Source · SPSO (Scottish Public Services Ombudsman)

A Medical Practice in the Fife NHS Board area

SPSO (Scottish Public Services Ombudsman) Partly Upheld Reference 201100241 Sector Health Category policy/administration Decided 01 April 2012

Full decision

Summary

Mr and Ms C complained about the care and treatment provided to Ms C's mother (Mrs A) by her medical practice.

They complained that the practice failed to adequately investigate the decline in Mrs A's mental health; properly monitor her repeat prescription medication; fully investigate her incontinence problems; or arrange for Mrs A to have an influenza vaccination without being prompted by the family. They also complained that the practice failed to provide treatment in line with the Adults with Incapacity legislation and that there were unreasonable delays in responding to their complaints.

Turning first to the complaint that the practice failed to provide treatment in line with the Adults with Incapacity legislation, we found that they acted within their procedures, but that there were communication failures. These were contrary to the principles underpinning the legislation and also contributed to the delay in arranging the influenza vaccination. We found that there were shortcomings by the practice in the way they handled the complaint in that there were delays and that the practice failed to tell Mr and Ms C of their right to approach the SPSO at the beginning of the complaints process. We also found that the practice did not closely monitor Mrs A's repeat prescription. We made recommendations to address the failings that we found. However, we did not find any failures by the practice in the provision of care and treatment in relation to Mrs A's mental health and incontinence problems.

Recommendations

We recommended that the practice: • review their systems to monitor repeat prescriptions; • ensure effective communication takes place between practitioners and all the key people involved in a patient's care; • review their complaints handling to ensure it complies with the NHS complaints procedure, with particular reference to timescales; and • apologise for the failures identified.

Related reading

View Decision Report 201100241 as a PDF (23.34 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving A Medical Practice in the Fife NHS Boar…

Reference Date Summary Outcome
202302639 01 Mar 2025 C suffered with lower back and right hip pain. C complained about the care and treatment provided by the practice … Partly Upheld
202105712 01 Aug 2023 C complained about the care and treatment provided to their relative (A) by the practice. A attended the practice frequently … Upheld
202102608 01 Mar 2023 C complained about the end of life care their late spouse (A) had received from the practice. A had Lewy … Upheld
202111152 01 Nov 2022 C complained on behalf of their parent (A) for whom they hold power of attorney. C complained that the practice … Not Upheld
202101690 01 Aug 2022 C complained about the care and treatment provided to their late child (A) by their GP practice. A had attended … Not Upheld
View all decisions for this organisation