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Leeds Teaching Hospitals NHS Trust

P-003049 · Report · Decision date: 21 October 2024 · View Leeds Teaching Hospitals NHS Trust scorecard
Complaint (AI summary)
Ms D complained the Trust failed to perform requested endocrinology blood tests for her daughter, R, between 2018 and 2020, and lacked inter-departmental coordination, leaving her thyroid undertreated.
Outcome (AI summary)
Complaint upheld. The Trust failed to carry out requested blood tests and showed a lack of coordination/follow-up, causing Ms D frustration and distress.

Full decision details

The Complaint

4. Ms D complains about the treatment given by the Trust to R between March 2018 and 2020. She specifically complains that:

• the Trust did not carry out endocrinology blood tests that were requested in March 2018 and July 2019 • the Trust did not chase up the blood tests or coordinate between departments to allow the tests to take place, and did not allow a Nephrologist to carry out the tests

5. As a result of the failings, Ms D says R did not get the blood tests she needed, which left her thyroid undertreated. She also says that having to proactively try to resolve the issue has caused stress and distress for Ms D and taken away from time she should have been able to relax or enjoy with her daughter.

6. As an outcome Ms D is seeking an apology, a financial remedy and service improvements.

Background

7. 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 things right, if it has not done so already.

8. What follows is our summary of events relevant to the complaint. We have not included all the details, as those involved are already aware of this information. However, we have included this background to put the complaint into context.

9. R has a chromosome abnormality which causes a number of complex health issues, including delayed puberty and hypothyroidism. Hypothyroidism means the person affected has an underactive thyroid gland, where the thyroid gland does not produce enough hormones. The thyroid gland is important in producing hormones that help the body’s metabolism (i.e. the process which turns food into energy), and if it is underactive it can result in tiredness, weight gain, muscle aches, depression, and other symptoms.

10. At the time of the events of this complaint, R was under the care of a number of consultants from different specialisms, including community paediatrics, orthopaedics, renal medicine, an orofacial consultant, paediatric endocrinology, orthodontics and physiotherapy. She also has a learning disability and difficulties communicating. She is able to understand three-word sentences and can communicate to some extent using Makaton, which is a form of sign-language used alongside speech to aid communication.

11. As R has hypothyroidism, she requires blood tests to check the hormone levels produced by her thyroid. R also has blood tests to check her oestrogen levels, as she has delayed puberty and such oestrogen tests can help clinicians determine whether it remains delayed. We understand from Ms D, and can see from R’s medical records, that taking blood from R can be distressing as she has a fear of needles. We understand that sometimes R has to be restrained to have blood drawn.

12. In March 2017, a consultant in Paediatric and Adolescent Endocrinology requested R have a blood test to check her thyroid hormone levels. Endocrinology refers to the study of hormones and their effect on the body. The blood tests were taken in April 2017.

13. In March 2018, the same Paediatric consultant wrote to R’s GP to say they had ‘asked for some blood tests to be undertaken to monitor LH, FSH and oestradiol whenever R is next having bloods done’. These are all hormones involved in the function of the ovaries. The letter concluded that the consultant would review R in six months’ time.

14. We cannot see anything to indicate R had these blood tests taken within the following six months. Nor can we see from R’s records that she was reviewed by a consultant six months later.

15. R continued to be reviewed by other clinicians involved in her care during this period but was not reviewed by a consultant in Paediatric and Adolescent Endocrinology again until July 2019.

16. In the July 2019 appointment, R was reviewed by a different consultant in Paediatric Endocrinology and by a Gynaecology consultant as part of a combined gynaecology clinic. The Trust wrote to R’s GP following the appointment. The clinic letter explained the Gynaecology consultant had requested a renal and pelvic ultrasound scan and blood tests for endocrinology, and for the renal team to check R’s hormone and thyroid levels. The renal team provides care relating to the kidneys.

17. The consultant also sent a letter to the Trust’s Learning, Disability and Autism Team (LD team) to request support from it to enable R to access blood tests. The letter asked the LD team to contact Ms D to arrange a convenient opportunity to have the blood tests taken. The Trust later said this letter, dated 31 July 2019, had an incorrect postal address and was not received in the LD department until December 2019.

