethampshire.co.uk/news/local-news/national-health-review-care-newborns-9937075

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Lizzie Dixon

Filed under: Hospital, NHS, NHS Blunders, , ,

Nearly 500 complaints were made about councils in the West Midlands in a year, new figures reveal

The number in the Black Country, Staffordshire and Wyre Forest has fallen from 551 in 2013/14 to 471 in 2014/15, mirroring the trend across the country, where it dropped from 18,211 to 18,436.

But the Ombudsman saw a 10 per cent increase in complaints about adult care services. Meanwhile, complaints about benefits and tax dropped 11 per cent, and complaints about planning and development were down six per cent.

Of the 10 councils in the Black Country and Staffordshire areas, the ombudsman received the most complaints and enquiries regarding Sandwell Council. Of the 118 received, 19 were upheld, with 59 referred back for local resolution. The majority related to benefits and tax (33 complaints), with 24 regarding education and children’s services, 21 about housing, and 15 about adult care services. There had been 138 complaints the previous year.

Click on the link to read more

http://www.expressandstar.com/news/2015/08/24/west-midlands-council-complaints-near-500-in-a-year/

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Filed under: Hospital, Named & Shamed, NHS, NHS Blunders,

Mother releases harrowing pictures of her daughter, 23, wasting away in hospital before she died after doctors failed to notice she was malnourished

  • Kayleigh Compton died after being treated at Peterborough City Hospital 
  • The 23-year-old had lost six stone in eight months before being admitted
  • Doctors failed to note weight loss and did not offer feeding tube on arrival
  • She died a month later after being placed in a medically induced coma

A mother has released harrowing photographs of her daughter wasting away in hospital after doctors failed to notice her severe malnutrition. Kayleigh Compton died in hospital after plummeting to less than five stone in just one year. The 23-year-old had developed a condition which made her sick every time she ate.  Doctors at Peterborough City Hospital carried out a malnutrition test when she was first admitted but it failed to give an accurate assessment of her condition.

When the correct reading was obtained doctors assumed her malnutrition was the result of an eating disorder despite the aspiring photographer’s protestations.  She refused a feeding tube for weeks, failing to understand that another condition may have caused her to become so malnourished. Miss Compton eventually died after being placed in a medically induced coma having collapsed.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3176125/Mother-releases-harrowing-pictures-daughter-23-wasting-away-hospital-died-doctors-failed-notice-malnourished.html

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Kayleigh Compton above, 23-year-old aspiring photographer

Kayleigh Compton below two days before her death
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Filed under: Hospital, Named & Shamed, NHS, NHS Blunders, , ,

Patient’s brain abscess missed twice by doctors

HEALTH chiefs have been forced to apologise to a patient who was sent home with painkillers twice by doctors who failed to notice she was suffering from a brain abscess.

The patient, known only as Miss C, was referred to the outpatient clinic at St John’s Hospital in Livingston in September 2013 after complaining to her GP of severe headaches, problems with her vision and vomiting. But medics failed to spot the agonising build-up of pus on her brain and she was sent home twice with only ibuprofen and co-codamol. A scan later revealed the problem and the patient had to undergo emergency surgery at the Western General Hospital, before a further operation to drain the abscess.

Ombudsman Jim Martin has now ordered NHS Lothian to apologise for its delay in diagnosis, which “may have led to a more serious outcome and unnecessary prolonged pain and distress”.

Click on the link to read more

http://www.edinburghnews.scotsman.com/news/health/patient-s-brain-abscess-missed-twice-by-doctors-1-3838703

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Filed under: NHS, NHS Blunders, ,

Exposure: NHS Out of Hours Undercover

An undercover probe into  Care UK , Britain’s biggest provider of out-of-hours services, has revealed patients are put at “huge risk”.

Click on the link below to watch. Only on ITVplayer for 30 days. Don’t miss it  

https://www.itv.com/itvplayer/exposure-nhs-out-of-hours-undercover

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Healthcare providers face fines for missing the national four-hour target for all emergency departments to conclude 95% of cases. But covert footage has suggested doctors are discharging patients when they near the limit. They continue to receive treatment later on, but off the books. Suzanne Mason, professor of Emergency medicine at the University of Sheffield, said: “By discharging somebody off your system before they’ve left the department, there’s a huge risk something could happen to that patient.”

The month-long probe by ITV’s Exposure, presented by Mark Austin was broadcast on Wednesday night 22nd July which exposed major concerns at Care UK’s 24-hour Ealing Urgent Care Centre, West London.

One doctor told an undercover reporter he discharged a patient to meet the target. He said: “It’s all… playing the game. I’ve discharged her, but I’m still dealing with her. So as far as statistics are concerned she was discharged within four hours.” Two days later, the same doctor said he had discharged another patient before treatment finished. He added: “It happens a lot.”

Care UK said both the firm and doctor “refuted any suggestion patients have been discharged before treatment is complete”. The probe into Health Secretary Jeremy Hunt’s NHS also revealed patients were given thermometers to take their temperature, to determine which were seen first. Care UK, which had a turnover of more than £700million last year, said “this does not appear to be good practice”, and it “will undertake any retraining necessary.” Other alleged failings included empty medicine cabinets, and work experience students being told to check up on patients when staff were busy. Care UK said: “Stocks of medications are monitored closely.” It added students should not have been asked to check up on patients.

 

Filed under: GP's, Hospital, Named & Shamed, NHS, NHS Blunders, Whistleblowing, , , ,

New app to record patients’ medical information

A ‘REALLY USEFUL’ TOOL

Katherine Murphy, chief executive of the Patients Association says the app could help offset problems caused by the loss of medical notes, and adds: “Notes going missing is a big problem – they frequently go missing and are not with patients when they have appointments, so to have an app that records your information will be really useful.”

Click on the link to read more

http://www.irishnews.com/lifestyle/2015/07/22/news/headline-195604/

Click on the link to support MyNotes Medical

http://www.crowdfunder.co.uk/mynotesmedical

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Filed under: GP's, Hospital, NHS, NHS Blunders, , ,

Why do I need MyNotes Medical? Warning: Lack of notes can kill

We want to ask you:

What if better communication between patient and NHS could prevent needless illness or death?

Warning: Lack of notes can kill!

Every year, thousands of NHS patients suffer needlessly. Doctors are over­worked, mistakes are made and billions of pounds are wasted. The question is, why?

If you have ever been a patient, or your loved one has, you may know for yourself the confusion and stress that often occurs:

  • You don’t understand what the doctor or consultant is saying
  • Your story is not taken seriously
  • You find it difficult to recall your diagnosis or treatment, since you have no notes to refer to
  • Perhaps, as a result you are sent away with the wrong diagnosis, or you have to make several appointments.

This is critical:

You don’t understand everything that the medical professionals are asking or saying to you; no one seems to have access to your loved one’s medical history and you are worried that you may generalise, delete or distort something critical when telling people what they need to know. All of this wastes precious time in which you or your loved one could be receiving proper treatment.

The problem is down to a breakdown in communication between patient and consultant. And, the problem has been publicly recognised and acknowledged.

Trouble is, all too often the solution has been developed by medical professionals for the ‘benefit’ of patients but NOT by patients themselves and NOT from a patient’s perspective.

Would you feel better if you could

Take Video’s,  Record conversations, Take Photo’s that are automatically synchronised with your PC in date order to review, share and keep you in control?

Yes! That’s why you and your loved ones need MyNotes Medical. Written by Patients for Patients.

You are just one click away  http://goo.gl/3rf9c7

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Filed under: GP's, Hospital, NHS, NHS Blunders, Self Help, , , ,

Medical blunders cost NHS billions

An analysis by The Telegraph shows 20 hospital trusts have paid out £1.1 billion for medical blunders in just five years. While below we tell the tragic story of a mother left severely brain damaged after giving birth to her daughter

More than £1.1bn has been paid out for blunders at just 20 NHS trusts in the past five years, a Telegraph investigation can disclose.

A league table reveals the trusts with the largest medical negligence bills in England – topped by a hospital trust which was embroiled in a scandal over the deaths of babies and mothers. In total, NHS trusts have paid out more than £4.5 billion in the past five years for medical mistakes. About a quarter was paid to law firms to cover legal costs and most of the rest in compensation to patients harmed by medical blunders.

The legal bill for medical blunders has quadrupled in the past decade, The Telegraph investigation shows.  Action against Medical Accidents, the patient safety charity, said last night the growing scale of payouts was of huge concern and a massive burden on the NHS. “Clinical negligence is a huge and growing strain on the finances of the NHS, but the human cost is far greater,” said Peter Walsh, the charity’s chief executive, “Millions could be saved if there were more honesty and earlier admissions of liability.”

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11733719/Medical-blunders-cost-NHS-billions.html

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Filed under: Hospital, NHS, NHS Blunders, , ,

Senior doctor urges Welsh NHS to improve medical training after ‘unimaginable mistakes’ were made prior to his mother’s death

  • Dr Amer Jafar claims ‘unimaginable mistakes’ led to his mother’s death
  • Concerns led to investigation into her care at University Hospital of Wales 
  • Three-and-a-half hour delay identifying and treating her condition, three-hour delay giving her pain relief and six-hour delay giving her antibiotics
  • Dr Jafar says he wants to make sure all doctors are trained adequately

A leading doctor is today leading calls for the Welsh NHS to improve its medical training after his mother died of a heart attack following ‘inadequate care’.

