Source · SPSO (Scottish Public Services Ombudsman)

Lothian NHS Board - Acute Division

SPSO (Scottish Public Services Ombudsman) Upheld Reference 201706761 Sector Health Category clinical treatment / diagnosis Decided 01 July 2019

View NHS Lothian scorecard

Full decision

Summary

Mr C complained that the board had failed to provide a reasonable standard of psychiatric (the branch of medicine that deals with mental illness) care and treatment to his wife (Mrs A) before her death. Mrs A had been diagnosed with a brain tumour. The psychiatrist responsible for her care considered that she had a depressive illness, but Mrs A's family disagreed with this. Mr C also complained about the comments the psychiatrist made at a consultation.

We took independent advice from a consultant psychiatrist. We found that the psychiatric care and treatment provided to Mrs A had been reasonable. However, we considered that some of the language the psychiatrist used was unhelpful and left the family feeling criticised. We considered this had been unreasonable and upheld this aspect of Mr C's complaint.

Mr C also complained that the board failed to handle his complaint reasonably. We found that although Mr C had clearly expressed dissatisfaction in an email, the board had failed to record this as a complaint or to contact Mr C for clarification. When Mr C subsequently made a further complaint, the board then delayed in responding to this. Therefore, we also upheld this aspect of Mr C's complaint.

Recommendations

What we asked the organisation to do in this case: Apologise to Mr C and his family for the shortcomings in the psychiatrist's approach to the assessment. The apology should meet the standards set out in the SPSO guidelines on apology available at www.spso.org.uk/leaflets-and-guidance.

What we said should change to put things right in future: Medical staff should communicate with patients and their families appropriately. They should use appropriate language and ensure that families have adequate support where difficult discussions are necessary.

In relation to complaints handling, we recommended: Complaints should be dealt with promptly and in line with the board's complaints handling procedure.

Related reading

View Decision Report 201706761 as a PDF (26.1 KB) Updated: July 24, 2019

View original on SPSO (Scottish Publ… website

Other decisions involving Lothian NHS Board - Acute Division

Reference Date Summary Outcome
202301188 01 Dec 2024 C complained that Lothian NHS Board (Board 1) unreasonably failed to maintain records of specialist advice they provided to another … Partly Upheld
202301420 01 Nov 2024 C complained that the board failed to provide them with appropriate orthopaedic (specialists in the treatment of diseases and injuries … Not Upheld
202208872 01 Nov 2024 C complained about the care and treatment that their late parent (A) received while in hospital. A suffered a fall … Upheld
202303330 01 Sep 2024 C complained about the care and treatment that they received from the board. C underwent a left total hip replacement … Upheld
202208467 01 Sep 2024 C complained about the nursing care and treatment provided to their late parent (A). A had a fall during an … Upheld
View all decisions for this organisation