Source · SPSO (Scottish Public Services Ombudsman)

Highland NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201403620 Sector Health Category clinical treatment / diagnosis Decided 01 March 2015

View NHS Highland scorecard

Full decision

Summary

Mr C complained that the board failed to diagnose his condition properly when he attended an out-of-hours (OOH) service at Raigmore Hospital. Mr C was diagnosed with a viral infection, and he was discharged. A few days later, however, he became very unwell and was admitted to hospital where he was later diagnosed with legionnaires' disease.

Mr C said that the OOH service should have considered this as a possible diagnosis, particularly as he had mentioned recent travel abroad. We took independent advice from one of our medical advisers, who is a GP. The adviser said that the examination of Mr C was thorough and well recorded. The adviser also reviewed the Health Protection Scotland (a government body that monitors infectious and environmental hazards) website, and noted that at the time of Mr C's admittance there were no notifications of increased incidents of legionella (the bacteria that causes legionnaires' disease) in the location Mr C had visited. Therefore, no alert would have been sent to GPs and OOH services to increase vigilance for the condition.

We, therefore, concluded that in light of the symptoms Mr C presented with at the time, he was provided with a reasonable diagnosis.

Related reading

View Decision Report 201403620 as a PDF (11.22 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