Source · SPSO (Scottish Public Services Ombudsman)

A Medical Practice in the Greater Glasgow and Clyde NHS Board area

SPSO (Scottish Public Services Ombudsman) Upheld Reference 202309340 Sector Health Category Clinical treatment / diagnosis Decided 01 June 2025

Full decision

Summary

C complained about the care and treatment provided to their late parent (A). A had a terminal illness and was discharged from hospital to be cared for at home. A few days later, the family requested a visit from a doctor. They spoke to a doctor on the phone but it was an Advanced Nurse Practitioner that visited them at home. C was also unhappy that A was not provided with emergency medication.

We took independent advice on the complaint from a GP. We found that A should have had a named and experienced clinical lead coordinating and planning their care. We found that it would have been preferable that a GP had visited A following their discharge from hospital. However, it was not unreasonable that A was visited by an ANP. We found that A should have been provided with emergency medicine. We upheld C's complaint.

We noted that the practice had recognised potential failings and had demonstrated that they had taken reasonable learning and improvement action. Therefore, we made no further recommendations.

Related reading

View Decision Report 202309340 as a PDF (24.29 KB) Updated: June 18, 2025

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