Dr Amer Jafar, one of Wales’ most senior medical consultants, was awarded £4,000 compensation after an investigation uncovered a spate of failings in the care of his 79-year-old mother. Dr Jafar called for the investigation after he said ‘unimaginable mistakes’ were made at the University Hospital of Wales in Cardiff over his mother Zahar Al Hasani’s death. A report found there was a three-and-a-half hour delay in identifying and treating her condition when she was taken into hospital.It also found there was a similar three-hour delay in giving her pain relieving paracetamol and then a six hour delay in giving her antibiotics.

Dr Jafar made a complaint to the health board after claiming his mother’s poor care had led to her suffering a fatal heart attack in March 2014. He said his elderly mother, who had a history of heart disease, was assessed wrongly by a doctor in his final year of training who ‘misdiagnosed and mismanaged’ her sepsis and failed to follow the ‘sepsis pathway’.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3148460/Senior-doctor-urges-Welsh-NHS-improve-medical-training-unimaginable-mistakes-prior-mother-s-death.html

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Dr Amer Jafar

Filed under: Hospital, NHS, NHS Blunders, ,

Executive left brain-damaged by weekend care blunders wins £3m payout after five-year battle with central London hospital

A man who was left-brain damaged after inadequate weekend hospital care has received a £3 million settlement from the NHS.

Tristan Rosevear, 47, spent nine weeks in intensive care after delays in treating septic arthritis in his left hip at St Mary’s Hospital, Paddington. The telecommunications executive had to be resuscitated and suffered a stroke. Almost five years on, he still struggles to communicate and has limited mobility. The payout, by the NHS Litigation Authority on behalf of St Mary’s, includes a £1.5 million lump sum and annual payments for the next 20 years for his rehabilitation and care.

His wife Janine Abery, 48, who gave up a film industry career to become his carer, told the Standard: “It’s been a long road. It’s been more than four-and-a-half years since Tristan’s stroke, and frustrating they didn’t see fit to settle earlier than they did. I hope the NHS can up its game so nobody else’s family has to suffer what Tristan’s has.”

Click on the link to read more

http://www.standard.co.uk/news/health/executive-left-braindamaged-by-weekend-care-blunders-wins3m-payout-after-fiveyear-battle-with-central-london-hospital-10354770.html

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Suffered stroke: Tristan Rosevear, pictured with wife Janine Abery

Filed under: NHS Blunders, ,

Please show me that you really care

Do you want to make people’s lives better?

Do you want to make your children’s and your parents lives better?

Are you concerned with the amount of medical mistakes in the news?

Are you a thinker or a doer?

Do you really care? 

Click on the link and show me that you really care http://goo.gl/3rf9c7

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Filed under: A&E, Cancer, Care Homes, Dementia, Disabilities, Elderly, GP's, Hospital, Mental Health, Named & Shamed, NHS, NHS Blunders, Self Help, Uncategorized, Whistleblowing, , ,

New ‘duty of candour’ rules instruct medics to admit mistakes

 

New guidelines are being unveiled for doctors, nurses and midwives across the UK on being honest and open with patients when things go wrong.

Known as a “duty of candour”, the guidelines make clear that patients should expect a face-to-face apology. In April, the NHS introduced a rule that told NHS and private healthcare organisations to admit their mistakes candidly, and as soon as possible. Now the same rule is to be applied to individual medics.

Say Sorry

Detailed guidance makes clear staff should tell the patient as soon as possible when something has gone wrong, and what it might mean for their health. The guidance also makes clear that patients or their families should receive a face-to-face apology. For the avoidance of doubt, it even spells out words that such an apology might include, such as “I am sorry”. The guidance was drawn up by the General Medical Council and the Nursing and Midwifery Council and applies to more than 950,000 doctors, nurses and midwives working in the UK.

Click on the link to read more

http://www.bbc.co.uk/news/health-33286601

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Filed under: Hospital, NHS, NHS Blunders, , , , , ,

Clampdown on lawyers overcharging NHS in clinical negligence cases

Government plans to save NHS £80m a year by capping legal fees that in some cases run as high as 10 times the amount paid in compensation to clients.

In one case, a source at the Department of Health said a lawyer pocketed £175,000 while the patient received just £11,800 in damages. In another, the legal bill was more than £80,000 while the patient only received £1,000, although the legal bill was later reduced to less than £5,000 by the courts after a successful challenge by the NHS Litigation Authority (NHS LA).

Click on the link to read more

http://www.theguardian.com/society/2015/jun/27/nhs-clinical-negligence-cases-clampdown-lawyers

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Filed under: NHS, NHS Blunders, Uncategorized, , ,

How Will MyNotes Medical work for you? Watch our walk-through slides

We have had a fantastic response regarding MyNotes Medical, but people are still unsure how MyNotes Medical works.

Here is a short slide presentation walkthrough how the programme will work. We NEED your support to help us to help you. Please pledge your support on our link http://goo.gl/3rf9c7  Thank you, Together We Can Make A Difference Joanna 

 

Filed under: A&E, Cancer, Care Homes, Dementia, Disabilities, Elderly, GP's, Hospital, Mental Health, Named & Shamed, NHS, NHS Blunders, Self Help, Uncategorized, Whistleblowing, ,

Devastated parents ask – Why didn’t Dudley’s Russells Hall Hospital perform caesarian?

A woman whose daughter was stillborn says she was refused a Caesarian despite raising her concerns that her baby was in distress.

And Jennie Collins says she was put in a ‘filthy’ room with blood spots on the sink and in the toilet and a bin full of medical waste while she waited to deliver tragic Layla having been told the devastating news. Now the 31-year-old and her fiancé Daniel Davenport, aged 35, are demanding answers from Dudley’s Russells Hall Hospital after their daughter was stillborn, despite asking for a Caesarian section. And the couple have told of their concerns over how they were looked after, including how they were told they should drink water from a tap labelled for hand washing only.

They are now considering legal action while the Dudley Group of Hospitals, which insists the room was cleaned before, during and after Miss Collins was in there, has appointed an executive director to investigate.

Please click on the link to read more

http://www.expressandstar.com/news/local-news/2015/06/17/devastated-parents-ask-why-didnt-hospital-perform-caesarian/

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Pictures from the couple show how the room looked

Filed under: NHS, NHS Blunders, ,

NHS trusts ‘failing to deal with serious complaints’

 The Health Ombudsman has accused NHS trusts of failing to deal with serious complaints properly.

Too many, often bereaved relatives, are left with no other choice but to take their issues to the ombudsman because trusts fail to deal with them locally, it said. Today a report containing investigations dealt with in October and Novermber last year showcases the wide range of cases the Ombudsman service investigates about the NHS in England and other government departments.

One case a family who had no choice but to place a vulnerable man with dementia in private care over Christmas, after he was unsafely discharged from A&E on Christmas Day. One hospital trust gave no assurance that errors that led to a patient with dementia being left on a trolley in A&E for more than 33 hours followed by an assessment unit for 42 hours would not happen again.

Click on the link to read more

http://www.itv.com/news/2015-06-17/nhs-trusts-failing-to-deal-with-serious-complaints/?

Read the Ombudsman report

http://www.ombudsman.org.uk/about-us/news-centre/press-releases/2015/ombudsmans-report-highlights-poor-complaint-handling-and-service-failures-across-the-nhs-in-england-and-uk-government-departments

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Filed under: NHS, NHS Blunders, , ,

Autistic boy set for millions after NHS blunder

An autistic teenager has won the right to multi-million-pound compensation after his parents only found out NHS negligence was the likely cause of his condition when they applied for a disability parking permit.

Foryears Ben Harman’s parents had thought his disabilities were just one of life’s cruelties and struggled to make his life as comfortable as possible. The truth emerged when they applied for a “blue badge” for their car, Mr Justice Turner said at the High Court.  Only then were they told a hospital negligently failed to diagnose his catastrophically low blood sugar levels after his birth in 2002. He was eventually given dextrose but that did not save him from brain damage and autism.

The judge said: “When he was discharged his parents were told nothing of the risk that his low blood sugar levels may have caused lasting damage.” Ben’s parents were deeply worried when he failed to meet his milestones but never suspected that he may have been a victim of medical negligence. The judge said it was in 2006 that the couple applied for a blue badge so they could park in disabled bays — and the truth was “only revealed incidentally” when they were asked for medical evidence in support of their application.

Click on the link to read more

http://www.standard.co.uk/news/health/autistic-boy-set-for-millions-after-nhs-blunder-10315290.html

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Payout: Ben Harman has won the right to multi-million-pound compensation

Filed under: NHS Blunders, ,

Only one in three unhappy NHS patients actually complain, says new survey

Only one in three people who are unhappy with their NHS care or with other publics services actually complain, according to a survey conducted by the ombudsman.

The research found that while 90per cent believe that people who think they have had a poor service should complain, in practice, far fewer actually do. Reasons for not complaining included fears that it would be more hassle than it was worth, not knowing who to turn to, and concerns that the complaint would not be taken seriously. However, the most common reason not to complain was that people doubt it will make a difference.

The findings, from a survey of 4,623 people conducted by the Parliamentary and Health Service Ombudsman (PHSO), are echoed by a second report, from patient advocacy group Healthwatch England, which found that only 21 per cent of NHS patients who have a poor care experience write a letter of complaint.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/only-one-in-three-unhappy-nhs-patients-actually-complain-says-new-survey-10317167.html

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Filed under: NHS, NHS Blunders, ,

Baby’s death could have been avoided but NHS 111 staff ‘were working from a script because they are not skilled professionals’

  • William Mead died after developing an abscess in his left lung at 12 months
  • Mother phoned NHS out-of-hours 111 service the night before he died
  • Staff missed chance to save the infant as they read from script
  • Had he been admitted to hospital he could have been saved
  • Coroner records verdict that his death was due to natural causes

A baby died after NHS 111 staff working from a script missed the chance to save the seriously ill infant, an inquest heard. William Mead died the day after a helpline operator, with no medical training, advised his mother to give him plenty of fluids, Calpol and Ibuprofen. The 12-month-old had developed an abscess in his left lung caused by the bacterial infection streptococcus A. But had the out-of-hours service advised that the child be admitted immediately to hospital he could still be alive today, the hearing was told.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3120129/Baby-s-death-avoided-NHS-111-staff-working-script-not-skilled-professionals.html

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William Mead was just 12 months old when he died after NHS 111 staff working from a script missed a chance to save him

Filed under: NHS Blunders, , ,

NHS scandal: 1,000 babies die a year due to ‘shocking’ standards – costing us £1 BILLION

CAMPAIGNERS have slammed the NHS after “shocking” figures revealed that more than 1,000 babies were killed in maternity units last year.

