Source · SPSO (Scottish Public Services Ombudsman)

Ayrshire and Arran NHS Board

SPSO (Scottish Public Services Ombudsman) Partly Upheld Reference 201507617 Sector Health Category clinical treatment / diagnosis Decided 01 January 2017

View NHS Ayrshire & Arran scorecard

Full decision

Summary

Mrs C complained about the care and treatment given to her mother (Mrs A) at University Hospital Crosshouse prior to Mrs A's death. At the time of her admission, Mrs A had been very unwell with pneumonia and sepsis. Mrs C said that she and her family were not alerted to the seriousness of Mrs A's condition and were not prepared for her death. Mrs C said that Mrs A was not cared for appropriately, specifically that she was left in soiled clothes and bedding, not given medication in a timely manner, that there was a delay in moving Mrs A to the high dependency unit and that fluid was removed from Mrs A's lung in an incorrect way. Mrs C said that it was only after Mrs A's death that it was disclosed that she may have been suffering from leukaemia. Mrs C also complained that the board's response to her complaint was inadequate.

We took independent advice from a nursing adviser and a consultant physician and geriatrician. We found that overall, Mrs A's care had been reasonable. Mrs A had wanted to be independent regarding personal hygiene, with help from family members rather than from staff. Mrs A's medication was administered appropriately and in a timely manner. The procedure to remove fluid from Mrs A's lung was reasonable, as was the timing of moving her to a high dependency unit. We found evidence that Mrs C and her family had been kept updated about Mrs A's condition. We also found that it was only after Mrs A's death that it was determined that she had leukaemia. We did not uphold these aspects of Mrs C's complaint. However, our investigation did raise concerns about the facilities on the ward and we made a recommendation to address this.

We found that the board's response to Mrs C's complaint had been poor in that it failed to provide sufficient detail in a timely manner. We therefore upheld this aspect of Mrs C's complaint.

Recommendations

We recommended that the board: confirm that action has been taken to improve the facilities concerned. If nothing has been done, they should provide details of the action they intend to take to remedy the situation; apologise to Mrs C for the shortcomings identified in their correspondence to her; and emphasise to relevant staff the importance of supplying information to allow a timely response to complaints.

Related reading

View Decision Report 201507617 as a PDF (13.41 KB) Updated: March 13, 2018

View original on SPSO (Scottish Publ… website

Other decisions involving Ayrshire and Arran NHS Board

Reference Date Summary Outcome
202408417 01 Mar 2026 C complained on behalf of their adult child (A), who underwent septorhinoplasty surgery (to improve the function and appearance of … Upheld
202309740 01 Mar 2026 C complained about the care and treatment provided to their late parent (A) by the board. A, who was diabetic, … Partly Upheld
202308080 01 Nov 2025 C complained that the board failed to reasonably investigate and/or diagnose the cause of their symptoms of significant weight loss, … Upheld
202308943 01 Aug 2025 C complained that nursing staff had failed to properly supervise their parent (A) resulting in a fall and that there … Upheld
202407708 01 Jul 2025 C was Power of Attorney (POA) for the patient (A). C complained about the care and treatment that A received … Upheld
View all decisions for this organisation