SPSO (Scottish Public Services Ombudsman) decision

Borders NHS Board

Decided 1 September 2021 Reference 202003940 Outcome: Not Upheld Sector: Health Category: Clinical treatment / diagnosis Body on this site: NHS Borders

Themes assigned by this site (AI-generated): Clinical negligence harms learning, Inadequate Pre-Operative Risk Assessment

Full decision

Decision (the SPSO's words)

Summary

C underwent shoulder surgery at Borders General Hospital. Following the surgery, C’s shoulder dislocated on a number of occasions and they were referred to another hospital outwith the board area for consideration of further treatment. C was advised that the cause of the problems was that the glenoid socket (socket part of the ball-and-socket shoulder joint) had been placed at an incorrect angle during the original surgery and that it was the cause of their continuing symptoms. C believed that there had been a failure in treatment. We sought independent clinical advice from an orthopaedic (conditions involving the musculoskeletal system) consultant. We found that from a clinical perspective, there were no indication that problems had been encountered during the original surgery or that the glenoid socket had been mispositioned. We did not uphold the complaint.

Related reading

View Decision Report 202003940 as a PDF (24.11 KB) Updated: September 22, 2021

From: SPSO (Scottish Public Services Ombudsman), decision 202003940, 1 September 2021