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Annual Report 2007-08 - the Parliamentary and Health Service ...

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16Case StudyComplaint about cancertreatment was not properlyh<strong>and</strong>ledIn 2000 Mrs S’s husb<strong>and</strong> was diagnosed with prostate cancer <strong>and</strong>had radical surgery. Although <strong>the</strong> surgery was performed privately,<strong>the</strong> majority of his pre- <strong>and</strong> post-operative care was provided by<strong>the</strong> University Hospitals of Morecambe Bay NHS Trust (<strong>the</strong> Trust).Serious post-operative complications necessitated fur<strong>the</strong>roperations <strong>and</strong> a long stay in hospital. Mrs S considered that herhusb<strong>and</strong> had been poorly advised about treatment options <strong>and</strong>she complained to <strong>the</strong> Trust. An Independent Review Panel (<strong>the</strong>Panel) considered her complaint <strong>and</strong> made severalrecommendations, some of which related directly to <strong>the</strong> clinicalpractice of <strong>the</strong> Consultant Urologist responsible for Mr S’s care.Mrs S complained to <strong>the</strong> Ombudsman that <strong>the</strong> Trust had notdone more to resolve her complaint prior to <strong>the</strong> Panel, <strong>and</strong> hadfailed to inform her of <strong>the</strong> action it had taken, or planned to take,to implement <strong>the</strong> Panel’s recommendations.We upheld Mrs S’s complaint. She did not receive an adequateresponse to her complaint in a timely manner. The Trust did notoffer her a meeting to discuss her concerns, <strong>and</strong> failed to bring <strong>the</strong>local resolution phase of <strong>the</strong> NHS complaints procedure to an endto allow her to escalate her complaint. It also allowed all aspectsof Mrs S’s complaint to be investigated under <strong>the</strong> NHS complaintsprocedure, when it knew that some of her concerns about <strong>the</strong>Consultant’s practice needed to be reviewed through a differentprocess. The Trust failed to give Mrs S details of <strong>the</strong> action it hadtaken, or planned to take, to implement <strong>the</strong> Panel’srecommendations, or reassure her that it was taking appropriateaction to implement <strong>the</strong>m. She was left feeling that she had noo<strong>the</strong>r recourse than to approach <strong>the</strong> Ombudsman <strong>and</strong> <strong>the</strong>General Medical Council to resolve her complaint.The Trust agreed to apologise to Mrs S for <strong>the</strong> failings we hadidentified <strong>and</strong> to send her details of <strong>the</strong> action taken toimplement <strong>the</strong> Panel’s recommendations that did not relate to <strong>the</strong>Consultant’s personal practice. It also agreed to use <strong>the</strong> case as alearning opportunity to assist it when considering what parts ofa complaint should be investigated under <strong>the</strong> NHS complaintsprocedure, <strong>and</strong> to make a payment to Mrs S of £500 in recognitionof <strong>the</strong> worry <strong>and</strong> distress its poor complaint h<strong>and</strong>ling had caused.38

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