18. R attended the Trust for a pelvic ultrasound scan appointment on 4 September 2019 as part of her endocrinology care. Sadly, during the appointment, R became distressed, and the scan was abandoned. Ms D raised a complaint with the Patient Advice and Liaison Service (PALS) that the LD team had failed to organise sufficient support.

19. No action had been taken at this point to carry out R’s blood tests. The Trust held a multidisciplinary team (MDT) meeting on 26 November 2019 and it was highlighted during this meeting that R’s blood tests were outstanding. However, the LD team was not present during this meeting.

20. Prior to this meeting, on 10 October 2019, the Endocrinologist who had requested the blood tests in July 2019 wrote to R’s social worker and confirmed they would not be attending the meeting and believed the relevant investigations, i.e. the blood tests, were still outstanding.

21. Ms D and the LD team exchanged a number of emails to rearrange the pelvic ultrasound. On 4 December 2019 R’s GP emailed the LD team to query what had happened with the thyroid blood tests. The Trust says this is the point the LD team first became aware that the tests were outstanding.

22. The LD team held a discussion with a doctor within the Trust on 4 December 2019 about R’s ability to consent to having the blood tests, given her fear of needles, and Ms D’s ability to consent on R’s behalf. This is because R turned 16 in 2018 and service users over the age of 16 are entitled to consent to their own treatment, if they have sufficient capacity.

23. The notes of that discussion document that parents cannot consent to treatment decisions for a 16 -17-year-old unless those decisions are in the young person’s best interests. For this reason, the notes set out the focus should be a full consultation with Ms D as part of a ‘best interests’ decision made by the relevant clinician, rather than for the purposes of obtaining parental consent.

24. Therefore, the Trust had a discussion with Ms D to explore whether R had the ability to consent to the blood tests, or whether she did not have capacity and the Trust and Ms D could make a decision in her best interests.

25. The Trust’s LD team had a discussion with its Mental Health Act/Mental Capacity Act (MHA/MCA) team, who advised that R would need a capacity assessment. If it was found that R lacked capacity, the team advised investigations into her best interests could then be carefully planned.

26. The LD team emailed Ms D on 10 December 2019 to reschedule the pelvic ultrasound. They also asked what support R would need for the blood tests ‘so that we can plan this appointment’. Ms D explained R had been restrained in the past in order to ensure tests could be carried out successfully. The LD team said that due to her age this would need to be considered in line with the Mental Health Act 1983 and the Mental Capacity Act 2005. The LD team said it would approach the endocrinology consultant to consider this.

27. On 20 January 2020 the LD team met with R’s Paediatric Endocrinologist to discuss the blood tests. The notes of the discussion indicate the plan was to review the ultrasound results ahead of an endocrinology appointment planned for 3 April. The consultant said they would try to see R in clinic to consider her capacity for blood tests.

28. The records show an exchange of emails in early February between the Nephrology consultant (nephrology relates to the study and treatment of disease of the kidneys), endocrinology consultant, LD team and MHA/MCA team. These emails show that as a group, they were trying to reach a clinical consensus about whether R had capacity and, if she did not, what was in R’s best interests whilst considering the benefits and risks of the blood tests and the method by which to obtain them, given the distress R had previously experienced in being restrained while blood was taken.

29. The MHA/MCA team said a ‘best interests’ decision would need to be made regarding R’s blood tests and such decisions should clearly outline the risks and benefits to each intervention and the amount of restraint required.

30. R’s consultant Nephrologist emailed the LD team, the Endocrinologist and other departments involved in her care. The email said ‘I am clear that R does not have the capacity to be able to understand the risks to herself by refusing blood tests […] Regardless of what we do, the minute R sees a needle she will be very anxious. Dr X [Endocrinologist] can you then state the risk to R of not having the endocrine tests?’. The Nephrologist expressed his concern at the length of time R had been waiting for the blood tests and noted that she was due to be transitioned into adult care.

