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South Central Ambulance Service NHS Foundation Trust

P-001627 · Report · Decision date: 22 November 2022 · View South Central Ambulance Service NHS Foundation Trust scorecard
Communication Treatment Inappropriate Emergency Call Transfers
Complaint (AI summary)
Mrs A complained that NHS 111 staff asked Mrs T unnecessary questions, incorrectly escalating her callback timeframe, and failed to arrange an ambulance despite her symptoms.
Outcome (AI summary)
The complaint was partly upheld. Staff asked unnecessary questions, but Mrs T was called back quickly. Not arranging an ambulance was in line with guidance. The failing caused distress.

Full decision details

The Complaint

7. Mrs A complains on behalf of Mrs T about the care and treatment she received from the Trust when she called NHS 111 on 8 January 2021. Mrs A complains:

• staff asked Mrs T unnecessary questions about her normal daily activities, which meant an out of service referral for a call-back was incorrectly increased to within a six-hour time frame; this call was non-compliant with NHS pathways protocols • staff should have arranged for an ambulance due to the symptoms Mrs T described and their triage.

8. Mrs A considers there may have been an opportunity for a better outcome and Mrs T may not have sadly died. The events of the day Mrs T died have caused a large emotional impact, trauma, stress and upset for Mrs A and her family.

9. Mrs A would like service improvements and financial compensation.

Background

10. This is a summary of events to put the complaint in context.

11. Mrs T was diagnosed with COVID-19 on 5 January 2021. She contacted NHS 111 on 8 January with symptoms of fatigue, diarrhoea and a chesty cough.

12. During the call, she was asked questions by a health adviser before being referred for an out of service call-back within a six-hour period.

13. She then had a call from a GP and was prescribed antibiotics to protect against a bacterial chest infection.

14. Mrs T sadly died of COVID-19 at home a week later.

Findings

18. When we look at whether there is a failing in the service provided, we consider what should have happened in line with relevant law, policy, guidance, standards, and our clinical adviser’s professional reasoning. We then consider what did happen, from all information and clinical records received, and if this was different to what should happen. If it was, we consider if it fell so far short of what should have happened, to be a failing.

19. If there was a failing, we then consider what injustice this may have caused. If it caused an injustice which has had a negative impact, our next step is to consider what actions the Trust has already taken to put things right. If we consider the Trust has not done enough, we may make recommendations for it to take further action.

20. We will now consider Mrs A’s complaint.

Staff asked unnecessary questions meaning a call-back within six hours was requested

21. Our adviser explained the NHS pathways system is a commercial clinical tool, accessing the full details and structure of the call handling process. Our SMG says an adviser may give their professional reasoning when giving their independent advice.

22. The NHS pathway system includes of three modules: zero, one and two.

23. Module zero is completed by a layperson (non-clinical) health advisor (HA) and is designed to prompt and identify immediate life-threatening signs and symptoms leading to automatic emergency ambulance dispatch.

24. Module one is also completed by a HA and has a more in depth ‘body map’ assessment of a patients’ non-immediate life-threatening signs and symptoms.

25. Module two is designed to be completed by qualified/registered clinician and is a more targeted assessment tool that allows for clinical judgement to be made.

26. Upon completing a module one assessment, the NHS software will use all factors to decide the most clinically safe and appropriate pathway. This may include emergency/non-emergency ambulance response, minor injury/urgent care centre appointment/referrals or, as in this case, remote telephone consultations with a qualified clinician. Pathways will also suggest the most appropriate timeframe for action, again based on clinical need and patient safety.

27. Mrs A says Mrs T contacted NHS 111 on 8 January 2021 for help and advice as she was feeling unwell having been diagnosed with COVID-19 on 5 January.

28. She says staff asked unnecessary questions about her mother’s usual daily activities like if she could check her phone, look at a book, watch television, and get a drink of water. Staff also asked if she was responding and reacting normally to other people and if someone was to telephone her, would she be able to say hello and not stare blankly into space.

29. In its response, the Trust said it found the call may not have been safe and appropriate due to the unnecessary questioning around whether Mrs T could complete some or all her normal daily activities. The Trust admitted a failing in this call, which led to it being passed to the out of hours service for contact within a six-hour period.

30. The Trust also explained that had the first response been selected without the further questioning, Mrs T would still have been referred to the out of hours service, but it would likely have been for a faster call-back.

31. The NHS pathways system was used when Mrs T called NHS 111, which would have started at module zero before moving onto module one. As HA’s are non-clinical staff, they are required to ask only what is suggested to them onscreen by the pathways system, and not reword questions or advice unless the caller is having difficulty understanding. This is so questions have the correct meaning, are easily understood and match up with what the HA sees on the screen.

32. From seeking clinical advice on this matter, it is our view protocols were not followed as Mrs T was asked unnecessary and extra questions. When Mrs T explained she ‘didn’t feel at all herself’, this suggested significant worry which is one of the criteria for not being able to complete daily activities. As such, the HA selected the wrong response. The right response would have meant a two-hour instead of six-hour call-back was requested.

33. However, because fatigue was the main symptom Mrs T had during her call to NHS 111, our adviser explained it would not have been right to put her on a COVID-19 pathway.

34. Triage tools, such as the NHS pathways system, are based on a caller’s description of their symptoms and the severity. Our adviser explained COVID-19 was the cause for Mrs T’s symptoms but was not the symptom itself, this was fatigue. Based on the symptoms and their severity which Mrs T explained during her call, she most likely would have been put on the same care pathway, a clinician call-back, and not a COVID-19 pathway. We have seen no failings here as the correct pathway was for a clinician call-back.

