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.
Pennine Acute Hospitals NHS Trust
Greater Manchester
Not applicable
Apology
Recommendation to learn lessons or draw up an action plan