31. The Endocrinologist responded ‘There is reported puberty, but no periods yet. If she has started having periods, then no need for endocrine bloods as will have enough oestrogen to protect her skeleton.’

32. The Nephrologist responded ‘Her last Thyroid Function Tests (TFTs) were 2017- what is the risk to her of having these delayed? This needs factoring into the MCA.’ We cannot see any response to this message.

33. The MHA/MCA team emailed the departments listed in paragraph 28 and explained that, whilst it was clear to them that R did not have capacity, the departments could consider getting an opinion from other departments who had tried to take R’s blood previously or who considered desensitisation work with her.

34. On 12 February 2020 R’s rescheduled pelvic ultrasound scan was completed successfully. We understand from Ms D that whilst R was at the hospital she saw the Nephrology consultant, who was concerned that the endocrine blood tests were outstanding. He offered to arrange for the Nephrology department to take the blood tests.

35. Following the scan, Ms D spoke with the LD team and explained she was unhappy that the blood tests still had not been carried out and that she did not agree that waiting until April was in R’s best interests.

36. The LD team spoke to the Endocrinologist, who said they would await the scan results and ‘it will be fine’ to see R in April.

37. On 2 March 2020, Ms D raised a complaint with the Trust via email.

38. An endocrinology clinic was due to take place in March 2020, but this was cancelled as the Endocrinologist caught COVID-19. A telephone consultation was held on 14 April 2020 between Ms D and the Endocrinologist. Ms D expressed her unhappiness that R still had not been given blood tests. Ms D and R were shielding at this point, in line with Government issued guidance for clinically vulnerable individuals, and so could not attend the hospital for blood tests. The consultant suggested sending a finger-prick test to be administered at home to measure thyroid stimulating hormone (TSH) only.

39. A later phone call indicates the Trust sent a finger-prick test to Ms D on 20 May 2020.

40. On 21 May 2020 Ms D spoke to the Nephrologist and he arranged for the blood tests to be carried out by R’s GP. The blood tests were subsequently carried out by the GP at R’s home with no restraints using a butterfly needle, which is a small type of needle.

41. On 16 July 2020, R was admitted to Sheffield Children’s University Hospital NHS Foundation Trust. During this admission, R was diagnosed with an undertreated hypoactive thyroid.

42. It appears from R’s records that her thyroid was checked on 11 June 2020 when her GP took her blood for testing. A month later, when R was admitted to Sheffield Children’s Trust, blood tests were taken again. The results showed R’s thyroid hormone levels had increased, which indicated she was not receiving the correct dose of Levothyroxine. The dose therefore needed to be increased to regulate R’s hormone levels.

43. Whilst R was a patient at Sheffield Children’s Trust, she was reviewed by the Sheffield Children’s Trust Endocrinology department to discuss her thyroid levels and delayed puberty.

44. Ms D said R was later diagnosed with intracranial hypertension, following a lumbar puncture. Intracranial hypertension refers to a build-up of pressure around the brain, and it can be uncomfortable and distressing for those who suffer from it.

45. R was discharged from Sheffield Children’s Trust on 12 August 2020. As Ms D remained unhappy with the care her daughter had received from the Trust, and with the responses to her complaint, she approached our Office.

Findings

Blood tests

49. Ms D complains the Trust did not carry out endocrinology blood tests that were requested in March 2018 and July 2019. She believes the Trust’s failure to take R’s bloods led to her thyroid being undertreated.

50. The Trust recognised in its February 2020 complaint response that a request for assistance to take R’s blood tests was made in July 2019 but did not arrive at the LD team’s office until December 2019. However, it said clinical staff considered the blood tests were not urgent and that R would not come to any harm if they were not done before the next appointment in March 2020. The Trust also recognised in its November 2020 complaint response that the March 2018 blood test request could have been communicated more clearly.

51. Ms D told the Trust she understood that, according to NICE’s ‘Thyroid Disease: assessment and management’, blood tests should be considered every four to six months until after puberty and then once a year.

52. However, the guidance Ms D refers to was introduced in November 2019. We therefore needed to consider what guidance was in place prior to November 2019, and whether the Trust acted in line with this guidance.

