Trust did not carry out medical review for almost 48 hours

Summary 226 |

Mr F was admitted to hospital following a second visit to A&E in 12 hours but his condition deteriorated. He died four days later.


What happened

Mr F was properly examined and assessed when he presented at A&E and when he was admitted to the ward. However, his diagnosis was uncertain and he had blood in his vomit so he should have been kept under medical review.

What we found

Mr F's care fell below acceptable standards and he was not medically reviewed for a period of 48 hours.

Putting it right

The Trust apologised to Mr F's daughter about what had happened. We would also have asked the Trust to pay her compensation, but she specifically said that she did not want a payment. The Trust produced an action plan to stop these events happening again.

Health or Parliamentary
Health
Organisations we investigated

Pennine Acute Hospitals NHS Trust

Location

Greater Manchester

Complainants' concerns ?

Not applicable

Result

Apology

Recommendation to learn lessons or draw up an action plan