Officials paid just under £1billion to settle 1,316 claims of negligence, including maimed babies – up from £488 million 10 years ago.  James Titcombe, whose son Joshua died nine days after his birth in 2008, condemned the NHS for not “leaning from mistakes”  He said: “That we’re spending £1billion is absolutely shocking. “There should be no room for failing to learn, yet the system that we have at the moment is woefully inadequate.” A police investigation into Joshua’s death was widened to include 18 other premature deaths at the same maternity unit.

Death rates in Britain vary from 5.4 to 7.1 per 1,000 births, with experts urging the worst performing areas to investigate wrongdoings.

Click on the link to read more

http://www.express.co.uk/news/uk/583400/NHS-maternity-midwife-stillbirth-James-Titcombe-health-babies-dead

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Filed under: Hospital, NHS, NHS Blunders, , , ,

Will Powell: “For 25 Years The State Has Covered Up The Negligence That Killed My Boy Robbie”

Please watch and listen to Will Powell’s shocking account of what happened to his son Robbie 25 years ago

 

Filed under: Named & Shamed, NHS, NHS Blunders, , ,

Hospital CEO: ‘We have failed’

A hospital trust chief executive has admitted his hospital did not act quickly enough after concerns were raised over patient deaths.

Matthew Kershaw, CEO of Brighton and Sussex University Hospitals NHS Trust, apologised to the families of the patients involved and said the standard of care they received was “nowhere near good enough”. The apology came as the father of Stephen Palmer, who died in 2013, spoke of his fury at what happened to his son.

The Argus exclusively revealed yesterday how serious flaws in the care of five patients in the acute medical unit (AMU) at the Royal Sussex County Hospital in Brighton contributed to their deaths.

Click on the link to read more

http://www.theargus.co.uk/news/12980754.Hospital_CEO___We_have_failed_/?ref=twtrec

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Matthew Kershaw, CEO of Brighton and Sussex University Hospitals NHS Trust

Filed under: Hospital, NHS, NHS Blunders, ,

Irvine Simmonds: Family of pensioner who died after falling 12 times in NHS care to sue trust

The heartbroken family of a pensioner who died after TWELVE falls in NHS care are to take legal action .

Irvine Simmonds, 88, died following the accidents after he was admitted to hospital for a hip replacement – after he had already taken a fall at home. Daughter Janet, 61, and son-in-law Joe Oliver, 60, were “devastated” by Irvine’s death from a bleed on the brain and pneumonia caused by the falls, two months after he was admitted in September last year, and have confirmed they will lodge a claim. Mr Oliver said: “We’re appalled and feel incredibly let down by what can only be described as an astounding failure in the hospital’s duty of care. “My wife and I are devastated by our loss, and our only hope is that following this verdict, sufficient action will be taken so as to ensure no other family has to go through this.”

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/irvine-simmonds-family-pensioner-who-5767248

 

Filed under: NHS Blunders, ,

4 WEEKS OF HELL: Royal Blackburn Hospital doctors diagnose woman with cancer – only to find it was inflamed appendix moments before surgery

A GRANDMOTHER said ‘goodbye’ to her family after being told she needed a cancer operation – only for doctors at Royal Blackburn Hospital to discover she had been misdiagnosed moments before surgery.

Sandra Lord was left heartbroken last month when a pain in her stomach was diagnosed as bowel cancer following a scan at the hospital on April 16. The 69-year-old was due to have part of her bowel removed when she went under the knife at the hospital on Tuesday. But when the surgery team performed a colonoscopy before the operation they discovered that what they thought was a lump on the bowel was actually caused by an inflamed appendix rubbing against the bowel. Having been told she was due to stay in for seven to 10 days, Mrs Lord, from Waterfoot, woke up from the operation just two hours after she was given an epidural and was told it had all been a big mistake.

She said: “It’s obviously a relief that I haven’t got cancer but I shouldn’t have had to go through that. It’s been a living hell for a month.

Click on the link to read more

http://www.lancashiretelegraph.co.uk/news/12948789.4_WEEKS_OF_HELL__Blackburn_doctors_diagnose_woman_with_cancer___only_to_find_it_was_inflamed_appendix_moments_before_surgery/

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Sandra Lord

Filed under: Hospital, NHS Blunders, ,

£10m payout to Harrogate boy left disabled at birth

A young boy from Harrogate has been awarded almost £10m in a payout from the NHS after medical errors at his birth left him severely disabled.

Medical staff failed to spot that Kit vanBerckel, who was born 10 days overdue, was suffering distress before his birth in 2008.  Medical staff failed to spot that Kit van Berckel, who was born 10 days overdue, was suffering distress before his birth in 2008. The High Court heard that staff had failed to correctly interpret and act on a pathological CTG pre-birth heart scan. As a result of this Kit, who is now six years old, was born at Harrogate District Hospital, without a heartbeat and needed resuscitating. Soon after his birth he was diagnosed with cerebral palsy, which means he can’t sit without help, can’t move on his own, is unable to feed himself and can’t speak.

The £9.872 million payment awarded to the family will provide lifelong care and rehabilitation for Kit. The youngster, who is a pupil at Richard Taylor School in Harrogate, needs to use eye gaze technology and other hi-tech systems to communicate with his classmates.

Click on the link to read more

http://www.harrogateadvertiser.co.uk/news/health/local-health/10m-payout-to-harrogate-boy-left-disabled-at-birth-1-7258846

Kit van Berckel was left severely disabled after medical errors at his birth. (S)

Kit van Berckel was left severely disabled after medical errors at his birth. 

Filed under: Hospital, NHS, NHS Blunders, ,

Family haunted by memory of mum being left to die on hospital trolley

THE family of cancer victim Lily Smith say they will never forgive the NHS after she spent 12 hours of the last day of her life on a hospital trolley.

The 83-year-old great grandmother’s final wish was to be allowed to die in peace at her Newstead home after she was diagnosed with terminal lung cancer last December. But an ambulance was called when she suddenly took a turn for the worse after contracting pneumonia. Lily then spent nine hours in a corridor at the Royal Stoke University Hospital’s A&E before spending a further three hours on a trolley at the Medical Assessment Unit.

She passed away just three hours after finally being placed on the Clinical Decision Unit on March 25. Now her devastated relatives have questioned why more was not done to make their dying mother’s last hours more comfortable. One of her four surviving children, Ian Smith, said he will always regret dialling 999 when his mother started to have difficulties breathing.

Click on the link to read more

http://www.stokesentinel.co.uk/Family-haunted-memory-mum-left-die-hospital/story-26459356-detail/story.html

Family collect of Lily Smith who died at The Royal Stoke Hospital

Lily Smith

 

Filed under: A&E, Elderly, NHS, NHS Blunders, , ,

Robbie Powell died 25 years ago aged 10. Difficult to believe that this 4 part ‘Wales This Week’ documentary was aired 11 years ago and yet the NHS cover up continues 25 years after Robbie’s needles death

There was sufficient evidence to prosecute the killer/dishonest GPs in 2003 but Crown Prosecution Service said NO! The three reasons below were given for not prosecuting the GPs and their secretary:

1. Passage of time! [Not relevant in cases of child sex abuse and other crimes]

2. Police/CPS FAILURES! [More like Police/CPS corruption to protect the establishment employed police doctors]

3. Police IMMUNITY! [The Police does not have the gift of immunity and even if they had it is only given when the perpetrators assist in the prosecution of others and not as a favour for police employed doctors]

When will the 25 year cover up of Robbie’s death be investigated and the perpetrators of these heinous crimes IMPRISONED?

Will the Director of Public Prosecutions do the right thing this time? Will Powell

Part 1 of 4

Click on the link below to watch the 3 other parts of  “Wales This Week” documentary  https://strength-in-numbers.co.uk/r/

Filed under: GP's, Hospital, NHS, NHS Blunders, , ,

Wolverhampton hospital bosses launch investigation after woman given wrong breast cancer diagnosis

Hospital bosses have launched an investigation after a woman was told she had breast cancer and underwent surgery – only to be informed days later she never had the disease.

Officials were forced to issue the patient with an ‘unreserved’ apology over the mix-up. Elizabeth Dawes, a breast cancer nurse from Stafford, was told by staff at New Cross Hospital in Wolverhampton that she had grade 3 invasive breast cancer and needed surgery and chemotherapy. She underwent extensive surgery as a result of the diagnosis, but four days later the 39-year-old mother-of-one was told her medical notes had been mixed up with those of two other patients.

Ms Dawes called the mix-up ‘appalling’ and is taking legal action. She is still taking painkillers almost two years after the surgery and was so traumatised by it she gave up her job at New Cross. Bosses at the hospital have met with Ms Dawes to offer an ‘unreserved apology’.

Click on the link to read more

http://www.expressandstar.com/news/2015/04/28/hospital-bosses-launch-investigation-after-stafford-woman-given-wrong-breast-cancer-diagnosis/?

