Source · SPSO (Scottish Public Services Ombudsman)

Lothian NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201508599 Sector Health Category clinical treatment / diagnosis Decided 01 October 2016

View NHS Lothian scorecard

Full decision

Summary

Mr C complained on behalf of his late sister (Miss A) about the care that she received at the Western General Hospital, in particular that she was prescribed methotrexate (a drug to suppress the immune system) for Crohn's disease (a long-term condition that causes inflammation of the lining of the digestive system). Miss A was diagnosed with tumours in her liver and bone marrow and died around a week later. Mr C understood that Miss A had refused methotrexate in the past and was concerned that it had been given to her without her knowledge.

We took independent medical advice and found that the prescribing of methotrexate in Miss A's case was reasonable and in keeping with national guidance on the management of Crohn's disease. Miss A's Crohn's disease was complex and had been difficult to control with medication. We did not identify evidence to show that Miss A had refused methotrexate but that surgery had been offered as an alternative which she declined.

Related reading

View Decision Report 201508599 as a PDF (11.07 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