35. Next, we went on to consider the time taken for the call-back. From her records, we can see Mrs T’s initial call to NHS 111 on 8 January was completed at 6.34pm. She received a call-back from a clinician at 8.24pm. This meant a total time of one hour and fifty minutes between both calls, which was within a two-hour period.

36. As such, we do not consider there to be any injustice to Mrs T because the call-back took too long. We also cannot say that she may not have sadly died, as her condition did not change within the time of her getting a call-back. While she was incorrectly placed on a six-hour call-back period, she was called within two hours.

37. We also realise it has been difficult for Mrs T’s family to learn that she was incorrectly put on a six-hour period for a clinician call-back. This is an injustice which has caused upset and distress. We have considered what the Trust has done to put things right later in this report.

Staff should have arranged for an ambulance

38. The NHS pathway systems clinical tool is also relevant here. However, the guidance for this is included within the system and we cannot get or access this without a product licence. Therefore, in line with our SMG, our adviser has provided their professional reasoning to help in our decision making.

39. Mrs A explains Mrs T was suffering from COVID-19 and was unable to do simple tasks like hold a hairbrush and was struggling to walk to her kitchen to get a drink. She thinks staff should have arranged an ambulance based on their triage and the symptoms described. However, no ambulance was arranged, and instead, she was prescribed antibiotics.

40. In its response, the Trust says Mrs T did not tell NHS 111 about her breathlessness symptoms. Therefore, her reported symptoms at the time of this call did not need an ambulance response.

41. The Trust also explained ambulance referrals can made in many assessment pathways. These may be placed into lower positions or requirements within a pathway but can be increased by clinicians if they feel it is needed.

42. The need for an ambulance and its urgency is usually reached when life threatening symptoms are present such as severe breathing difficulties, chest pain suggesting cardiac arrest, severe bleeding, fitting, possible stroke, an unconscious patient, and some mental health symptoms amongst other possible situations.

43. We have carefully considered Mrs T’s records and the information she gave during her calls. During the call on 8 January, she did not identify or disclose any immediately life-threatening signs or symptoms. She denied any shortness of breath multiple times to both the HA during module one triage and the clinician during her call-back.

44. From our clinical advice, had staff identified any life-threatening or potentially life-threatening symptoms during the module one triage or the clinician call-back, these would have been escalated by NHS pathways system or the clinician, and an ambulance would have been arranged. Mrs T may have needed an ambulance at a later date, however, it was not needed at this time.

45. As such, we have seen no reason for the Trust to arrange an ambulance, and our decision is the Trust did not do anything wrong.

Our Decision

1. Mrs A has concerns about the service her mother, Mrs T, received from South Central Ambulance Service NHS Foundation Trust (the Trust) and its NHS 111 service on 8 January 2021. Our decision is staff asked Mrs T unnecessary questions which meant she was incorrectly put on a list for a call-back within a six-hour timeframe. However, we have seen Mrs T was called within two hours.

2. While we have seen a failing with the questions asked, we do not consider there were missed opportunities or that Mrs T may not have died, if things had been done differently. But, the failing did cause Mrs A upset and distress.

3. Further to this, we have seen that staff acted in line with guidance in not arranging an ambulance for Mrs T, based on the information and symptoms she explained during her calls. We do not think the Trust got this wrong.

4. The Trust has accepted the failing we found. It has highlighted learning points. The Trust also explained to us on 8 November 2022 that it has shared learning and guidance with staff on how to answer system functional capacity questions, based on a non-compliant audit that it did. Lastly, it has given individual constructive personal feedback to the staff member who spoke with Mrs T during her initial NHS 111 call.

5. We consider these are positive actions and reduce the chance of the Trust repeating the mistakes it made. These actions are part of what we would expect to see to put things right.

6. In summary, we partly uphold this complaint. We also recommend the Trust makes a financial payment of £250 to Mrs A to fully put things right. We ask that it shares all actions it has taken with Mrs A.

Recommendations

46. In considering our recommendations, 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.

47. Our principles say that public organisations should look for continuous improvement and should use the lessons learnt from complaints to make sure they do not repeat maladministration or poor service.

48. We also completed checks to look for similar related complaints. We do this to give us assurance that the Trust is not repeating failings on issues which we have already investigated and made recommendations for. We found no similar complaints for the Trust in which we previously identified failings and made recommendations.

49. The Trust explained it has shared learning with staff and guidance on how to answer calls correctly and done an audit, after investigating Mrs A’s complaint. It has also given personal feedback to the staff member who spoke with Mrs T during her initial NHS 111 call.

50. Based on our principles, it is our view the Trust’s actions are fair, and reasonable. This is because the Trust has shown it has considered the individual circumstances of the complaint and has put in place learning, guidance and individual staff feedback and support.

51. To fully put things right, we also recommend that within four weeks of the date of our final report, the Trust should:

• write to Mrs A to accept and apologise for the failings we have seen and the impact this has caused • consider the learning and actions it has already taken and share these with Mrs A.

52. 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 happened. If that is not possible, they should compensate them appropriately.

53. To decide on a level of financial remedy, we review similar cases where the person has experienced similar injustice, along with our severity of injustice scale, a scale which allows us to make fair and consistent recommendations for financial compensation.

54. Following this review, we consider the injustice to Mrs A and her family would be a level two case because of the upset and distress that was caused. In this situation we do not think an apology is enough. We have decided the Trust should pay Mrs A £250 in recognition of the failings we have identified in this report.

55. We recommend that within four weeks of the date of our final report, the Trust should also:

• pay Mrs A £250 in recognition of the failings we have found and the impact these have caused.

56. The Trust should also send us evidence it has completed the recommendations made in this report. An anonymised copy of our final report and the Trust’s actions should also be sent to the Care Quality Commission (CQC).

57. This concludes our final report.

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