Source · SPSO (Scottish Public Services Ombudsman)

Forth Valley NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201302687 Sector Health Category clinical treatment / diagnosis Decided 01 October 2014

View NHS Forth Valley scorecard

Full decision

Summary

Mr C complained about the treatment and support that his late son (Mr A) received from the board. Mr A had been suffering from low mood and agitation for about two months. He tried to take an overdose, but was stopped by his family. Following a call to the local out-of-hours service, he went to Forth Valley Royal Hospital for a review by their mental health unit. After what Mr C considered to be a very brief assessment, Mr A was discharged home, with phone numbers for three support organisations should he become upset again. Mr A went to his GP two days later saying that he was still depressed and that he had considered taking his own life. His GP referred him back to the mental health unit, where another assessment was carried out and Mr A was discharged home again. He took his own life a few days later. Mr C complained that the mental health unit failed to act on the concerns raised by his son's GP or to properly assess the severity of his condition. He felt that, had they done so, Mr A might have been admitted to the hospital as an in-patient and might have been treated.

After taking independent advice on this complaint from one of our medical advisers, who is a consultant forensic psychiatrist, we did not uphold Mr C's complaints. The adviser said that there was clear evidence that the mental health unit had acknowledged the concerns raised by Mr A's GP. The assessments that were carried out were thorough and followed accepted practice. We accepted his advice that, based on the information available to staff at both consultations, there was no cause for Mr A to be admitted as an in-patient. The adviser said that, in the circumstances, it was reasonable for Mr A to be discharged home with advice as to who to contact should he need support. He noted that Mr A was receiving medication from his GP and had reported benefitting from the support numbers he had been given.

Related reading

View Decision Report 201302687 as a PDF (11.51 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving Forth Valley NHS Board

Reference Date Summary Outcome
202500014 01 Jun 2026 C complained that the board failed to report an injury to their spouse (A)'s wrist. A was in hospice care … Partly Upheld
202401232 01 May 2026 C, an independent advocate, complained on behalf of B, about the standard of medical and nursing care provided to B’s … Partly Upheld
202405861 01 Feb 2026 C complained about the care and treatment provided to their infant child (A) who was born with a terminal genetic … Not Upheld
202402894 01 Jan 2026 C complained on behalf of their partner (A) about the care and treatment that A received from the board during … Partly Upheld
202403721 01 Jan 2026 C complained on behalf of their sibling (A) in relation to the care and treatment that the board provided to … Upheld
View all decisions for this organisation