53. Our Adviser explained that prior to the 2019 NICE thyroid guidance, the relevant guidance was the BTA’s ‘UK guidelines for the use of thyroid function tests’. The BTA guidance states that whilst a dose is being changed, blood tests should be conducted every two to three months and, once the TSH level is stabilised, blood tests should be taken annually. For children on Levothyroxine, blood tests should be taken every three to six months until growth is completed.

54. Levothyroxine is a medicine used to treat hypothyroidism. TSH is the hormone released by the brain, whilst T4 is the hormone produced by the thyroid gland in the neck.

55. Our Adviser explained that, whilst the BTA had published the guidelines, the general practice taken when assessing and testing patients was clinically driven. Therefore, some clinicians may have identified that it was clinically appropriate to deviate from the guidelines, in certain circumstances and where the clinical evidence showed that it was in the patient’s interests to do so. This is because clinicians may decide, based on their experience, to make patient centred decisions on the best course of action.

56. With this in mind, we understand the BTA guidance was intended to be used in conjunction with GMC’s ‘Good Medical Practice’, section 15, to make clinical decisions that are in the best interests of the patient. This means that clinicians should make decisions in line with the BTA guidance, and if they decide to deviate from those guidelines, they should clearly document why they have done so.

57. Our Adviser explained that R’s 2017 blood test results show they were in normal range. However, as R had not yet reached puberty, it was important blood tests were taken every four to six months to manage her thyroid function until she had reached puberty, in line with the BTA guidance. At that point, it would have been appropriate and in line with the BTA guidance to test R’s blood to check her thyroid function every year.

58. Therefore, whether R’s blood test results were within normal range in 2017 or not, the Trust should have ensured blood tests were taken every four to six months as R had not reached puberty yet. This includes taking the blood tests that were requested in March 2018 and July 2019, and as appropriate in the intervening period.

59. We have therefore considered the Trust’s reasons as to why the blood tests were not carried out.

60. The March 2018 letter from the Paediatric Endocrinologist to R’s GP requesting blood tests, states ‘I have asked for some blood tests to be undertaken to monitor LH, FSH and oestradiol whenever R is next having bloods done […]’.

61. We can see the Trust acknowledged in its complaint response that the March 2018 letter requesting the blood tests should have been clearer in stating that the blood tests for the above hormones should be undertaken at the next clinic appointment. The letter was a clinic letter to R’s GP and did not state who the Consultant had asked to undertake the blood tests, and the Trust was unable to clarify this in its response. There is also nothing in R’s records that clarifies who was responsible for taking R’s blood tests, in what type of clinic and when that clinic would be held.

62. We agree that the request for blood tests to be carried out was not clear as the letter did not state when and by whom the bloods should be taken by. GMC ‘Good Medical Practice’ section 21 sets out that such letters and other records should be clear as to what an organisation is requesting and who is responsible for any actions. Our ‘Principles of Good Administration’ also state that public bodies should communicate effectively, using clear language that people can understand.

63. We consider the Trust’s 2018 request for blood tests was unclear and therefore amounts to a failing in communication.

64. We also note that between March 2018 and July 2019, the Trust did not explore further whether R’s bloods had been taken or whether they were due. In July 2019, when the Paediatric Consultant reviewed R, they documented in the clinic letter it has been a ‘few years since we managed to do bloods’. However, no reference was made to the blood tests from March 2018 being outstanding.

65. We understand the Paediatric Consultant made a new request that R have blood tests taken in a clinic letter to the LD team dated 31 July 2019. It requested the LD team contact the family to arrange the blood tests. The LD team says it did not receive this letter until December 2019, at the same time that R’s GP emailed it to also request blood tests.

66. The Trust explained in its complaint response that the letter was sent through its internal post system and whilst it has been unable to ascertain the exact reason why there was such a delay, it believes it was because the letter had the incorrect address on it.

