Source · SPSO (Scottish Public Services Ombudsman)

Highland NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201202342 Sector Health Category clinical treatment; diagnosis Decided 01 February 2013

View NHS Highland scorecard

Full decision

Summary

Mr C's wife (Mrs C) was admitted to hospital for an operation to repair a hernia (a condition where an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall).

After her operation Mrs C complained of pain. The surgeon examined her and found evidence of swelling. A CT scan (a special scan using a computer to produce an image of the body) was requested and the results suggested that Mrs C's bowel had been pierced. Mrs C was operated on and had the section of pierced bowel removed. She suffered pain and discomfort from this procedure and it took her eight weeks to recover from it. Mr C told us that he considered that the staff at the hospital had failed to provide appropriate treatment during the operation. He felt that this resulted in Mrs C's bowel being pierced.

We did not uphold Mr C's complaint. After taking independent advice from our medical adviser, we concluded that a pierced bowel was a recognised complication of this type of surgery. We found that Mrs C's treatment during the operation was reasonable, although we were critical of the board's consent policy. We felt that common and serious risks of surgery should be clearly explained to all patients and that these discussions should be recorded on the patients consent form or clinical records. This did not happen in Mrs C's case.

Recommendations

We recommended that the board: considers reviewing their consent policy to ensure that all common and serious risks are fully explained to patients when obtaining consent and that these are clearly recorded on the consent form or clinical records.

Related reading

View Decision Report 201202342 as a PDF (12.42 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving Highland NHS Board

Reference Date Summary Outcome
202408152 01 Jun 2026 C complained about the care and treatment provided to their child (A). A was urgently referred to the Child and … Upheld
202306996 01 Mar 2026 C complained that the board did not take reasonable action regarding their referrals. C was privately assessed by specialists in … Upheld
202307598 01 Sep 2025 C complained on behalf of a family member (A) about the care and treatment that A received during two presentations … Upheld
202404349 01 Aug 2025 C complained about the care and treatment provided to their late parent (A). A was admitted to hospital due to … Upheld
202300524 01 Jul 2025 C complained about the care and treatment that the board provided to their parent (A). The complaint relates to several … Not Upheld
View all decisions for this organisation