NHS in England Closed After Initial Enquiries Search on PHSO website

Manchester University NHS Foundation Trust

P-003155 · Statement · Decision date: 5 November 2024 · View Manchester University NHS Foundation Trust scorecard
Complaint (AI summary)
Mrs A complained the Trust incorrectly recorded her heart diagnosis in her medical records after an echocardiogram, potentially invalidating insurance and impacting future care.
Outcome (AI summary)
Closed. No indication of wrongdoing was found; the Trust provided care and treatment in line with standards and guidance regarding her diagnosis.

Full decision details

The Complaint

3. Mrs A complains the Trust have not recorded a correct medical diagnosis for her heart in her records following an echocardiogram on 3 April 2023.

4. Mrs A says her diagnosis should be recorded as bicuspid aortic valve (BAV) and heart failure with preserved ejection fraction (HFpEF). Mrs A says this has impacted all aspects of her life as she has not been informed of what she should be doing in regard to her diagnosis. She says without a correct diagnosis her insurance could be invalidated. She says if her diagnosis is not corrected it could have consequences for her future care.

5. Mrs A is seeking the Trust to reconsider its diagnosis.

Background

6. On 3 April 2023 Mrs A attended the Trust for a transthoracic echocardiogram. A transthoracic echocardiogram (TTE) is a test that uses ultrasound (sound waves) to create images of your heart. TTE can determine how well your heart is functioning and identify causes of cardiac-related symptoms.

Findings

10. Mrs A complains the Trust have not recorded a correct medical diagnosis for her heart in her records following an echocardiogram on 3 April 2023. She says a BAV and HFpEF should be included in her records.

11. A BAV is an aortic valve that contains only two cusps (or flaps) instead of three. HFpEF is a complex clinical syndrome in which patients have symptoms and signs of heart failure, with left ventricular ejection fraction less than 50%.

12. The Trust did not uphold Mrs A’s complaint. The Trust explained the echocardiogram on 3 April showed stable results and a mild leakage in the mitral valve. The mitral valve is a small flap in the heart that stops blood flowing the wrong way.

13. The records show on 1 November 2022 Mrs A’s GP requested an up to date echocardiogram from the Trust. On 3 April 2023 Mrs A attended the Trust.

14. The medical records say Mrs A had mild bileaflet mitral valve prolapse and mild mitral regurgitation. It noted she had normal left and right ventricular size (lower chamber of the heart) and systolic function (the pressure when your heart pushes blood out around your body).

15. The Trust’s echocardiogram report dated 3 April notes the normal range for each measurement next to Mrs A’s measurement. We have reviewed the British Society of Echocardiography, Reference Intervals & Functional Assessment guidance. We can see the normal range listed on the Trust’s echocardiogram’s report is the same normal range listed in the British Society of Echocardiography’s guidance.

16. An example of this is the left ventricle internal diameter (LVID) diastole (the phase of the heartbeat when the heart muscle relaxes) normal range for a female is 3.5 to 5.1cm. This is the same as the Trust’s report. Mrs A has a LVID diastole of 3.6cm.

17. Our advisor told us the Trust’s diagnosis is sound. Mrs A’s echocardiogram showed mild mitral valve prolapse and mild mitral regurgitation. Our advisor says the echocardiogram showed normal function and measurements.

18. On 25 May the Trust wrote to Mrs A’s GP. The Trust confirmed no further action was needed.

19. GMC Good medical practice sets out, ‘You must give patients the information they want or need to know in a way they can understand. You should make sure that arrangements are made, wherever possible, to meet patients’ language and communication needs.’

20. We can see on 25 May the Trust explained to Mrs A and her GP there was no further action to be taken. Mrs A’s diagnosis of mild bileaflet mitral valve prolapse and mild mitral regurgitation were included. This is in line with GMC guidance.

21. We acknowledge Mrs A’s concern she was not given a correct diagnosis. We understand this has caused her distress and frustration. We have considered the medical records. The Trust have recorded its findings within the echocardiogram report. Its description of the findings are in line with the British Society of Echocardiography. We are also persuaded by the clinical advisor the Trust’s diagnosis is sound. The Trust have given Mrs A the information she needs to know in line with GMC guidance. There is no indication of a failing.

Our Decision

1. We have carefully considered Mrs A’s complaint about Manchester University NHS Foundation Trust (the Trust). We have seen it provided care and treatment to Mrs A in line with standards and guidance.

2. We understand it is frustrating to feel your symptoms are not diagnosed correctly. We recognise Mrs A’s remains concerned about her diagnosis.

Other Decisions About Manchester University NHS Foundation Trust

P-005128 · 27 Mar 2026
Miss L and Miss N complain about the care and discharge arrangements for their brother, Mr L, during two separate …
Upheld
P-004846 · 16 Feb 2026
Mrs A complains the Trust did not provide the correct care and treatment for sepsis when treating her daughter R …
Closed After Initial Enquiries
P-004709 · 28 Jan 2026
Miss X complains about the service provided to her father by an ambulance and two acute trusts prior to his …
Partly Upheld
P-004558 · 30 Dec 2025
Mr U complains on behalf of his wife, Mrs U, about Northern Care Alliance NHS Foundation Trust and Manchester University …
Closed After Initial Enquiries
P-004309 · 19 Nov 2025
Miss N complains a podiatrist did not visit her father in hospital and the referral for community care was not …
Closed After Initial Enquiries
View all decisions for this organisation →