Source · SPSO (Scottish Public Services Ombudsman)

Lothian NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201404044 Sector Health Category clinical treatment / diagnosis Decided 01 July 2015

View NHS Lothian scorecard

Full decision

Summary

Mr C complained that the board had handled his request for surgery under local anaesthetic unreasonably. This was because Mr C wanted to have his operation under a local anaesthetic but the board's surgeon only offered him a general or spinal anaesthetic. Mr C went to a private hospital to have his operation done under a local anaesthetic and he wanted the board to reimburse the cost.

We considered whether Mr C's treatment was reasonable in the circumstances at the time, which meant we would not uphold his complaint solely because he disagreed with the board or felt the treatment he received was not the best possible. We took independent medical advice from our adviser, who is a surgeon, who told us that the board's surgeon was entitled to refuse to operate under a local anaesthetic and that he had sought a second opinion from two of his colleagues. Although the board did not confirm to Mr C that none of their surgeons would have operated under a local anaesthetic until after he complained to them, we considered he could reasonably have followed this up with the board before choosing to have private surgery done.

Mr C also referred to the NHS website's reference to patient choices, but we did not consider this amounted to a universal guarantee that a patient would always get their preferred treatment. In light of the clear advice we received, we did not consider the evidence indicated that the board handled Mr C's request for a local anaesthetic unreasonably and we did not uphold his complaint.

Related reading

View Decision Report 201404044 as a PDF (11.26 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