Source · SPSO (Scottish Public Services Ombudsman)

A Medical Practice in the Ayrshire and Arran NHS Board area

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201406539 Sector Health Category clinical treatment / diagnosis Decided 01 June 2015

Full decision

Summary

Mr C complained about the care and treatment that his late mother (Mrs A) received from her GP. Mrs A had attended her GP with symptoms of breathlessness and the GP arranged an x-ray, took a blood sample and prescribed antibiotics. The x-ray result was reported as normal. Mrs A died four days after the consultation from a pulmonary embolus (a clot in the blood vessel that transports blood from the heart to the lungs) caused by deep vein thrombosis. Mr C felt that the GP had taken insufficient note of his mother's breathlessness and should have taken urgent action to establish a further diagnosis as the x-ray had been reported as clear.

We took independent advice from a GP adviser and found that Mrs A's GP had acted reasonably by conducting appropriate investigations in order to establish a diagnosis and that there were no signs that Mrs A would suffer a pulmonary embolus a few days after the consultation. We also found that there was no delay by her GP in their consideration of the x-ray result. We did, however, note that the GP's record-keeping was not as thorough as it could have been and that the GP should reflect on this.

We did not uphold the complaint.

Related reading

View Decision Report 201406539 as a PDF (11.19 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving A Medical Practice in the Ayrshire and …

Reference Date Summary Outcome
202309539 01 Sep 2025 C complained about the standard of medical care and treatment provided by the practice and about the way that they … Upheld
202410666 01 Jul 2025 C complained that the practice failed to handle their telephone call reasonably. C called the practice while being discharged from … Upheld
202207640 01 Oct 2023 C complained that the practice failed to provide them with reasonable care and treatment. C suffered from inflammatory conditions of … Partly Upheld
202009052 01 Apr 2022 C complained to the practice about the lack of treatment when they attended two consultations reporting a breast lump. C … Not Upheld
202000742 01 Feb 2022 C complained that the practice failed to provide appropriate care and treatment to their late child (A). A had a … Not Upheld
View all decisions for this organisation