A GP investigated symptoms appropriately, but did not follow prescribing guidelines

Summary 496 |

Mr B complained that his GP should have referred him for hospital investigations sooner, which might have prevented the acute onset of debilitating neurological symptoms he suffered soon after. He also complained that the GP did nothing but prescribe ibuprofen.


What happened

Mr B went to the GP soon after he began to experience mild neurological symptoms. In the next two months, he went twice more for the same reason. The GP prescribed non–steroidal anti–inflammatories and arranged an X–ray, which Mr B had shortly before going on holiday. Mr B became acutely ill while abroad and was hospitalised. He returned to the UK where he suffered DVT and pulmonary emboli, underwent surgery and remained in hospital for four months.

What we found

We partly upheld this complaint. The GP could not reasonably have foreseen the sudden onset of Mr B's neurological symptoms and should not have referred Mr B for investigation earlier than he did.

However, the GP contravened NICE guidelines by prescribing three non–steroidal anti–inflammatories simultaneously, and did not take measures to protect Mr B's stomach.

The GP's record keeping was inadequate, but the CCG had already put measures into place to remedy this.

Putting it right

The GP underwent further training on prescribing and apologised to Mr B.

Health or Parliamentary
Health
Organisations we investigated

A GP practice

Location

West Yorkshire

Complainants' concerns ?

Not applicable

Result

Apology