Source · SPSO (Scottish Public Services Ombudsman)

Lothian NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201204715 Sector Health Category clinical treatment / diagnosis Decided 01 August 2013

View NHS Lothian scorecard

Full decision

Summary

Mrs A, who was 91 years old, became ill and was admitted to hospital, where she deteriorated and died. Her son (Mr C) complained to the board that it was inappropriate for them to have placed his late mother on the Liverpool Care Pathway (LCP - a care planning system for dying patients). Mrs A was on the LCP for more than two weeks before she died, which Mr C felt was too long. He felt that staff should instead have provided her with treatment, for example an operation. He said that although it might have ended her life sooner, he felt that at least she would not have suffered for so long.

The board maintained that it was appropriate to have placed Mrs A on the LCP. Due to Mrs A's age and her other medical conditions, the board said the risks of surgery would have outweighed any potential benefit. They confirmed that communication was maintained with appropriate family members. Our investigation found that it was not unreasonable for staff to have placed Mrs A on the LCP, as it is used by health care staff to ensure high quality personal care is delivered in the last days of life. We also noted that the decision was discussed with family members who were the hospital's first point of contact.

Related reading

View Decision Report 201204715 as a PDF (11.27 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving Lothian NHS Board

Reference Date Summary Outcome
202404449 01 Jan 2026 C complained about the care that their adult child (A) received from the prison healthcare team and particularly a failure … Upheld
202304800 01 Mar 2025 C complained that the board failed to provide reasonable personal care and treatment to their sibling (A). A was admitted … Upheld
202304367 01 Dec 2024 C complained on behalf of their spouse (A) about the standard of care and treatment received in the months before … Partly Upheld
202005296 01 May 2022 C complained that there had been an unreasonable delay in their late parent (A) receiving a prescription of antibiotics following … Upheld
202002582 01 Jan 2021 C complained about the clinical care provided to their child (A) by the board, specifically, that a Chiari malformation (where … Not Upheld
View all decisions for this organisation