Source · SPSO (Scottish Public Services Ombudsman)

Highland NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201800066 Sector Health Category clinical treatment / diagnosis Decided 01 May 2019

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Full decision

Summary

Mr C complained about a delay in the board diagnosing hereditary haemochromatosis (a medical condition caused by an overload of iron in the body). Mr C experienced various symptoms that he said increased in number and severity over six years until his diagnosis. Mr C raised concerns that the doctors should have investigated further rather than repeating the same tests, and that they missed a condition that would have been easily diagnosed by a simple blood test.

We took independent advice from a consultant in general medicine with a clinical interest in haemochromatosis. We noted that it is quite rare and diagnosis can be delayed in many cases for over five years. Mr C was seen by different clinicians in various different specialities before the diagnosis emerged following a random blood test for ferritin (iron storage protein). There was no family history of the condition and we considered that the symptoms Mr C experienced prior to the diagnosis were non-specific rather than being classical symptoms of haemochromatosis. We also considered that a blood test done a year before the diagnosis would not prompt consideration of hereditary haemochromatosis as a likely explanation. We concluded that staff did not unreasonably delay in considering the diagnosis at an earlier stage. We did not uphold Mr C's complaint.

Related reading

View Decision Report 201800066 as a PDF (23.97 KB) Updated: May 22, 2019

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