67. We recognise that mistakes can be made and post can go missing. However, the Trust had an overall responsibility to ensure that the post was delivered to the right place, and to ensure that any oversight or error could be identified and put right. Sending the letter to the incorrect address was not in line with GMC guidance section 19, which states documents (including clinical records) must be clear, accurate and legible. The Trust had an overall responsibility for ensuring that R got the clinical care it had recognised she needed, and that did not happen here.

68. We can see that the Paediatric Endocrinologist Consultant became aware by October 2019 that the blood tests were outstanding, and it was noted during the November MDT meeting that the Consultant was under the impression the LD Team was trying to resolve the issue. However, the LD Team was not present at the meeting and so it remained unaware of the need for blood tests.

69. We understand that once the LD team was notified the blood tests were outstanding, it took steps to move forward by first considering R’s mental capacity to consent to the administration of the tests.

70. When a patient turns 16, they become subject to the Mental Capacity Act 2005. This legislation affects all people who lack the ability to make some or all decisions for themselves.

71. We understand from our Adviser that any clinician treating R would need to determine whether she had capacity to consent to the blood tests. Capacity decisions are made on a case-by-case basis, as a person may have capacity to consent to some interventions but not to others.

72. Our Adviser explained that GMC ‘Professional Standards for Doctors – 0-18 years: guidance for all doctors’ sets out in the introductory section the need for clinicians to exercise professional judgement, act in good faith and in the interest of the patient. GMC ‘Good Medical Practice’ states in the ‘Professionalism in Action’ section that good doctors should ‘do their best to make sure all patients receive good care and treatment […] whatever their illness or disability’.

73. We can see the Trust acted in line with this guidance and thoroughly considered the relevant factors when considering whether R had the capacity to consent to blood tests. We are not critical of the Trust for taking the time to explore this matter carefully, and we recognise that this is an important but often complex responsibility.

74. We can see the LD team made contact with R’s Paediatric Consultant about whether she had capacity to consent to blood tests and had discussions with the MHA/MCA team about what they would need to consider when reaching a ‘best interests’ decision.

75. We can also see that R’s Nephrologist confirmed in February 2020 that she did not have capacity to consent to the decision and asked the Paediatric Consultant what the risks were of R not having the blood tests, to which the Paediatric Consultant confirmed that there is reported puberty but R had not started her menstrual cycle. They did not confirm what the risk was of delaying the blood tests, so the Nephrologist raised the question again.

76. Following this, the LD Team made contact with the Paediatric Consultant. The Paediatric Consultant confirmed that it would consider whether the blood tests were necessary during the April 2020 appointment, after R had the required ultrasound.

77. Our Adviser explained that where questions of capacity are raised, teams such as the LD team will often co-ordinate between departments to ensure consistency. That being said, the Trust should have facilitated the capacity assessment and consideration of R’s best interests when it referred her for the blood tests, as she had turned 16 the year prior. This is supported by GMC ‘Good Medical Practice’ which states in section 15 ‘You must provide a good standard of practice and care. If you assess, diagnose, or treat patients, you must: • adequately assess the patient’s conditions, taking account of their history (including the symptoms and psychological… factors) • promptly provide or arrange suitable advice, investigations or treatment where necessary’.

78. We understand this consideration could have included the views of Ms D as R’s mother, and healthcare professionals such as R’s GP and her Nephrologist, who were in agreement that R did not have capacity, with the LD Team providing their view pragmatically. This would have been in line with NICE guidance ‘Care and Support of people growing older with learning disabilities’ on supporting people growing older which sets out in section 1.1.9 ‘Health and social care practitioners should listen to, actively involve and value key members of the person’s support network in the planning and delivery of their current and future care and support […]’.

79. We can see the Paediatrics department considered the information available, and that R did not have capacity, but reached a decision that the blood tests could wait until at least April after R had undergone the ultrasound and they had reviewed her and the results of the ultrasound.