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Elizabeth Dawes

Filed under: Cancer, NHS Blunders,

No prosecution over death of nine-day-old baby Joshua at maternity unit where midwives failure’ to spot infection sparked inquiry into 18 other baby deaths

Police have confirmed that a prosecution will not take place over the death of a nine-day-old baby which sparked an inquiry into care at a maternity unit where 18 other infants died.

Joshua Titcombe, from Dalton-in-Furness, Cumbria, was born at Furness General Hospital in2008, but died days later after midwives repeatedly missed chances to spot and treat a serious infection.  His father James had argued for the inquest in 2011 after refusing to accept the initial explanations given for Joshua’s death and filing an official complaint about his treatment. It was uncovered that the infant’s observation chart had gone missing and was never found, while a coroner accused midwives of ‘colluding’ over mistakes made.

A police investigation into Joshua’s death was launched in March 2011 and later widened to include the deaths of 18 other babies and two mothers at the hospital.  But in 2012 detectives said no action would be taken in relation to the deaths, apart from Joshua’s case, which had been passed to the Health and Safety Executive (HSE) for its consideration. They also investigated 14 births which involved complications, but also recommended no action be taken in relation to them.

Today, (24th April 2015) Cumbria Constabulary announced the HSE had notified them that it would not be carrying out any further investigations and its four-year-long investigation into the cases of 35 people who suffered within the hospital maternity unit between 2004 and 2013 has now been closed. 

Click on the link to read more

http://www.dailymail.co.uk/news/article-3053590/No-prosecution-death-nine-day-old-baby-Joshua-maternity-unit-midwives-failure-spot-infection-sparked-inquiry-18-baby-deaths.html

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Tragic: Joshua Titcombe was born at Furness General Hospital in November 2008 but died nine days later

Filed under: NHS, NHS Blunders, , , ,

Two doctors face manslaughter charges as woman died after emergency caesarean. An international arrest warrant has been issued for Dr Azeez

Frances Cappuccini, 30, died just a few hours after her son was delivered at Pembury Hospital in Tunbridge Wells, Kent.

Anaesthetists Dr Nadeem Azeez, 52, from Tunbridge Wells, and Dr Errol Cornish, 67, from Bromley, Kent, have been charged with gross negligence manslaughter in connection with her death.

An international arrest warrant has been issued for Dr Azeez, who is thought to have left the UK and returned to Pakistan.

The Crown Prosecution Service has also authorised a corporate manslaughter charge to be brought against Maidstone and Tunbridge Wells NHS Trust.

Click on the link to read more

http://www.express.co.uk/news/uk/571987/Two-doctors-manslaughter-woman-died-emergency-caesarean

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Frances Cappuccini died within hours of giving birth

Filed under: Hospital, NHS, NHS Blunders, , ,

Our account of the appalling lack of duty of care and the terrible death of our mother on unauthorised LCP, who died on 14 June 2013. By sisters Rosalind Brewer and Marilyn Ealy

All your stories, Strength in Numbers. Please read this in-depth shocking account written to the hospital complaining of the course of events which led to Rosalind Brewer and Marilyn Ealy’s mother’s death.

Dear Sir/Madam

We’re writing to you to make a complaint about the lack of care, attention, compassion, and appalling communications received from the staff at Frimley Park Hospital to both our Mother and ourselves, and the circumstances that led to our Mother’s recent death.

Before our Mother Mrs Gerda Ealy (who was 88) was admitted into Frimley Park Hospital, and before the media announced the abuse of the Liverpool Care Pathway, we already feared the outcome of our Mother’s admission into hospital. We also expressed our concerns to the ambulance drivers and staff at A&E.

Our Mother was not terminally ill, but was elderly and as a result of this we feel it underlines the fact that she was targeted by putting her on LCP in order to hasten her death.

Please continue to read by clicking on the PDF below. It will surely shock you. The family want justice.

OUR ACCOUNT – COMPLAINT OF THE LACK OF CARE OF OUR MOTHER WITHOUT NAME

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Filed under: Elderly, Hospital, NHS Blunders, Uncategorized, , , ,

Midlands hospitals pay out £45 million in just 12 months for clinical negligence

CASH-strapped hospitals in the West Midlands spent £45 million in just one year on clinical negligence claims.

The Heart of England NHS Trust, which runs Heartlands, Good Hope and Solihull hospitals had the biggest bill in the region – £13.9 million for 2013-14. The Trust also paid more for lawyers than any other group in England – coughing up £1.5 million in legal fees. Payouts include patients of surgeon Ian Paterson, who carried unlicensed and unnecessary operations on hundreds of women at Solihull Hospital.

Click on link to read more, and the full list of total costs for the region:

http://www.birminghammail.co.uk/news/midlands-news/midlands-hospitals-pay-out-45-9032811?

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Filed under: Hospital, NHS, NHS Blunders, , ,

NHS pays £13 million after botched births left siblings with cerebral palsy

After a two-decade legal fight the health service has finally agreed to pay compensation to a family left devastated by medical negligency

A mother has won a £13 million legal battle against the NHS after hospital blunders 17 months apart left two of her children with cerebral palsy. Paula McKay was left devastated in 1991 when daughter Natasha was born severely disabled after she was starved of oxygen during her birth at the former Sharoe Green Hospital in Preston in Lancashire. But just 17 months later her son Patrick suffered a similar botched delivery which left him needing constant care. It was months before doctors admitted there was a problem, telling his mother he was simply a ‘lazy little boy.’

Now after a legal fight lasting more than two decades Mrs McKay’s has been awarded a multi-million pay-out on behalf of her children. She is believed to be the first person to be the victim of two such catastrophic errors, made by the same hospital maternity team.

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11533356/NHS-pays-13-million-after-botched-births-left-siblings-with-cerebral-palsy.html

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Paula McKay and her children Natasha and Patrick Jackson

Filed under: Disabilities, NHS, NHS Blunders, , ,

Coroner condemns hospital over death of newborn twin who died an hour after birth from brain damage after a doctor’s errors

Doctors at a scandal-hit hospital covered up a series of horrendous mistakes that led to the death of a twin baby boy, a coroner has ruled.

Thor Dalhaug died an hour after birth following a difficult delivery during which he suffered fatal brain damage due to a doctor’s errors, ruled Stuart Fisher, senior coroner for Central Lincolnshire. In a damning report, he said an unsupervised junior surgeon tried to deliver the baby using forceps in an ‘unorthodox and unacceptable’ way. The coroner also concluded that senior managers at Lincoln County Hospital had tried to remove the fact that forceps had been used from an account of the birth.

The report will come as a blow to the hospital, which has just been taken out of ‘special measures’. United Lincolnshire Hospitals NHS Trust was put on a turnaround regime almost two years ago because of concerns over high death rates.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3035331/Coroner-condemns-Lincoln-County-Hospital-death-newborn-twin-died-hour-birth-brain-damage-doctor-s-errors.html

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Doctors at the Lincoln County Hospital covered up a series of horrendous mistakes that led to the death of a twin baby boy (pictured above with his mother Michelle), a coroner has ruled

Filed under: Hospital, NHS Blunders, , ,

Mother suing Watford General claiming medical negligence led to son, 10, heart attack and brain damage

A mother is suing Watford General Hospital claiming medical negligence led to her ten-year-old son suffering a heart attack and being left with severe brain damage.

Elijah Aldea, now aged 11, remains in a quadriplegic state after he was without a heartbeat for 45 minutes at Watford General following the cardiac arrest in April last year. Elijah, a former pupil of Sacred Heart Catholic Primary School, was born with a cleft lip and palate and two holes in his heart and had been a long-standing patient at Great Ormond Street Hospital (GOSH) in London. Days before his heart attack he had an operation at GOSH. Follow up tests showed he was anaemic and he was admitted to Watford General. Mum Gabrielle Ali, 30, thought he would just be given iron tablets, but under the instruction of GOSH, doctors decided Elijah needed a blood transfusion and to be given anti-clotting drug heparin.

Gabrielle, a biochemist employed by the NHS trust in charge of Watford General for eight years, begged doctors not to give the heparin after she had talked to Elijah’s registrar of five years, but eventually agreed when staff at Great Ormond Street threatened to report her for child neglect.  She said she even considered sneaking her son out of the hospital, but there was no way of getting past the nurses’ station unseen. As the drug was administered, Elijah’s heart stopped. Gabrielle said: “I know my son, these doctors didn’t.

Click on the link to read more

http://www.watfordobserver.co.uk/news/12881267.Mother_suing_Watford_General_claiming_medical_negligence_led_to_son__10__heart_attack_and_brain_damage/

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Gabrielle Ali and son Elijah Aldea about two years ago.

 

 

Filed under: Hospital, NHS, NHS Blunders, ,

Photographer wins £2.4m damages payout from the NHS after hospital negligence wrecked her career and left her incontinent and ruined her sex life

A mother-of-three whose sex life was ruined after a negligent delay in spinal surgery has won £2.4million in damages from the NHS.

Heather Tait was in tears yesterday when the award was announced at London’s High Court. The 34-year-old photographer had told an earlier hearing in Birmingham that her ‘passionate’ sex life with her husband Russel had been ruined by the complications she continues to suffer from. Judge Martin McKenna, who made the award, said Mrs Tait had told doctors that she ‘now feels that to a degree there is no point in having intercourse’. She also felt her closeness with her husband had been ‘jeopardised’ by her lack of enjoyment in sex.

Judge Martin McKenna, who made the award, said Mrs Tait had told doctors that she ‘now feels that to a degree there is no point in having intercourse’. She also felt her closeness with her husband had been ‘jeopardised’ by her lack of enjoyment in sex.

