Death of woman after routine operation was avoidable, Ombudsman finds
A grandmother’s death following a low-risk, routine hip replacement operation was avoidable, an investigation by the Parliamentary and Health Service Ombudsman has found. A catalogue of errors at East Lancashire Hospitals NHS Trust, including failing to properly monitor and treat Renie Craig after the operation, meant she died as a result.
The woman’s son, Ian Craig from Blackburn, brought a complaint about the Trust to the Ombudsman in March 2016 after he felt that the Trust’s own investigation failed to recognise several mistakes in his mother’s care.
Renie Craig, who was 77, was scheduled to have a routine hip replacement operation in February 2015. She had high blood pressure and several tests from December 2014 showed that she had an impaired kidney function, yet this was not investigated ahead of the operation. This, along with her age and the fact that she had diabetes, meant that she was at an increased risk of developing a serious kidney injury, which was not taken into account.
After the operation, she was not given enough fluids and her fluid balance was not monitored despite a doctor’s request for this. Nurses also failed to inform a senior nurse or doctor when her blood pressure dropped significantly. Mrs Craig was given a blood transfusion but later became unresponsive and a doctor resuscitated her before she was moved to intensive care.
In March 2015, Mrs Craig had two further operations under general anaesthetic to treat a wound that developed while in intensive care. A few days later, Mrs Craig sadly died from a sudden loss of blood to the bowel.
Even though tests showed that she was vulnerable, hospital staff did not properly plan her care after her hip operation. They didn’t monitor her condition regularly or act quickly when her condition worsened which meant that she had to have further operations when she was already weak.
The Ombudsman found that if the Trust had provided the right care and treatment then Mrs Craig would have survived. Knowing his mother died as a result of the Trust’s failings caused Mr Craig considerable distress.
Latest News from
Draft Public Service Ombudsman Bill laid in Parliament05/12/2016 12:37:21
A new complaints body will provide the public with greater confidence that their voices have been heard.
London council and care home amend policies after giving confusing information about fees18/04/2019 12:15:00
London Borough of Barking and Dagenham and Moreland House care home have agreed to change their charging policies after a resident paid too much for her care, the Local Government and Social Care Ombudsman has said.
Homeless family left in damp and cockroach-infested properties by London council12/04/2019 09:15:00
London Borough of Haringey did not deal properly with disrepair issues at the two properties where it placed a homeless family, the Local Government and Social Care Ombudsman found.
Council delays leave disabled woman in unsuitable temporary accommodation for too long11/04/2019 14:15:00
A disabled woman, who had previously been sleeping rough in an airport, spent too long in temporary fourth floor accommodation provided by the Royal Borough of Kensington and Chelsea, the Local Government and Social Care Ombudsman has found.
London council fails to support vulnerable mother properly05/04/2019 09:15:00
London Borough of Ealing did not carry out adequate assessments of the support a disabled mother needed when her young son moved from nursery to school, the Local Government and Social Care Ombudsman has found.
Thousands of vulnerable Staffordshire people deprived of their liberty without proper assessment02/04/2019 11:15:00
Staffordshire County Council’s decision not to assess some vulnerable people who may have been unlawfully deprived of their liberty has been criticised in an investigation by the Local Government and Social Care Ombudsman.
Surrey boy with special needs spent too long in inappropriate school28/03/2019 09:15:00
Surrey County Council took 15 months too long to issue a disabled boy’s Education, Health and Care (EHC) plan, and unfairly limited his father’s ability to chase for updates, a Local Government and Social Care Ombudsman investigation has found.
Eye-removal operation was avoidable, Ombudsman finds27/03/2019 15:15:15
A man lost his eye due to NHS failures in treating an eye infection, causing him significant distress and leaving him unable to work or drive, an investigation by the Parliamentary and Health Service Ombudsman has found.
Family left in unaffordable flat after council denies right to appeal homelessness decision21/03/2019 13:20:00
A father who gave up his life abroad at short notice to look after his children was denied his housing rights by Basingstoke and Deane Borough Council, a Local Government and Social Care Ombudsman investigation has found.