80. However, the decision the Trust reached was not supported by the evidence available at the time, which showed that R had not had a blood test since 2017 and required bloods taking every three to six months. This was also not in line with NICE guidance to which Ms D referred in her complaint to the Trust, which had since been released in November 2019 and advises in section 1.4.5 that ‘For children aged 2 years and over and young people taking Levothyroxine for primary hypothyroidism, consider measuring FT4 and TSH: • every 6 to 12 weeks until the TSH level has stabilised (2 similar measurements within the reference range 3 months apart), then • every 4 to 6 months until after puberty, then • once a year.’

81. At the time the clinicians were considering whether R should have the blood tests, it was unclear to them whether R had reached puberty, and therefore blood tests needed to be taken every four to six months, as set out in the NICE guidance. By April 2020, R had not had a blood test in three years.

82. With this in mind, we have found a failing here as we cannot see the Trust acted in line with either the BTA guidance or the NICE guidance, once introduced.

Follow up action on blood test

83. Ms D complains the Trust did not chase up or coordinate between departments to allow the tests to take place, and did not allow the Nephrologist to carry out the tests. Ms D believes the Trust’s failure to coordinate between the departments contributed towards the delay in R having her bloods taken.

84. As we have set out above in paragraph 64, we cannot see from R’s records that she was reviewed following the blood test request made in March 2018.

85. GMC ‘Good Medical Practice’ section 15 sets out clinicians should promptly ‘provide or arrange suitable advice, investigations or treatment and, where necessary, refer a patient to another practitioner when this serves the patient’s needs.’

86. We cannot see from R’s records that the Trust chased up or contacted any departments to enquire about the blood tests that were requested in March 2018. We can see that the plan was for R to be reviewed in six months’ time. However, there is no evidence that shows this review took place. Had this review taken place, we consider on the balance of probabilities it likely would have been identified that the blood tests were outstanding. We consider the Trust’s lack of action to coordinate or enquire about R’s blood tests was not in with GMC guidance.

87. When R’s second referral for blood tests was made in July 2019, we can see from her clinical records that her Paediatric Endocrinologist wrote to R’s social worker in October 2019 explaining that they would not be attending the November MDT. They explained that due to R’s distress, they had been unable to obtain any bloods or carry out any scans that they had planned and so did not have an up-to-date position on R’s hormonal status. The plan was to review R in six months’ time, hoping to have some results at hand at that time. Their understanding was the LD Team was supporting R with this.

88. We can see that the consultant was informed in September 2019 the scan could not go ahead and Ms D was speaking with the LD team because of the issues that occurred.

89. We understand the departments consulted on whether R had capacity and what way forward would be in her best interests, as well as the different approaches that could be taken to help alleviate the stress the necessary procedures were causing R.

90. We can see from the records that two of the consultants involved in R’s care were in discussion about the urgency of the blood tests. We can see that R’s Nephrologist offered to take R’s blood tests in February, but this did not go ahead. The records show R’s GP raised concerns with the Trust in March about the lack of blood tests and other issues and asked the Trust whether it would be helpful for the main professionals involved in R’s care to meet and try and co-ordinate to resolve the issues.

91. Shortly after this, Ms D and R began shielding because of the COVID-19 pandemic, which meant that it was not possible for R to attend the hospital for blood tests. We can see further discussions took place between the professionals involved in R’s care. A letter dated May 2020 indicates the LD team was reluctant to restrain R.

92. We understand from our Adviser that at the point R was prescribed Levothyroxine she was going to require frequent blood tests to check and manage her thyroid levels until she had reached puberty, in line with the BTA and NICE guidance mentioned in the previous section of this report. Additionally, at the point R turned 16 her capacity needed to be considered when it came to taking blood tests and carrying out other tests.

93. NICE guidance ‘Care and support of people growing older with learning disabilities’ sets out in section 1.4.5 ‘Health and social care practitioners should work with the person and those most involved in their support to agree a plan for the future.’

94. Section 1.4.6 sets out what planning for the future should involve. This includes, but is not limited to, considering input from family members, carers or advocates as appropriate, and involving a practitioner that has a good working relationship with the patient and communicates well with them.

95. As explained above, we cannot see from R’s records that a plan was put in place to ensure that she received frequent blood tests, as required. This was not in line with NICE guidance.

