Mr F complained about the care provided to his late mother Mrs G. The investigation considered whether the action taken by the Acute Clinical Team in respect of his late mother’s blood test results between 25 May and 2 June 2023 was clinically appropriate.
The investigation found that Mrs G’s blood test results showed that her condition was deteriorating between 25 May and 2 June 2023. As such, she should have been admitted to hospital, and not discharged to the care of her GP. Records kept regarding Mrs G’s condition during this time were not always clear. These were failings by the Health Board. Mr F will be left with lasting uncertainty about what the outcome may have been had these failings not occurred, which is an injustice to him. Mr F’s complaint was upheld.
The Health Board agreed to apologise to Mr F for the failings identified during the investigation. It also agreed to remind the clinicians involved in Mrs G’s care of the importance of keeping accurate records and to ensure they are familiar with the management of deteriorating blood test results.