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Sherwood Forest Hospitals NHS Foundation Trust

P-001580 · Report · Decision date: 24 October 2022 · View Sherwood Forest Hospitals NHS Foundation Trust scorecard
Complaint (AI summary)
The complainant alleged an incorrect MRI scan of his knee instead of his calf caused a delayed diagnosis of a severe tear, impacting his physical health and leading to private costs.
Outcome (AI summary)
The complaint was upheld. The ombudsman found the Trust performed an incorrect scan, leading to delayed diagnosis and treatment, causing physical impact and financial loss.

Full decision details

The Complaint

6. Mr A complains about the treatment and poor communication provided after his visit to the Trust’s A&E department.

7. Mr A suffered a calf, lower leg, injury on 28 July 2020 when playing sport. The Trust said he needed a scan of his calf.

8. After repeated telephone calls from Mr A, the Trust arranged a scan for 18 August 2020. On 27 August Mr A’s GP confirmed the MRI scan was taken of the knee and not the calf. Mr A questioned this at the time of the scan but his query was ignored.

9. Due to the error and delays within the NHS, Mr A was referred privately for assessment. On 8 September 2020, a private consultant diagnosed a calf problem and Mr A was referred to a private hospital (not part of the Trust). Mr A went to a private consultation for an MRI scan of his calf. He was diagnosed with a ten centimetre tear in his left calf.

10. Mr A has been told it is now too late to have surgery because of the delay in diagnosis, and the healing which had already taken place. Mr A says a lot of stress was caused and time and financial cost has been wasted. This has had an impact on his wellbeing, physically, mentally, and emotionally.

11. Mr A would like to know who changed ‘calf’ to ‘knee’ on the request form and why this was done. He would like £460 to cover his costs to correct the situation. He also seeks a small amount of compensation for the physical impact, caused by the wrong body part being scanned. He feels this will also help to cover the time spent in dealing with what should have been unnecessary communication with the Trust. He would like to see service improvements and for the Trust improve their communication channels with patients.

Background

12. When Mr A went to A&E, a consultant said he had a possible sprain and potential partial rupture of the calf muscle.

13. The consultant requested an ultrasound of the left lower leg.

14. The Trust sent two complaint response letters to Mr A, dated 27 April and 9 June 2021. It said its radiology department rejected the request for ultrasound as they felt an MRI scan would be better. They sent this to the emergency department and an MRI scan of the left knee was requested.

15. The MRI scan on 18 August 2020 diagnosed a torn medial meniscus, the cartilage of the knee joint. There was a recommendation to be seen by the orthopaedic team but no referral was made.

16. Mr A’s GP made a referral for physiotherapy. Mr A’s GP suggested he consider private physiotherapy. This was due to Mr A’s symptoms, him being active before his injury and NHS waiting times due to the COVID pandemic. Mr A went to a private physiotherapy clinic in September 2020. After an assessment, the private physiotherapist made an onward private referral for a consultant who specialises in the management of patients with Mr A’s symptoms.

17. Mr A went to a private appointment with a consultant on 8 September 2020, who diagnosed a calf problem and referred Mr A was referred back to the private hospital.

18. Mr A went to a private consultation on 22 September 2020 at the private hospital and an MRI scan of his calf was requested. The results showed the tear and damage to his knee joint. Mr A was referred to a private foot specialist.

19. Mr A was seen by an orthopaedic surgeon, specialising in lower limbs at the private hospital on 4 November 2020. It was noted that he is unable to toe walk because of significant weakness on the left side. The consultant noted the tear was 14 weeks old, had gone on to heal with scarring and unfortunately with a degree of lengthening (when the calf has begun to heal in a different position to the other calf). This caused a weakness of his achilles tendon. The consultant advised that due to the age of the tear and healing that had already taken place, they would not suggest surgery to put it right.

Findings

23. The medical records do not mention the decision to order an MRI scan of the knee instead of the calf. The only information on this is in the Trust’s complaint response letters, dated 27 April and 9 June 2021, to Mr A. It said the first request for an ultrasound of the calf was rejected and a radiologist requested this was changed to an MRI scan. The radiologist thought an MRI scan would be better to identify the injury. It said the error occurred when the emergency department consultant who reviewed this requested an MRI scan, but only of the knee. The Trust has accepted this was an error.

24. GMC good medical practice says:

‘15 You must provide a good standard of practice and care. If you assess, diagnose or treat patients, you must:

a. adequately assess the patient’s conditions, taking account of their history (including the symptoms and psychological, spiritual, social and cultural factors), their views and values; where necessary, examine the patient b. promptly provide or arrange suitable advice, investigations or treatment where necessary c. refer a patient to another practitioner when this serves the patient’s needs’.