Click on link to read more

http://www.dailymail.co.uk/health/article-3019805/Mother-three-wins-2-4m-damages-payout-NHS-hospital-negligence-wrecked-career-left-incontinent.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Heather Tait (left) was suffering from acute back pain when medics sent her home without carrying out an MRI scan

 

Filed under: Hospital, NHS, NHS Blunders, , , ,

Woman loses leg after NHS staff accidentally inject it with disinfectant – By Ollie McAteer for Metro.co.uk

The woman, who has only been named as Gina, was mentioned in a report by MPs into the work of the Parliamentary and Health Service Ombudsman.

Gina lost her leg through a catastrophic error at Doncaster Royal Infrimary in 2013. Hospital bosses said that the shocking incident is now being used as an example of good practice to show how lessons had been learned. Her case has been used by Doncaster and Bassetlaw Hospitals NHS Foundation Trust as part of a YouTube clip called ‘The Human Factor: Learning from Gina’s Story’ which has been shown to NHS staff and organisations to show how lessons can be learned from local investigations.

Sewa Singh, Medical Director at Doncaster and Bassetlaw Hospitals, said: ‘We are pleased that the enquiry recognised that Gina’s story is an example of good practice for the NHS. ‘Patient safety is at the forefront of everything we do at DBH and if there are any mistakes we make sure that we carry out a thorough investigation, share the findings with patients and their families and ensure Trust wide learning. ‘We worked closely with Gina and her husband to make an educational video called Gina’s Story that drives home the importance of patient safety and our safety culture and we can’t thank them enough for helping us with this.

‘The inspiring educational video was shared widely both within the organisation, and to other hospitals as we wanted to ensure that no-one else goes through the same experience.’ Please watch this tragic video where one moment loss of concentration cost Gina the loss of her leg.

The Department of Health believes that more than 12,000 hospital deaths could be avoided every year.

More than 10,000 serious incident are reported to NHS England each year.

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Filed under: Hospital, NHS, NHS Blunders, , , ,

NHS ombudsman accused of being ‘defensive’ by MPs

The NHS ombudsman has been “defensive” and caused “pain” by its reluctance to admit mistakes when investigating patients’ complaints, a report by the Public Administration Select Committee (PASC) has found.

The report adds that “serious questions” have been raised about the Parliamentary and Health Service Ombudsman (PHSO) which has caused “considerable anguish” when it has failed to uncover the truth, it said. MPs now want a new independent body to investigate clinical failures before they reach the ombudsman to “transform the safety culture of the NHS”. Current systems are “complicated, take far too long and are preoccupied with blame or avoiding financial liability”, the committee warned.

Some of the PHSO’s shortcomings are systemic and can only be addressed through legislation, which is needed early in the next Parliament. Our proposals for a new investigatory body will help transform the safety culture of the NHS and help to raise standards right across the NHS.

– BERNARD JENKIN, CHAIRMAN OF THE PASC

The PASC said patients and NHS staff deserved to have clinical incidents “investigated immediately” at a local level to establish facts and evidence, “without the need to find blame, and regardless of whether a complaint has been raised”. There also needs to be a “clear, effective central system” for disseminating lessons learned from local incidents across the national NHS, it added. A spokeswoman for the PHSO said: “We will carefully study this report which raises important issues about the investigation of clinical incidents for the health system, as well as about our service.”

Click on the link to read the report here… Investigating clinical incidents in the NHS

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ITV News

Filed under: Hospital, NHS, NHS Blunders, , , ,

Mum slams NHS for ‘shocking failures’ over death of meningitis baby Leo Radcliffe

How many more will suffer before their life has already started, Joanna

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A mother has slammed the NHS for ‘shocking failures’ over the death of her baby, including an NHS Direct call-handler who classed the emergency as non-urgent because the desperate parent failed to use the word ‘severe’.

Katie Corry, 22, held up her feverish baby Leo to the phone so the call handler could hear his ‘rapid’ breathing. An inquest heard the call was classified as non-urgent because Katie had not used the word ‘severe’ which would have prompted a speedier response in accordance with the script of questions and potential answers the call handler was using at the time.

Click on the link to read more

http://www.manchestereveningnews.co.uk/news/greater-manchester-news/leo-radcliffe-meningitis-mum-nhs-8910030

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Baby Leo Radcliffe

Filed under: Hospital, NHS, NHS Blunders, , ,

War hero who survived Dunkirk blames NHS for alleged blunders which resulted in him losing both his legs

A war hero who served in the Second World War and survived Dunkirk has lost both his legs after alleged hospital blunders by the NHS.

Douglas Mainwaring, 93, from Bridgend, first visited his GP complaining of a pain in his left foot in September 2008 and was told it had likely been caused by a verruca. It was treated with a special freezing spray but after the treatment his leg became gangrenous and had to be amputated in October 2012.  His family claim investigations later revealed the original problemwas not a verruca at all, but was caused by a bone left sticking out after Douglas broke his foot during the war. His daughter Yvonne, 62, explained: “The GP sprayed quite a large area of dad’s foot.

“Less than a month later we noticed his foot turning black. We took him to hospital and the first thing the surgeon asked was, ‘When did you have frostbite?’ “After that things just got worse and worse. He was in terrible pain.”

Click on the link to read more

http://www.walesonline.co.uk/news/wales-news/war-hero-who-survived-dunkirk-8894134

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Douglas Mainwaring with daughter Yvonne and wife, Jean

Filed under: Elderly, Hospital, NHS, NHS Blunders,

NHS Whistleblower demands action

A DOCTOR who says he was victimised after raising concerns about patient care has written an open letter demanding a full investigation by the Scottish Government.

Dr Sukhomoy Das, who was invited to take part in Sir Robert Francis’ review of the way the NHS treats whistleblowers, is demanding a probe into the issues he raised and believes were covered up. Dr Das, who is still employed by the NHS working with stroke patients, says he raised concerns about the quality of locum cover hired by his former health board, NHS Ayrshire and Arran, back in 2006. The board insists his concerns, which included patients being misdiagnosed, were fully probed at the time and no patient safety issues were identified. However, the board has twice paid settlements to Dr Das since 2006 after failing to interview him for two different jobs.

Click on the link to read more

http://www.heraldscotland.com/news/health/nhs-whistleblower-demands-action.121091453

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Filed under: NHS Blunders, Whistleblowing, , , ,

Doctor struck off register following fatal prescription error

I cannot understand with all the history of this doctor, and the errors that had happened, not alone being suspended from a hospital in 2010, he still was able to get through the system and work! It’s beggars belief  that this has happened, and will it happen again? Joanna

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A DOCTOR who mistakenly prescribed a fatal dose of medication to a pensioner has been struck off. Dr Prashen Pillay, pictured below will be permanently removed from the General Medical Council register following a hearing this week. A Medical Practitioners Tribunal Service panel upheld several charges against Dr Pillay which involved incidents in Sussex and other parts of the country between 2010 and 2014. Joan Dixon died of poisoning after Dr Pillay wrote milligrams instead of micrograms on her prescription while she was being treated at St Richard’s Hospital in Chichester.

Mrs Dixon, 77, of High Street, Findon, near Worthing, had mental health problems and was sectioned in 2010. She fell and broke her hip in the Orchard ward of the Harold Kidd Unit in Chichester in September that year. She was treated in Ashling ward of St Richard’s Hospital where she was found to have an irregular heartbeat, a swollen calf and bladder problems. Dr Pillay was supposed to prescribe 250 micrograms of digoxin, a drug which regulates the heart, but wrote milligrams instead.

Click on the link to read more

http://www.theargus.co.uk/news/11868662.Doctor_struck_off_register_following_fatal_prescription_error/

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Dr Prashen Pillay

Filed under: NHS Blunders, Uncategorized

Barts NHS Trust in special measures after deaths of newborn and mother (Whipps Cross Hospital)

The country’s biggest NHS Trust has been placed in special measures, in the wake of a damning inspection report that catalogued unsafe care caused by staff shortages and a bullying culture at one of its main hospitals.

Whipps Cross Hospital, part of the Barts Health NHS Trust, was branded inadequate by the Care Quality Commission (CQC) in a report which uncovered 208 serious incidents last year alone – including the deaths of two unborn babies, a new mother and a newborn baby. The Trust, which serves 2.5 million in east London and Essex, has been plagued by financial problems since it was formed by the merger of three London Trusts in 2012. It is also projecting a deficit of £93m this year. Two years ago, managers decided to cut hundreds of nursing posts to help balance the books, after a slowdown in national NHS funding combined with crippling repayments on a Private Finance Initiative (PFI) deal forced the Trust into the red. In total, 220 nursing posts were lost at Whipps Cross, and hundreds of other  staff had their pay and responsibilities downgraded.

