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Oxleas NHS Foundation Trust

P-001482 · Statement · Decision date: 20 June 2022 · View Oxleas NHS Foundation Trust scorecard
Complaint (AI summary)
Miss T complained the Trust failed to diagnose her ADHD until 2018, denying her correct care and treatment since 2013, which caused a significant loss of quality of life and job.
Outcome (AI summary)
The ombudsman closed the complaint as it was outside the 12-month time limit. There were no strong enough reasons to set aside the time limit for investigation.

Full decision details

The Complaint

5. Miss T complains that the Trust did not diagnose her adult attention deficit hyperactivity disorder (ADHD) until 18 December 2018, and did not provide her with correct care and treatment.

6. Miss T says had the Trust diagnosed her ADHD, and treated her since 2013, she would have had a better quality of life. She says the Trust’s failure in its duty of care for her and its neglect has caused her to lose ten years of her life.

7. By coming to us, Miss T wants compensation for the costs of taxis from 2015 to 2016 for her to get to appointments. She also wants financial compensation for the loss of her job and income, and for the severe impact this has had on her whole life. She wants an apology, and an acknowledgement of the years the Trust should have provided her with treatment.

Background

8. On 18 December 2018, the Trust diagnosed Miss T with ADHD. In January 2019, she obtained copies of her medical records. She read her records in June 2020, after being advised by a friend to do this. She became aware that the Trust mentioned ADHD in 2012, 2013 and 2015 but took no action to diagnose her.

9. In July 2020, Miss T complained to the Trust saying it had failed to diagnose her ADHD on multiple occasions. The Trust responded in July 2020 apologising and explaining improvements to its service since her experience.

10. Miss T remained unhappy and complained again in September. In October the Trust sent a final response acknowledging the delay in Miss T’s diagnosis, and apologising for the delay in her treatment. It provided an action plan for systemic improvement. Miss T complained to PHSO in August 2021.

Findings

13. The law says a person needs to make their complaint to us within a year of becoming aware of the problem. We cannot investigate complaints brought to us after one year, unless we consider there is a good reason.

14. We have discussed this with Miss T to understand the reasons why she could not bring her complaint to us sooner. We have also considered the time the Trust took to respond to Miss T’s complaint.

15. Miss T confirmed she was aware she needed to complain after reading her medical records in June 2020, which is when she says she became aware of the full extent of her complaint.

16. Miss T brought her complaint to us on 8 August 2021. Therefore, her complaint is two months outside of our 12-month time limit. First, it is important we consider the reasons why and if there were any opportunities for her to have brought her complaint to us sooner.

17. Miss T first complained to the Trust on 7 July 2020, after seeing her medical records in June. On 27 July the Trust sent a written letter and investigation report in response to the complaint. Miss T responded six weeks later. The Trust gave its second response a father six weeks later, on 23 October. There was therefore no delay in responding to the complaints.

18. Ten months later, on 8 August 2021, Miss T complained to us. We asked her the reasons for this gap in pursuing her complaint. This was to understand whether her reasons showed there was no opportunity during this time for her to bring her complaint to us.

19. Miss T explained she was unmedicated for ADHD during this time, which caused an impairment to her organisation skills, time keeping, and ability to form her complaint. Miss T says she lost her daughter to her father due to her mental health in October 2019.

20. Miss T say she has a diagnosis of Emotionally Unstable Personality Disorder (EUPD) which she says causes her ‘profound impairment brought on by acute stress…’. She says this ‘triggers a flight or fight of bad emotions’ which then affects her mood and ability to carry out tasks. She explained she has a letter from her GP (about an unrelated event), which describes how acute stress makes her unwell.

21. Miss T says she was stripped of the Trust’s interventions since complaining in July 2020, meaning she has experienced a new decline in her mental health and wellbeing. Miss T also said the delay was due to COVID-19 restrictions, as she was unable to visit her parents who help her with everything.

22. We considered what she said and what we have seen from the evidence provided. Based on this we can see, Miss T was able to raise and pursue her complaint with the Trust during the period when she said her mental health declined.

23. This was also during the pandemic, as she complained to the Trust on 7 July and 8 September 2020. The Trust sent its final response October 2020. The pandemic restrictions and the lack of medication and support did not change after this time. Miss T was therefore able to complain to the Trust and could have continued her complaint bringing it to us much sooner. If there had not been a ten month delay in bringing the complaint to us, Miss T’s complaint would not have been outside of our time limit.

24. Miss T has EUPD and ADHD. She says she was unmedicated for her ADHD, which impacted on the speed at which she could have complained. We do not consider it is a good reason to account for the ten month delay between the final response in October 2020 and her complaint to us in August 2021. This also does not appear to have stopped her pursuing her complaint with the Trust. She therefore had the opportunity to bring her complaint to us earlier during this period.

25. We have noted Miss T says since she made her complaint to the Trust, it has stripped her of her support, and this impacted on her ability to complain. This is not part of the complaint we are considering as it has not been raised by Miss T with the Trust. But there are other types of support available for the public to get help with making complaints, such as advocates. The ten month period was a significant time in which Miss T could have sought advice on how to pursue her complaint, but she does not appear to have taken this action.

26. Miss T has not described any significant or different barriers to account for the ten month delay following the Trust’s final response. We appreciate that this complaint is extremely important to Miss T and that this experience continues to cause her concern. But it is difficult for us to justify putting the time limit to one side if she could have come to us sooner. We therefore cannot take further action on this complaint.

Our Decision

1. We have carefully considered Miss T’s complaint about Oxleas NHS Foundation Trust (the Trust). We were sorry to hear about the experience Miss T had. We understand this was a difficult time, and that she is still facing difficulties.

2. Based on the evidence we have seen, Miss T’s complaint is outside of our 12 month time limit. We can decide to put the time limit to one side to investigate the complaint, but we would need strong reasons for doing this.

3. We have looked at the time taken since events happened and understand Miss T had reasons for not pursuing her complaint straight away after the Trust’s final response. This was clearly a very distressing time for her, but we cannot put the time limit to one side when there was an opportunity to progress the complaint at the end of local resolution which was missed.

4. We have not seen a strong enough reason to enable us to put the time limit to one side. We understand this may be frustrating and difficult news for Miss T. We are sorry there is nothing further we can do for her. We will explain the reasons for our decision below.

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