25. The Patient.info article says ultrasound or MRI may be necessary if the diagnosis is unclear. An MRI scan should also be used to decide if there is achilles tendon damage or partial thickness tears.

26. Our decision is the correct request was made by the emergency department consultant for an ultrasound scan of the calf. This was made in line with the above guidance. Our emergency medicine adviser said that ultrasound scan of the calf is not an investigation that is done in the emergency department. The normal procedure is for a patient to be referred as an outpatient for a scan, to be done by a radiologist or ultrasonographer.

27. Both our emergency medicine and orthopaedic adviser said not requesting the correct scan of Mr A’s leg, led to a failure to diagnose him. This meant Mr A was not referred to an orthopaedic surgeon when he should have been. Our orthopaedic adviser said the error led to a delayed diagnosis of an Achilles tendon tear.

28. We do not know why the Trust did not ask for a scan for the right body part. We can only assume this was due to human error when the request was changed from ultrasound to MRI. The MRI scan should have been of Mr A’s calf and not his knee. We have decided that changing the body part to be scanned was a failing.

Impact

29. Mr A said he was told during his consultation that it is now too late to have surgery. This was due to the delay in diagnosis and the healing which had already taken place. Mr A says a lot of time, financial cost and stress has been wasted. This had an impact on his wellbeing, physical, mentally, and emotionally.

30. When considering how Mr A was affected, we looked at what actions the Trust has taken to put this right. We can see the Trust has apologised for the mistake. It explained that the emergency department consultant was responsible for this error and it accepted this caused undue distress and discomfort. It said the experience has been shared with individuals involved in the care and the wider team for reflection and future learning.

31. Unfortunately, cannot answer why ‘calf’ was changed to ‘knee’ on the MRI scan request. We have not seen any evidence in the medical records to confirm if the emergency department consultant made the mistake, but we are content with the explanation provided by the Trust.

32. We are pleased to see the Trust accept this error and have recognised the distress and discomfort this caused Mr A. The Trust planned to reflect on the error and share this complaint for future learning. We have not seen any evidence this has been completed and there are outcomes Mr A is looking for that have not been considered.

33. We know the results of the later scan of the calf. The National Library of Medicine and BOFAS guidance explains how to treat this condition. They both say the best outcomes are achieved through surgical reconstruction.

34. During consultations on 14 October and 4 November 2020, both private consultants commented on the length of time which had passed since the injury and the impact this had on Mr A. It was noted that the tendon tear was already ten weeks old. It had already started to heal, with scarring and a degree of lengthening, which has caused weakness and an inability for Mr A to walk on his tip toes. It was recorded he was left with a noticeable functional deficit. The consultant who saw Mr A on 4 November 2020, also advised against surgery due to the duration of time. Based upon this advice, we know Mr A would have been considered for surgery sooner.

35. We have decided that this is a direct result of the incorrect scan being carried out on 18 August 2020. This has led to an impact on Mr A’s physical health. We know from the consultants he saw on 14 October and 4 November 2020 that he now has a weakness in his achilles tendon. We appreciate this has been extremely frustrating and caused stress and upset.

36. Mr A had to arrange his own appointment with a private consultant, which led to an MRI scan and diagnosis of his achilles tendon tear. Mr A paid £460 for this consultation. Mr A tried to obtain a scan and diagnosis through the NHS, but the incorrect scan was carried out on 18 August 2020. Following this, on 28 August 2020, Mr A’s GP made a referral to musculoskeletal services via the NHS. As Mr A was very active, and there were ongoing delays due to COVID pressure, his GP suggested arranging a private appointment.

37. Mr A attended a private appointment in September 2020. Following an assessment, a physiotherapist made an onward private referral for a consultant who specialises in the management of patients with Mr A’s symptoms. This led to the correct scan and diagnosis.

38. In our view, Mr A tried to obtain his treatment via the NHS. If he had waited for an NHS appointment this would have prolonged his waiting time for a diagnosis and treatment. Mr A was an active person who had already waited several months because an incorrect scan was taken of his knee instead of his calf.

39. Mr A’s symptoms were worsening at the time. We know from the comments made by the private consultants on 14 October and 4 November 2020 that the delayed timeframe had impacted his healing process. Because of this, we have decided that Mr A’s financial loss is a direct result of the failings we have identified. This is because there was a missed opportunity to treat Mr A earlier. We also find that the failings led to additional stress and time taken for Mr A to arrange his own medical appointments privately.

40. We have seen no evidence that the Trust has considered the financial impact caused to Mr A. We have seen receipts totalling £460, which was spent on arranging private consultations. Mr A was also aware of the incorrect scan when arranging his private appointment. There is a receipt for £50 for physiotherapy, one for 200 for a consultant at a private hospital, and another for £210 for a consultant at a different private hospital.