As a result, inspectors said yesterday, the hospital did not have enough staff to ensure safe care.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/barts-nhs-trust-in-special-measures-after-deaths-of-newborn-and-mother-10114675.html

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Filed under: Hospital, NHS, NHS Blunders, Uncategorized, , , ,

GP’s told to let older doctors go home early – to prevent mistakes

Do you think older doctors should be allowed to go home at 4pm, or should they retire? Please fill in our one question survey

https://www.surveymonkey.com/s/Older-Doctors

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Older doctors should be allowed to go home at 4pm to stop errors occurring, according to new guidance. NHS England says flexible working patterns should be brought in to help older GPs who find their “concentration goes” after 4pm. The advice was given by Kate Staveley, assistant performance director at NHS England’s Bristol, North Somerset, Somerset and South Gloucester area team. Writing in the March newsletter of Devon’s Local Medical Committee, she said: “We are all working harder than we ever have before and if we want to thrive and survive it is essential that we look after ourselves and each other.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/gps-told-older-doctors-go-5

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Tired: Doctors would benefit from more flexible hours

Filed under: GP's, Hospital, NHS, NHS Blunders, , , ,

‘Well-loved’ Bexleyheath mother and grand-mother died after ‘huge errors’ were made by staff at Darent Valley Hospital

The article makes me go cold, as my mother also went into hospital for a hip problem and later died. http://www.dailymail.co.uk/health/article-1394300/NHS-hip-operation-mother-died-Daughters-harrowing-account.html

My thoughts and prayers to the family of Koshalaya Sawhney, Joanna

An elderly woman, who was admitted to hospital with a hip problem, died after “huge errors” were made by staff, an inquest has heard.  “Well loved” mother and grand-mother Koshalaya Sawhney died on January 18 last year at Darent Valley Hospital after suffering a “massive” stroke and falling into a coma. Mrs Sawhney, 85, of Bowness Road, Bexleyheath, had been taken to A and E on January 7 with a locked hip that left her unable to move. Her daughter, Viniti Seabrooke, told North West Kent Coroners’ Court, prior to going to hospital, her mother did not have any major health problems.

Mrs Seabrooke, who is a medical researcher, said: “My mum was extremely proud and self-sufficient.  “She lived on her own and did not have any help with personal care.  “She had some health issues but they were not unmanageable and not life-threatening.”

Click on the link to read more

http://www.newsshopper.co.uk/news/11845781._Well_loved__Bexleyheath_mother_and_grand_mother_died_after__huge_errors__were_made_by_staff_at_Darent_Valley_Hospital/

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Filed under: A&E, Hospital, NHS, NHS Blunders, , ,

Harry Procko Exclusive: ‘Doctors got it wrong’, says Medical Director by Daniel Robbins – Notts TV News

The Nottingham University Hospitals NHS Trust’s medical director has admitted that ‘doctors got it wrong’ over the treatment of Harry Procko.

Dr Stephen Fowlie is heard in the recording below talking about the treatment of four-year-old Harry, who is autistic, who died after being taken to the Queens Medical Centre last June. He was initially taken to the hospital with vomiting and diarrhoea and the hospital said he needed some tests. But after nine hours of waiting in unfamiliar surroundings, Harry became very distressed and his parents made the decision to take him home for the evening. The next day when he was taken back, doctors planned for a blood test to be taken and fluids to be given for dehydration but that never happened and two days after he was discharged, Harry collapsed, turned blue and died a short time later.

Here is what Dr Fowlie is heard saying when asked about the chain of events:

Click on the link to hear the audio correspondence and read the article

http://news.nottstv.com/harry-procko-exclusive-doctors-got-it-wrong-says-medical-director/

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Filed under: Hospital, NHS, NHS Blunders, ,

More than 100,000 patients injured or killed by medical ‘blunders’ in the Welsh NHS since 2010, shock figures reveal

More than 100,000 patients have been injured or killed by medical “blunders” in the Welsh NHS since 2010, new figures have revealed.

Documents released under the Freedom of Information Act show that patients were injured on at least 102,807 separate occasions at Welsh hospitals, and an astonishing 1,742 of those led to major harm – or even death. On average, one Welsh NHS patient was harmed every 30 minutes as a result of doctors or nurses misusing drugs or equipment, making mistakes over paperwork or providing negligent treatment.

Click on the link to read more

http://www.walesonline.co.uk/news/wales-news/more-100000-patients-injured-killed-8796747

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Filed under: A&E, Hospital, NHS, NHS Blunders, , , ,

Whistleblowers: Heroes Not Traitors

Whistleblowers should get better protection than warm words if standards across the services and businesses we all rely on are to be maintained. What we have instead is a culture of lip-service to an idea, often after a problem has been exposed, with a piecemeal approach that relies on individual organisations and companies acting to protect those who bring issues into the open.

More must be done. As Albert Einstein noted: “The world is a dangerous place, not because of those who do evil but because of those who look on and do nothing.”

Click on the link to read more

http://www.huffingtonpost.co.uk/fiona-hotston-moore/whistleblowers-heroes_b_6783480.html?utm_hp_ref=uk-business

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Filed under: NHS, NHS Blunders, Whistleblowing,

The longest wait: The parents that have to live without their children

Ink barely dry on but I can’t help thinking of other families seeking truth like that of baby Lizzie Dixon. Tweeted by ShaunLintern

 No parent should ever go though & see the life taken away from their children that should have lived a normal and happy life, Joanna

Please click on the link, a story about Lizzie Dixon that I published 17th September 2014

https://joanna678s.files.wordpress.com/2014/09/private-eye.pdf

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Lizzie Dixon.

 

Filed under: Hospital, NHS, NHS Blunders, Uncategorized,

City lawyer sues London hospital for £1.5m after appendix blunder left her infertile

A leading City lawyer whose hopes of motherhood were devastated after doctors failed to notice that she needed emergency surgery to remove her appendix is suing the hospital for £1.5 million in damages. But the NHS Trust’s lawyers say she deserves only £300,000 because if she had had children they would have hampered her high-flying career. Sarah Marquis was “rendered infertile” when her appendix burst. Medics at Homerton Hospital failed to spot in time that it needed emergency removal, the High Court heard.

Click on the link to read more

http://www.standard.co.uk/news/health/city-lawyer-sues-hospital-for-15m-after-appendix-blunder-left-her-infertile-10088211.html

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Compensation bid: Sarah Marquis outside the High Court (Picture: Richard Gittins/Champion News)

Filed under: Hospital, NHS, NHS Blunders,

Dad dies of heart attack hours after bungling paramedics refuse to take him to A&E – dismissing it as a PANIC ATTACK

A coroner has blasted bungling paramedics who dismissed a dad’s agonising chest pains as a PANIC ATTACK – just hours before he died of cardiac arrest.

Tragic Jeffrey Corbin, 59, was even persuaded not to go to hospital by an ambulance crew who told him he would have to wait up to SEVEN HOURS in A&E for treatment. Shockingly, when he collapsed in his bedroom 24 hours later on April 20 last year it took 75 minutes for a first responder to turn up after he was categorised as a low priority. National government targets require an ambulance to attend an address within 30 minutes of a 999 call. But because of extra demand over the Easter weekend it took a further 14 minutes before an ambulance finally arrived at his home in Sneyd Green, Stoke-on-Trent. When the retired factory worker was finally taken to hospital it was too late and the father-of-three was pronounced dead.

Click on the link to read more

http://swns.com/news/dad-dies-of-heart-attack-hours-after-bungling-paramedics-refuse-to-take-him-to-ae-dismissing-it-as-a-panic-attack-65044/

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Jeffrey Corbin. The grieving family of a heart attack victim, who died 24 hours after paramedics failed to take him to hospital, are taking legal action against the NHS (© Newsteam / SWNS Group)

Filed under: A&E, Elderly, Hospital, NHS, NHS Blunders, , ,

Is another NHS scandal brewing?

Do you think there is another NHS scandal brewing? Please fill in our one question survey

https://www.surveymonkey.com/s/NHS-scandal

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Lethal. Shocking. Unacceptable. Dysfunctional. Failures at every level. So said the report into maternity care at Cumbria’s Furness General Hospital.

But as was pointed out repeatedly as the inquiry published its findings on Tuesday, the parallels with Stafford Hospital are chillingly similar. In fact, Health Secretary Jeremy Hunt went as far as calling it a “second” Stafford Hospital – albeit it on a smaller scale.

In both cases poor care was covered up by a culture of secrecy and intimidation, priorities seemed to have been distorted by the pursuit of foundation trust status and the wider NHS missed opportunities to deal with the problems at an earlier stage.

In both cases it led to unnecessary suffering – and it was left to patients to expose the truth. So can we be sure this is not happening elsewhere? It’s a question that always gets asked when these reports are published – and the sad truth is that there can be no guarantees.

Dr Bill Kirkup, the chair of the Morecambe Bay Inquiry, named after the trust which ran the hospital, admitted as such. He said “there could be elements” of what he found happening elsewhere when pressed by journalists.

Click on the link to read more

http://www.bbc.co.uk/news/health-31728724

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Filed under: Hospital, NHS, NHS Blunders, Whistleblowing, , ,

Shocking NHS op blunders that should NEVER happen revealed by Daily Mirror

A patient died after being given the wrong type of blood and another had a testicle removed unnecessarily – just two of the shocking NHS blunders uncovered by the Daily Mirror.

Health Secretary Jeremy Hunt has said six mistakes like these are happening in hospitals every week. They are called “never events” – because they are so bad they should never happen. And our probe under the Freedom of Information Act exposes some of the shocking details for the first time. In one case a patient was told they had cancer and had part of their nose chopped off by mistake, while a second was wrongly told they didn’t have cancer.

Katherine Murphy, chief executive of the Patients Association, said: “As suggested by the name, these sorts of events are utterly unacceptable and pose a huge risk to patient safety and well-being. “While we accept accidents will sometimes occur, it is vital that lessons are learnt each time to ensure they aren’t repeated. “This is yet another reminder of the need to properly fund the regulation of healthcare to ensure that it detects patterns of errors such as these, and acts to ensure that no more patients are put at risk.”

Roger Goss, director of Patient Concern, said: “If the concept is to achieve a reduction in harm to patients, staff responsible for these never events should be fired. That is what would happen in the private sector. Unfortunately, getting rid of anyone from the NHS, however careless or incompetent, is virtually impossible.”

WRONG NOSE: WRONG BLOOD: WRONG BIOPSY:

WRONG TESTICLE:

Click on the link to read these shocking hospital blunders

http://www.mirror.co.uk/news/uk-news/shocking-nhs-op-blunders-should-5276548?