96. Moreover, there was no plan of action put in place by the Trust to consider R’s capacity, despite it being aware that she was approaching 16 years old.

97. When the Trust began to consider R’s capacity and what would be in her ‘best interests’, the evidence shows there was a lack of co-ordination between the departments to reach a timely conclusion.

98. Our Adviser explained that the clinical records show ‘best interest’ decisions had been made for R in the past when she had previously had blood tests and the same principles could have been considered and same approach followed, rather than delaying the tests. Our Adviser highlighted that a considerable amount of time was spent considering a capacity assessment for a blood test which was previously done routinely.

99. NICE guidance ‘Care and Support of people growing older with learning disabilities’ explains in section 1.5.8 that clinicians must ‘ensure that everyone involved in the person's care and support shares information and communicates regularly about the person's health and any treatment they are having, for example by holding regular multidisciplinary meetings. Involve the person in all discussions.’

100. Section 1.5.9 goes on to say ‘Primary and secondary healthcare teams should identify at least 1 member of staff who develops specific knowledge and skills in working with people with learning disabilities and acts as a champion, modelling and sharing good practice. Use the expertise of people with learning disabilities to ensure the champion understands their needs.’

101. We can see the LD team was involved in discussions but there was no mechanism or plan in place which confirmed one person was responsible for ensuring R’s treatment continued in line with her needs.

102. There was also an opportunity for the Trust to communicate with R’s GP to see whether they could provide any assistance with taking R’s bloods. We understand that in May 2020, the GP attended R at her home and took her bloods without the need to restrain her and whilst using a needle. We understand that R was shielding because of COVID-19; however, it is unclear why the Trust did not consider this an option prior to R’s Nephrologist stepping in and contacting R’s GP.

103. Having considered the above, we have found there was a lack of coordination between the departments to ensure R received the blood tests she required. The Trust’s failure to consider and plan for R’s future care meant that when it did consider her capacity and what would be in her ‘best interests’ there were avoidable delays in ensuring she received the care she needed.

104. Furthermore, we recognise Ms D believes the LD team blocked the Nephrologist from carrying out the blood tests.

105. We can see from R’s records she had an appointment with the Nephrologist in February 2020 where he offered to take R’s bloods.

106. The Nephrologist acknowledged R did not have capacity but also considered the renal function tests were not clinically urgent and, instead, noted it was the need of the Endocrinology team to check her thyroid levels. The Nephrologist concluded that the offer to take R’s bloods still stood, so we have not seen anything to indicate the LD team blocked or prevented him from conducting or arranging for the tests.

107. We understand from Ms D that she believes the LD team stopped the blood tests because of a post she put on social media. We have carefully considered the evidence available to us, and we cannot see any evidence within the clinical records that suggests this was the case or was a factor in any clinical decision making.

108. What we can see from the evidence is that the blood tests did not go ahead because the Endocrinologist said they considered that the blood tests could wait until the end of April. On this basis, we cannot say the blood tests were blocked.

109. What we can say, however, is that the Trust did not coordinate between departments or chase up the blood tests. We have found a failing here and have considered the impact below.

Impact

110. We have carefully considered the impact of the failings we have identified above. To do this, we have also consulted R’s clinical records from her admission to Sheffield Children’s Trust in July 2020 where she was diagnosed with an undertreated thyroid. Ms D told us that the Trust’s failure to take and co-ordinate R’s blood tests meant she did not get the blood tests she needed when she needed them, which left her thyroid undertreated.

111. Ms D also explained that having to proactively try to resolve the issue has caused distress for her and taken away from time she should have been able to relax or enjoy with her daughter.

112. R is a vulnerable individual who is unable to communicate and verbally report symptoms, including any pain and discomfort she is experiencing. This means we are not able to explore R’s own account of her experiences in thinking about how any errors may have affected her. Therefore, we have had to carefully consider the impact the lack of blood tests had on R based on the other information available to us. We asked our Adviser to consider what difference, if any, it would likely have made to R’s wellbeing and symptoms if she had undergone blood tests following the requests in March 2018 and July 2019, based on the clinical evidence available.

