Mrs K complained that the Practice failed to diagnose her mother Mrs J's bowel cancer early enough to avoid emergency surgery. The Practice carried out a significant event review after Mrs K complained, but it then failed to address areas identified as needing improvement.
What happened
Mrs J was a patient at the Practice. In late winter 2013, her GP ordered a blood test after she reported some weight loss and abdominal pains. The test results showed anomalies and Practice staff made an appointment to see Mrs J the following month. However, very soon after, an out–of–hours GP diagnosed a bowel obstruction and Mrs J was admitted to hospital as an emergency. Clinicians found a large tumour on Mrs J's bowel during surgery, and a scan identified another cancer on her liver. Mrs J died a year later.
Mrs K complained that the Practice failed to diagnose bowel cancer in time to prevent the emergency surgery.
What we found
We partly upheld this complaint. The Practice could not have diagnosed Mrs J's condition any earlier, and gave appropriate care and treatment.
Unfortunately when the Practice sent Mrs K its final response to her complaint, it included misleading information from its significant event review. Mrs K felt this showed it had not handled the complaint properly.
Putting it right
The Practice acknowledged the failings we identified and took steps to address the issues raised in the review.
A GP practice
Warwickshire
Came to an unsound decision
Did not involve complainant adequately in the process
Apology
Compensation for non-financial loss