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The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust

P-003360 · Statement · Decision date: 26 February 2025 · View The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust scorecard
Administration Treatment Communication Nursing care Tests Staffing levels Referral Transfer, discharge and aftercare Complaint handling Missed Child Safeguarding Referrals Care safeguarding systems
Complaint (AI summary)
The Trust made a social services referral without communicating the reason, causing Miss C significant stress and fear of accessing future care.
Outcome (AI summary)
The complaint was closed. The Trust acted in line with its policies by making the referral; no indication of serious wrongdoing was found.

Full decision details

The Complaint

3. Miss C complains The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust (the Trust) made a social services referral without any communication or reason why on 17 March 2024.

4. Miss C says social services have never been in contact with her but the stress this has caused is huge and every day she worries somebody will knock at her door to question her ability as a parent.

5. Miss C says due to her experience she is now fearful of having to receive care at the Trust again. She says she has to attend regular appointments due to her brain injury but she has been unable to attend due to the stress this causes her. She says she is now at risk of being discharged from a service she desperately needs.

6. Miss C is looking for an explanation, an apology, service improvements and a financial remedy.

Background

7. Miss C was 39 years old at the time of her complaint.

8. On 15 March 2024, Miss C attended the Trust as her waters broke. She was told to come back at 6.30am the following day for her caesarean section.

9. On 16 March 2024, Miss C attended the Trust at 6.30am.

10. The Trust carried out Miss C’s caesarean section at 2pm that day and Miss C’s baby was delivered at 3.05pm.

11. On 17 March 2024, Miss C discharged herself from the Trust.

Findings

14. Before we decide if we should conduct a detailed investigation of a complaint, we look at whether there are signs the organisation has got something wrong. We do this by comparing what should have happened with what did happen. We have done this and have not found any indications that something has gone wrong.

15. Miss C has raised concerns the Trust made a social services referral following the birth of her son without providing her with an explanation. We understand this was traumatic for Miss C to find out a referral had been made and we would like to thank her for sharing this experience with us.

16. Within the Trust’s response it says, due to Miss C’s involvement with children’s social care growing up, an automatic referral is then made following the birth of her son. It also says as questions were raised during Miss C’s pregnancy about what level of support she would need, the Trust believed a referral was appropriate.

17. The Trust’s guidance says women who fit any of the following criteria:

• ‘are aged 19 or younger • have a previous history of substance abuse or domestic abuse • learning difficulties or who are recent refugees, asylum seekers or migrants

‘ should receive a joint visit with a named Health Visitor to introduce this service and to assess support systems, safeguarding concerns and the need for multi-agency involvement’.

18. It also goes on to say after a woman has given birth and is discharged the Trust should inform all agencies and services.

19. We understand Miss C has a previous history of abuse and therefore, fits into this criteria. We consider the Trust has done the appropriate thing by referring Miss C for further support.

20. The Trust’s safeguarding policy also says, the Trust does not need to disclose all information about any potential safeguarding concerns.

21. We understand how upset and shocked Miss C was after finding out the Trust has made a referral to social services. We consider the Trust has a duty to refer any patient who it feels may need extra support or care due to circumstances in their past or present. We consider while social services may decide no extra support is needed it is important and for Miss C’s own safety and wellbeing that the Trust need to follow this policy.

22. We hope Miss C understands the reasons behind the Trust’s referral. We hope she is reassured a referral does not mean the Trust is questioning or has concerns about her being a good mother, and she understands it is a process to check whether she might need any extra support.

23. We have not seen anything went wrong in the Trust making a safeguarding referral in line with its policy.

24. We thank Miss C for bringing her complaint and wish her and her son well for the future.

Our Decision

1. We have carefully considered Miss C’s about The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust (the Trust). We have seen no indication that anything went seriously wrong

2. Miss C has raised concerns the Trust made a social services referral without any communication with her or a reason why. We consider the Trust has acted in line with its own policies by making this referral. We understand how distressing and worrying this has been for Miss C. We hope our consideration offers her some reassurance about why and how the Trust made this referral.

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