113. Our Adviser explained that R’s blood test results in April 2017 were within normal range. However, the blood tests taken in May 2020 show that the TSH hormone was at 6.5, with normal range being 0.5 to 4.5, which meant R’s dose of Levothyroxine would likely have been increased if this had been identified earlier.

114. We understand from our Adviser that due to R being non-verbal, it is very difficult to say what symptoms she was experiencing and how they may have improved if the dose had been increased. Our Adviser explained that often physical symptoms are related to the T4 level which, based on the May 2020 blood tests, were within the upper half of the normal range. The range for T4 is 10.0 to 20.0. Our Adviser went on to explain that a patient’s blood tests may be outside of the normal range, but they may still experience few or no symptoms.

115. This means we cannot make a decision on the balance of probabilities as to what difference, if any, it would have made to R’s health and wellbeing if the Trust had carried out blood tests between March 2018 and May 2020 because there is no evidence available to indicate R was experiencing a physical impact as a result of delayed identification of her high TSH levels. We note that, as it was the TSH hormone that was high, and symptoms are often related to the T4 hormone, it may be that R had no symptoms at all and so there may have been no physical impact caused by the delay.

116. We recognise that the only way to ascertain what symptoms, if any, a patient in these circumstances experienced had would be to ask them questions. Unfortunately, this is not possible here. This is not to say there was no impact, only that we cannot reach a view as an independent third party that R did or did not experience any pain or discomfort as a result of the mistakes recognised above.

117. However, we recognise this has left Ms D with the frustration and distress of not knowing whether her daughter was in discomfort or pain, and we consider this impact to her was avoidable.

118. We also recognise the stress Ms D experienced having to co-ordinate and communicate with the Trust to ensure her daughter receive the blood tests she so clearly needed, stress which evidently increased as delays continued. We have therefore considered an appropriate remedy for her experience.

119. To decide on a level of financial remedy, we review cases where the person has experienced a similar injustice, along with our Severity of Injustice scale, set out in our ‘Guidance on Financial Remedy’. Following this review, we consider Ms D’s injustice falls into level two on our Severity of Injustice scale. Cases which fall into level two on our scale are cases where a person has experienced distress, worry and annoyance for a period of 1-2 weeks to approximately six months.

Our Decision

1. We have carefully considered Ms D’s complaint about the treatment her daughter, R, received from Leeds Teaching Hospitals NHS Trust (the Trust). We are grateful to Ms D for sharing the details of her complaint with us. We understand this has been a challenging and upsetting experience for her.

2. We have found the Trust failed to carry out blood tests that were requested in March 2018 and July 2019. We have also seen that, whilst the Trust correctly recognised it needed to consider R’s capacity and what would be in her best interests, there was a lack of co-ordination and follow up between departments to ensure she received the care she needed. We can see these failings caused frustration and distress for Ms D, not knowing whether her daughter was in discomfort or pain, and we consider this impact to her was avoidable.

3. We therefore uphold this complaint and make recommendations to put things right. We explain further below.

Recommendations

120. In considering our recommendations, we have referred to our ‘Principles for Remedy’. These state that where poor service or maladministration has led to injustice or hardship, the organisation responsible should take steps to put things right.

121. In line with this, we recommend that within two months of receiving this report the Trust write to Ms D to acknowledge the clinical failings we have identified and apologise for the avoidable frustration and distress they have caused her.

122. 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. In line with this, we recommend that within three months of the date of this report the Trust provides us and Ms D with evidence of what it will do (or what has already done since the events) to ensure:

• Future referrals are sent promptly and to the right department, in line with GMC guidance • Follow up steps are taken to ensure test requests are acted on and the tests are completed • Where multiple individuals or departments are involved in making a ‘best interests’ decision, there is a clear plan setting out who has overall responsibility for the decision-making process and how the Trust will resolve any conflicting clinical views to minimise delays in care.

123. 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.

124. As set out in paragraph 119 above, 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. Following this review, we recommend the Trust pay Ms D £250 in recognition of the distress, worry, frustration and inconvenience she experienced.

125. This concludes our report.

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