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Bromley Healthcare

P-002247 · Statement · Decision date: 4 October 2023 · View Bromley Healthcare scorecard
Record keeping and management Record keeping and management Record keeping and management Inaccurate and inaccessible patient records
Complaint (AI summary)
Ms A complained that various NHS organisations held incorrect information in her medical records, including a misdiagnosis of psychosis, which negatively impacted her care.
Outcome (AI summary)
Closed. The ombudsman decided not to investigate because it could not mandate the deletion of information, which was Ms A's desired outcome.

Full decision details

The Complaint

3. Ms A complains Oxleas NHS Foundation Trust misdiagnosed her with psychosis in March 2019 and wrote incorrect information about what she said in her medical records.

4. She complains Bromley Healthcare has wrong information in its records about an appointment she had with the Bromley Talk Together Service in February 2019.

5. She also told us the GP Practice in the Bromley area (the Practice) has wrong information about her medical history in its records.

6. Ms A says the incorrect information in her medical records has had a negative impact on her and means she is at risk of not being treated correctly. Ms A wants this information to be deleted.

Background

7. Ms A asked the Practice for her medical records and got them in January 2022. When she looked at the records she said she found information that was wrong.

8. She said this was about her diagnosis, what she said in consultations and tests she said she never had. She said there was wrong information recorded by all three organisations.

Findings

11. The NHS guidance recognises there may be times when people disagree with their records. It says that people can ask for things they feel are inaccurately recorded to be corrected.

12. The guidance says organisations will look at these requests. It says the organisation should not change the record if the professional considering the request believes it is correct.

13. We are not able to tell the organisations to act outside this guidance and delete the records. We will not take any further action on Ms A’s complaints because we cannot achieve the outcome she is looking for.

14. We know how important this matter is to Ms A and we thank her for telling us about her concerns. We hope this statement explains the reasons we can take no further action.

Our Decision

1. We have carefully considered Ms A’s complaints about the organisations and the information in her medical records. We have decided not to investigate because we would not be able to tell the organisations to delete the information, which is the outcome Ms A wants.

2. We understand Ms A’s concerns and we know our decision is disappointing.