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Filed under: Hospital, NHS, NHS Blunders, , ,

Ex-NHS boss Farrar avoids Morecambe Bay question

Former NHS Confederation Chief Executive Mike Farrar is confronted by Channel 4 News over a “dysfunctional” maternity unit, which led to the unnecessary deaths of 11 babies and one mother.

Click on the link to watch and read

http://www.channel4.com/news/morecambe-bay-nhs-baby-deaths-mike-farrar-doorstep-video

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Filed under: Hospital, NHS, NHS Blunders, Uncategorized, ,

Morecambe Bay Investigation Report published

My heart and prayers go out to the parents and families of all the babies and the mother that died unnecessary due to the shocking errors made. Joanna

Independent investigation into maternity and neonatal services in Morecambe Bay makes far-reaching recommendations to prevent future unnecessary deaths.

The report makes 44 recommendations for the Trust and wider NHS, aimed at ensuring the failings are properly recognised and acted upon.

Announcing the report’s findings, Investigation Chairman Dr Bill Kirkup said:

All health care – everywhere – includes the possibility of error. The great majority of NHS staff know this and work hard to avoid it. They should not be blamed or criticised when errors occur despite their efforts.

But in return, all of us who work for the NHS owe the public a duty to be open and honest when things go wrong, most of all to those affected, and to learn from what has happened. This is the contract that was broken in Morecambe Bay.

The investigation report details 20 instances of significant failures of care in the FGH maternity unit which may have contributed to the deaths of 3 mothers and 16 babies. Different clinical care in these cases would have been expected to prevent the death of 1 mother and 11 babies. This is almost 4 times the frequency of such occurrences at the Trust’s other main maternity unit, at the Royal Lancaster Infirmary.

The report says the maternity department at FGH was dysfunctional with serious problems in 5 main areas:

Click on the Press Release link to read more 

https://www.gov.uk/government/news/morecambe-bay-investigation-report-published

Click on the link to read the Morecambe Bay Investigation Report

The Report of the Morecambe Bay Investigation

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Filed under: Hospital, NHS, NHS Blunders, Uncategorized, Whistleblowing, , ,

Morecambe Bay: Furness hospital inquiry timeline

Here is a timeline of events leading up to the publication of the Morecambe Bay Investigation due out today 3rd March 2015
Click on the link to read

http://www.westernmorningnews.co.uk/Morecambe-Bay-Furness-hospital-inquiry-timeline/story-26109820-detail/story.html

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Filed under: Hospital, NHS, NHS Blunders, Whistleblowing, , ,

NHS bosses to be criticised in Morecambe Bay mother and baby deaths report

Health watchdogs set up to protect NHS patients when things go wrong face damning criticism in a report into the scandal of dozens of mothers and babies who died at a hospital following a catalogue of poor care. As many as 30 mothers and babies died at University Hospitals of Morecambe Bay NHS Foundation Trust as a result of substandard care made worse by professional rivalries, the independent inquiry is expected to conclude this week. Six midwives face disciplinary hearings in front of the Nursing and Midwifery Council later this year, but to date no nurses, midwives or doctors have been permanently struck off. The investigation has heard how midwives neglected to alert doctors about patient complications in time because of a ‘turf war’ between the two professions. Midwives appeared not to have been on speaking terms with doctors, and claimed they were made to feel irrelevant when doctors were called in to help with difficult cases.

But the report, commissioned by Jeremy Hunt, the health secretary, is also expected to criticise the Care Quality Commission, along with the Parliamentary and Health Service Ombudsman.

Click on link to read more

http://www.telegraph.co.uk/news/health/news/11442029/NHS-bosses-to-be-criticised-in-Morecambe-Bay-mother-and-baby-deaths-report.html

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Joshua Titcombe was one of the babies who died at Furness general Hospital 

A baby died an avoidable death’: one family’s fight for justice. 

http://blogs.channel4.com/victoria-macdonald-on-health-and-social-c‘A baby died an avoidable death’: one family’s fight for justiceare/a-baby-died-avoidable-death-familys-fight-justice-daughters-death/2847?

Filed under: Hospital, NHS, NHS Blunders, Whistleblowing, , , ,

‘Appalling’ treatment of NHS whistleblowers must be investigated: Staff ostracised by hospital bosses demand independent inquiry after ‘whitewash’ Francis Report

NHS whistleblowers are demanding an independent inquiry into their treatment by hospital managers after a long-awaited report was declared a ‘whitewash’. In a scathing letter to the report’s author, they accused him of failing to hold any managers to account and leaving patients at risk of serious harm. The NHS’s ‘Freedom to Speak up Review’, which was published a fortnight ago, told how whistleblowers have faced a culture of ‘fear, bullying and ostracisation’ for daring to speak out. But whistleblowers whose careers have been ruined said still no action has been taken to address the concerns about patient safety that they have been making for years. Despite hearing awful reports about failures and cover ups over patients’ deaths, the report’s author Sir Robert Francis has ‘ignored’ their stories, they said.

NHS whistleblowers, however, have since confronted him, outlining their ‘serious concerns’ that his report has failed to address any of the specific concerns made by NHS staff about the alarming treatment of patients.

The letter has been signed by three high profile whistleblowers, including Dr David Drew, a top paediatrician who was sacked after claiming he had witnessed a cover up over a child’s death. It has also been signed by Sharmila Chowdhury, a senior radiography manager who spoke out about a £250,000 fraud at her Trust, and a third colleague who asked not to be named. Dated February 23, 2015, the letter states: ‘We have now had an opportunity to digest your report and have a number of serious concerns.

Click on the link to read the letter in full and more

http://www.dailymail.co.uk/health/article-2971737/Appalling-treatment-NHS-whistleblowers-investigated-Staff-ostracised-hospital-bosses-demand-independent-inquiry-whitewash-Francis-Report.html?offset=0&max=100&jumpTo=comment-78369030#comment-78369030

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NHS whistleblowers Dr David Drew (left) and Sharmila Chowdhury (right) have written to Sir Robert Francis demanding an independent inquiry into their treatment by hospital bosses, after they spoke out to raise concerns over patient safety

 

Filed under: Hospital, NHS, NHS Blunders, Whistleblowing, , ,

600 patients die of hunger and thirst every year: Hospital staff refuse to help, say families

Almost 600 patients are dying in hospitals each year because of hunger and thirst, figures show. Bereaved relatives have told how their loved ones were ‘forgotten to death’ by staff who refused to help them eat or drink. Figures from the Office for National Statistics reveal that 7,949 deaths have been attributed to hunger and thirst in the past decade.  In recent years, however, numbers have fallen – suggesting the standards of nursing care are showing signs of improvement.

The figures show that in NHS and private hospitals in 2013, dehydration was recorded as an underlying cause of death or a contributory factor in 574 deaths. In 2008 the total was 942. In 2013 a further 336 deaths were logged with malnutrition being an underlying cause or contributory factor. The two figures cannot be added together to give a total because some patients would have been recorded in both categories. Another 88 deaths in care homes in 2013 were attributed to dehydration and 33 to malnutrition, according to the figures which were obtained by Channel 4 News. The family of a retired engineer who died of acute dehydration have told how staff dumped drinks by his bed without bothering to help him reach them.

Click on the link to read more

http://www.dailymail.co.uk/news/article-2971384/600-patients-die-hunger-thirst-year-Hospital-staff-refuse-help-say-families.html

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‘Forgotten to death’: Almost 600 patients are dying in hospitals each year because of hunger and thirst, figures show, with bereaved relatives saying staff refused to help them eat or drink. (Stock image)

Filed under: Elderly, Hospital, NHS, NHS Blunders, Uncategorized, , , , , ,

‘I was given indigestion pills for tumor in my throat’ “Lucky to be alive”: Bruce Millar

A father who was prescribed indigestion tablets when he had cancer of the oesophagus is campaigning for better awareness of his illness among GPs and the public. Bruce Millar, 57, went to the doctor after having trouble swallowing. He was told it was indigestion and prescribed omeprazole. When his condition did not improve  Mr Millar was referred to surgeon James Gossage at the London Bridge Hospital. He diagnosed cancer of the oesophagus, the disease that killed New Labour strategist Philip Gould.

It is a particularly aggressive form of cancer, but research by Public Health England has found the symptoms are commonly mistaken for heartburn or indigestion. This means death rates are high because many patients are diagnosed at a late stage. Nearly three people a day — 963 in total — died from oesophageal or stomach cancer in London in 2012, and 1,212 were diagnosed.

Click on the link to read more

http://www.standard.co.uk/news/health/i-was-given-indigestion-pills-for-tumor-in-my-throat-10068444.html

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“Lucky to be alive”: Bruce Millar had a six-hour operation after his cancer was finally diagnosed

Filed under: GP's, Hospital, NHS, NHS Blunders, ,

“My beloved Daughter by Ash Raye”

On the 1st February I posted a truly heartbreaking account with such a shocking video of Kayleigh  “My beloved Daughter by Ash Raye”

I am posting an article published in The Peterbough Telegraph today regarding Ash and Steve’s daughter Kayleigh and I have their permission to post the letter they received which apologies for gaps in Kayleigh’s medical records, lack of regular weighing and recording of fluid intake and output. It also apologises for failing to ensure a call bell was within easy reach of Kayleigh and agreed that a “do not attempt resuscitation” form had been incorrectly completed.”  

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Peterborough City Hospital apology following death of 23-year-old woman

The family of a young woman who died at the age of 23 has received an apology from Peterborough City Hospital bosses after complaints about her care.  Kayleigh Compton died at Addenbrooke’s Hospital, in Cambridge, where she was sent after being admitted to Peterborough City Hospital in February 2013. She had suffered severe weight loss, which lead to medical complications and admissions to a number of hospitals on a number of occasions. She died on February 20 having collapsed six days previously.