41. It is not possible to put Mr A back into the position he would have been in, had there not been any failings. This is because there was a missed opportunity to treat him earlier. We think an apology does not go far enough to put this right. We have therefore considered a financial remedy in recognition of this.

42. We have asked Mr A for an updated position on his symptoms. Following his MRI scan, Mr A had a few sessions of physiotherapy. He said he would describe his left calf as being six out of ten (with ten being normal). He has difficulties in pushing off with his left foot and in using the clutch pedal when driving.

43. This confirms the advice Mr A was given during consultations on 22 September, 14 October and 4 November 2020. The tendon had already started to heal, with scarring and a degree of lengthening, which had caused some weakness and an inability for Mr A to walk on his tip toes.

44. Mr A had a noticeable functional deficit and significant weakness on his left side. He would likely continue to not be able to walk on his tip toes. Our orthopaedic adviser said the inappropriate treatment of the Achilles tendon tear led to the tendon healing in a lengthened position and caused associated weakness. It is our view the evidence and advice from our adviser suggests the symptoms Mr A complains about are permanent. We have decided the failings we have identified led to the ongoing weakness.

45. We also appreciate that the events have been stressful and upsetting for Mr A. He has had to use his own time to arrange private consultations and engage in unnecessary communication with the Trust. If the correct scan had been undertaken Mr A would not have needed to complain or arrange private treatment.

46. In determining an appropriate amount to recommend, we use our Scale of Severity of Injustice scale, which allows us to make sure the recommendations we make are consistent and transparent for everyone. Our scale contains six different levels of injustice that a complaint could fall into, which increase in severity. Each level is then linked to a range of financial amounts we would usually recommend in those circumstance.

47. In our view this complaint falls within the middle range of a level three injustice. The failings we have found have caused a moderate impact to Mr A, impacting his physical and mental wellbeing over a significant period of time. Mr A has been left with a weakness on his left side and cannot walk on his tip toes.

48. The evidence suggests this is likely to be the scenario going forwards, and the failings we have identified were what caused the associated weakness. Our consideration also takes into account the time Mr A has taken to arrange private consultations via his GP and engage in unnecessary communication with the Trust following their mistake. This would not have needed to happen if the correct scan had been done.

Our Decision

1. We have decided to uphold Mr A’s complaint about Sherwood Forest Hospitals NHS Foundation Trust (the Trust). We are sorry to hear of the events that led to Mr A’s concerns. We appreciate this has been upsetting and frustrating for him.

2. We do not know why the Trust did an MRI scan of the wrong body part. We can only assume this was due to human error when the scan was changed from ultrasound to an MRI. What we do know is that the MRI scan should have been of Mr A’s calf and it was not. We have decided the Trust asked for an incorrect scan and this led to a delayed diagnosis and failure to refer Mr A to an orthopaedic surgeon for treatment. Mr A had to arrange an appointment with an orthopaedic surgeon and an MRI scan of his calf privately, which led to a diagnosis of a full thickness tear to his achilles tendon.

3. Mr A has been left with a weakness to his tendon and we think there was a missed opportunity for surgery. This is as a direct result of the incorrect scan being carried out. This has led to an impact on Mr A’s physical health. We appreciate this has been extremely frustrating and caused stress and upset. Mr A had to arrange his own appointments with consultants, resulting in a financial loss of £460.

4. We have made recommendations for service improvements and financial remedy.

Our role

5. Our role is to decide on unresolved complaints about the NHS in England. We do this by looking to see whether there has been a service failure and whether this has caused injustice or hardship. If we decide the organisation got things wrong, we may recommend ways for it to put them right, if it has not done so already.

Recommendations

49. We have referred to our ‘Principles for Remedy’. These state that where poor service or maladministration (fault) has led to injustice or hardship, the organisation responsible should take steps to put things right.

50. Our principles say that public organisations should look for continuous improvement and should use the lessons learned from complaints to make sure they do not repeat maladministration or poor service. We recommended that within one month from the date of the final report, the Trust should provide evidence of the learning it has identified from this complaint.

51. Our principles state that public organisations should put things right and, if possible, return the person affected to the position they would have been in if the poor service had not occurred. If that is not possible, they should compensate them appropriately.

52. We have considered our Severity of Injustice scale and Service Model Guidance in considering the amount of financial remedy. We recommend that within one month of the date of the final report, the Trust make a payment of £725 to Mr A, in recognition of the failings and impact we have identified.

53. We also recommend that, within one month of the date of the final report, the Trust make a payment of £460 to Mr A, in recognition of the amount spent in private consultations.

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