Investigation Report 201204379

  • Report no:
    201204379
  • Date:
    January 2014
  • Body:
    Grampian NHS Board
  • Sector:
    Health

Overview
The complainant (Mrs C) raised a complaint on behalf of Ms B about the care and treatment provided to her late mother (Mrs A) by Grampian NHS Board (the Board).

Specific complaint and conclusion
The complaint which has been investigated is that staff at Dr Gray’s Hospital (Hospital 1) failed to provide Mrs A with appropriate care and treatment following her admission on 6 April 2012 with severe chest pain (upheld).

Redress and recommendations
The Ombudsman recommends that the Board:

  • apologise to Ms B for the failures identified;
  • reflect on the failure to examine Mrs A’s chest and ensure that measures are in place to prevent a similar occurrence in the future;
  • undertake an audit of record-keeping within Ward 8 to ensure medical records are completed timeously and comprehensively and report back to the Ombudsman; and
  • bring this report to the attention of relevant staff during their appraisals to ensure lessons have been learned from this case.

The Board have accepted the recommendations and will act on them accordingly.

Updated: December 11, 2018