Click on the link to read more

http://http://www.peterboroughtoday.co.uk/news/health/health-news/peterborough-city-hospital-apology-following-death-of-23-year-old-woman-1-6566683

Response re Compton case

Filed under: NHS Blunders, Uncategorized,

Hospital blunder sees £7m payout for 8 year old with cerebral palsy

She has severe learning difficulties, speech impairment, epileptic seizures and severe visual impairment but could have lived a normal life if not for the medical errors. Just heartbreaking, Joanna

The eight-year-old was born at St Richard’s Hospital in Chichester in 2006. She cannot be identified for legal reasons. Her family won the payout from the Western Sussex Hospitals NHS Foundation Trust which admitted liability at a hearing at London’s High Court. The court heard medics and midwives failed to spot warning signs the baby was being deprived of oxygen while her mother was in the late stages of labour. The family said: ‘Looking after a child with complex disabilities is an incredibly tough 24/7 job that affects the whole family, including siblings, and so our daughter’s annual periodical payments will help pay for the carers she will require for the rest of her life.

Click on the link to read more

http://www.portsmouth.co.uk/news/health/local-health/hospital-blunder-sees-7m-payout-1-6565214

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Filed under: NHS Blunders, Uncategorized

NHS complaints investigations inadequate, says review

More than 40% of NHS investigations into patient complaints are not good enough, according to a review by the office of the health service ombudsman.

In a review of 150 cases into allegations of avoidable harm or death, it found failings in the handling of 61 complaints by NHS trusts in England. The review looked at the quality of the investigations and the evidence relied on, as well as statements and records. The government said it was working to create a “more open NHS culture”. Ombudsman Dame Julie Mellor will appear next week before the public administration select committee – which is looking into the issue of NHS complaints and clinical failure.

Her office has been accused of failing patients.

Click on the link to read more 7th Feb

http://www.bbc.co.uk/news/health-31168260?fb_ref=Default

 Also Report from November 2014

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Filed under: NHS, NHS Blunders, Uncategorized, , ,

Surgeon’s blunders to ‘cost NHS millions’

COMPENSATION claims running into millions of pounds are being drawn up by victims of disgraced hospital surgeon Roger Bainton.

Lawyers have taken on the cases of more than 100 of the consultant’s patients for a group legal action against the NHS. They believe individual settlements will range from a few thousand pounds to six-figure sums for those patients who have needed multiple operations or missed time off work following botched operations on their faces. The doctor has been suspended from the Royal Stoke University Hospital for two years – with the NHS trust already paying out around £500,000 to cover the cost of him staying at home, using extra staff to cover his absence, and reviewing his work.

Click on the link to read more

http://www.stokesentinel.co.uk/Surgeon-s-blunders-cost-NHS-millions/story-25961696-detail/story.html

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BLUNDERS: Roger Bainton

Filed under: NHS, NHS Blunders, Uncategorized, , ,

My beloved Daughter by Ash Raye

My heartfelt sympathies go to Kay’s parents Ash Raye and Steve Compton. No parent should have to see the suffering of their child through the very hands that are supposed to care and heal. Joanna
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This video footage was taken after my daughter was supposed to be cared for on A10 ward, Peterborough City Hospital……She suffered 3 weeks of neglect from staff , the worst being 13/14 February 2013……Where apparently she was found on the floor in her side-room trying to retrieve her mobile phone!!!off the floor!!! she was admitted to hospital as she was unable to eat/drink and was vomiting and had lost weight and was unable to weight bare! And with failing eyesight!!!She was put back to bed and then went over 6 hours un-checked in a side-room. When she was finally checked she was criticle 7/15 GSC……… Then there is a delay and or help…………90 minutes later she arrives to Intentsive care with blood on her mouth and wet pjs….And not one member of staff on A10 contacted me??? When I arrived she was in a coma and never recovered??? Staff failed to monitor her and weigh her she lost 1/half stone over 11 days, on this ward and yet not one member of staff noticed???Certain, Nurses were horrible to her, She sent distressing text messages out to family members!!!And was often cold and tearful with her duvet chucked on the floor and a certain nurse denying her a blanket!!! And telling her to ring the call bell again if still cold???
We have received some apologies for the poor care!!!
And also I believe this to-be Wilful Neglect…. These Nurses/Health Care Assistants had a “Duty of care” towards my Daughter and showed little Care/Respect/Compassion and I want Action taken on them!!!

 

Filed under: NHS Blunders, Uncategorized

‘Do Not Resuscitate’ stroke victim is moved from hospital where doctors had ‘given up’ on him and successfully operated on at another unit after Mail on Sunday highlighted his plight

Thank goodness for the quick thinking of this mans family and The Royal Brompton in saving his life who otherwise would have died at the Basildon Hospital. Joanna

A father who doctors ‘gave up’ on following a stroke is now recovering after The Mail on Sunday highlighted his plight. Doctors applied four times to place a ‘do not resuscitate’ order on the medical notes of Paul Scoble, 48, after he suffered the devastating stroke last August. It meant they would not have tried to restart his heart if he had gone into cardiac arrest, and would have left him to die.  He was immobile, breathing through a ventilator and largely unable to communicate. Doctors at Basildon Hospital in Essex told Mr Scoble’s children, Danielle and Leon, to prepare for the worst and asked them to ‘seriously consider’ what their father’s life would be like if he did survive, the siblings said. Besides suffering the stroke, Mr Scoble also had two leaky heart valves. The doctors resisted the idea of carrying out an operation to mend them and said the chances of him surviving it were slim. But Danielle and Leon refused to listen and contacted bosses at other hospitals to ask if they would operate.

After The Mail on Sunday highlighted their plight in November, medics at the Royal Brompton Hospital in London agreed to operate and he was transferred there. Now, Mr Scoble, who runs a family import business with Danielle and Leon, is off a ventilator, eating and talking.

Click on the link to read more

http://www.dailymail.co.uk/news/article-2934788/Do-not-resuscitate-stroke-victim-moved-hospital-doctors-given-successfully-operated-unit-Mail-Sunday-highlighted-plight.html

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Lucky: Paul Scoble’s daughter Danielle (both pictured) refused to give up after doctors applied four times to place a ‘Do Not Resuscitate’ order on his medical notes

Filed under: Hospital, NHS, NHS Blunders, Uncategorized

We DID neglect dying mother, hospital admits: Woman, 45, whose picture on floor in agony shocked Britain was ignored by medics as she begged for pain relief

This distressing last photograph of a dying mother of four crawling on a hospital floor in agony shocked the nation. Margaret Lamberty’s family complained she was ignored by medics and left to die in a side ward. Despite their pleas for an apology, the Royal Stoke University Hospital refused to admit any wrongdoing in the run-up to the 45-year-old’s death. Almost a year on, however, a damning report has confirmed that the family’s complaints were justified – and the hospital has been forced to say sorry.

The independent report revealed that Mrs Lamberty was indeed repeatedly overlooked by medics who were ‘too busy’ to treat her. It found she died as a result of a treatable blood clot in her bowel that was missed due to ‘substandard management’, including a lack of record-taking. The results are vindication for Mrs Lamberty’s family who, following her death on April 30 last year, said: ‘Mum was failed by the doctors and the nurses. We are determined to get justice.’

Click on the link to read more

http://www.dailymail.co.uk/news/article-2927471/We-did-neglect-dying-mother-hospital-admits-Damning-report-finds-family-s-complaints-ignored-medics-begged-pain-relief-justified.html

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Filed under: NHS Blunders, Uncategorized, , ,

Complaints and Raising Concerns – House of Commons Health Committee – Fourth Report of Session 2014–15

The Health Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department of Health and its associated bodies.

Click on the link to read

http://www.publications.parliament.uk/pa/cm201415/cmselect/cmhealth/350/350.pdf

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Filed under: NHS Blunders, Uncategorized, , , ,

‘Nurse failed to call doctors as our girl died’

A nurse watched as a little girl lay dying instead of calling nearby doctors to attend to her urgently despite “clear indications” her condition was deteriorating , it has been claimed. In an apparently misguided attempt to comfort her the nurse lay 16-month-old Isabella Janew on her side and, according to her parents, stroked her hair rather than immediately alerting doctors who were doing their rounds on the same ward at the time. The disturbing account comes amid a catalogue of alleged failings by staff during the toddler’s final days at the troubled Bristol Royal Hospital for Children, revealed today ahead of an inquest into her death which open tomorrow [MON].
Isabella’s death raises fresh concerns over the standards of care at the hospital in Bristol, which is currently under investigation by the NHS Isabella was born in May 2013 with serious heart problems requiring a valve replacement and underwent an operation at the hospital. But shortly afterwards she suffered two cardiac arrests and catastrophic haemorrhaging.

Click on the link to read more of this shocking story

http://www.telegraph.co.uk/news/health/news/11352799/Nurse-failed-to-call-doctors-as-our-girl-died.html

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 Isabella Janew died of a cardiac arrest

Filed under: NHS Blunders, Uncategorized, ,

25 Years on… Robbie Powell

25 years on… We have to admire the strength Will Powell and his family have to bring those who falsified medical documents on the death of their son Robbie who was only 10 years old to bring them to justice. 25 Long Years Will and his family have been suffering pain and torment, whilst these doctors have been living for 25 years with no remorse.

Please click on the link to read to shocking events and cover up’s that led to Robbie Powell’s death by Will Powell

Robbie Powell 25 years on

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Filed under: NHS Blunders, Uncategorized

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