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Investigation Report 201402431

  • Report no:
    201402431
  • Date:
    January 2015
  • Body:
  • Sector:
    Health

Overview
The complainant (Mrs C) raised a number of concerns that her late brother (Mr A) had been inappropriately assessed when he attended his GP Surgery (the Practice) on 29 July 2013.  She complained that Mr A should have been referred to hospital for further tests rather than being prescribed medication for an inflamed stomach.  Mr A died suddenly of a heart attack on 31 July 2013.

Specific complaints and conclusions
The complaint which has been investigated is that on 29 July 2013 the Practice failed to provide Mr A with appropriate medical care (upheld).

Redress and recommendations
I recommend that the Practice:

  • issue an apology to Mrs C for the failings identified;
  • review  the level of education and training required to carry out the NP role, particularly in relation to clinical assessment and diagnosis;
  • review the assessment/supervision and on-going monitoring and appraisal requirements in place for the nurse practitioner; and
  • submit a Significant Event Analysis (SEA) which is in the standard format used nationally.

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

Updated: December 11, 2018