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Sandwell and West Birmingham Hospitals NHS Trust

P-003659 · Report · Decision date: 21 July 2025 · View Sandwell and West Birmingham Hospitals NHS Trust scorecard
Complaint (AI summary)
Ms C complained the Trust failed to adequately treat her mother's respiratory problems, refusing her CPAP machine and not transferring her to a respiratory ward, which she believes caused her death.
Outcome (AI summary)
The complaint was upheld. A failing in managing respiratory failure was found, which might have contributed to her mother's death, and the Trust failed to acknowledge it.

Full decision details

The Complaint

4. Ms C complains about the Trust’s treatment of her mother, Mrs B, while she was in hospital from 13 to 16 March 2023. Specifically she complains it did not provide adequate treatment for her respiratory problems, by refusing to allow her to bring her CPAP machine from home and not transferring her to a respiratory ward.

5. Ms C says the Trust’s actions caused her mother’s death and have led to a lot of distress for her family.

6. As an outcome to her complaint, Ms C would like an acknowledgment of wrongdoing and service improvements.

Background

7. Mrs B was 86 years old. Prior to her hospital admission, she used an assisted ventilation machine (CPAP machine) for her sleep apnoea, which is a condition that causes breathing to stop and start while you sleep. She was admitted to hospital on 13 March 2023 with difficulty breathing. She was diagnosed with asthma, hypercapnic respiratory failure (when there is too much carbon dioxide in the blood) and a lower respiratory tract infection. She died on 16 March 2023. The cause of death was respiratory failure, with heart failure and pneumonia as relevant contributory factors. Ms C believes the Trust failed to look after her mother properly during this time.

Findings

11. Ms C complained that the Trust failed to provide appropriate treatment for her mother’s respiratory issues whilst she was in hospital between 13 and 16 March 2023.

12. The Trust’s response to Ms C’s complaint said there was no requirement for Mrs B to have a CPAP machine at that time. Her observations (measurements of the body’s basic functions: temperature; respiratory rate; pulse; blood pressure; blood oxygen saturation) were within acceptable parameters. Her oxygen saturation levels were improving. Therefore, Mrs B did not require additional support by way of oxygen therapy. This, however, provides a contradictory position to the Trust’s own Structured Judgement Review, which found the care provided to Mrs B was inadequate.

13. NICE guidelines on chronic obstructive pulmonary disease (COPD) are applicable to Mrs B’s care. These guidelines require clinicians to:

‘1.3.29: measure arterial blood gases (ABG)… Repeat arterial blood gas measurements regularly.’

‘1.3.30 Use non-invasive ventilation [NIV – CPAP is a form of NIV] as the treatment of choice for persistent hypercapnic ventilatory failure during exacerbations despite optimal medical therapy.’

14. The Imperial College guidelines outline an example of requirements for adult NIV as being potentially reversible Acute Hypercapnic Respiratory Failure, with obesity and pH (blood acidity level) of less than 7.35 and PaCO2 (blood concentration of carbon dioxide) of at least 6.5. (Respiratory acidosis is a condition where lungs cannot remove carbon dioxide efficiently, leading to high levels in the blood. It is measure by pH level of the blood and a person is acidotic if it is below 7.35.)

15. NICE quality statement 7: None-invasive ventilation states: ‘Noninvasive ventilation is used to treat persistent hypercapnic ventilatory failure and acidosis during an exacerbation of COPD, when a person's arterial blood gases (especially the pH and carbon dioxide levels) are not responding (or worsening) despite optimal medical management’.

16. The records show Mrs B’s pH was 7.22 on 13 March and 7.29 on 14 March. Her PaCO2 was 9.85 on 13 March and 7.88 on 14 March. Therefore, at this time she met the requirements for NIV therapy in line with the guidance. This means the Trust should have considered providing Mrs B with assisted ventilation in the form of NIV.

17. The records show the Trust assessed Mrs B’s NIV requirements on 13 March at 11.06pm. This record notes ‘One further ABG, if acidotic [had an acidic blood pH] then NIV’. A record a few hours later at 1.54am on 14 March noted Mrs B did not want an ABG at that time. The record says ‘improvement but still acidotic… As improving then not for NIV currently, will do a further ABG at 06:00’. Therefore, doctors were planning to review Mrs B again with a further ABG, before deciding whether to provide assisted ventilation via NIV.

18. There is no record that clinicians conducted a further ABG to establish whether Mrs B was still acidotic. We saw nothing in the records that suggests her acidosis improved. Therefore we consider Mrs B is likely to have required NIV treatment, but the Trust did not provide this.

19. The Trust conducted a structured judgement review (SJR) following Mrs B’s death. An SJR is a review undertaken after a patient’s death, which looks at the quality of care they received. This review concluded the Trust made errors with its management of her respiratory problems, in line with the analysis above. One of the issues identified was that Mrs B should have had a NIV device to help her with breathing. The review says may have reduced her chance of death. The review outlines learning points from this issue that ‘patients should continue on their own treatments when admitted to hospital, including home CPAP/NIV unless contraindicated’.

20. Therefore, the evidence shows the Trust failed to appropriately manage Mrs B’s respiratory illness whilst she was in hospital, as it did not provide NIV treatment despite indications it should have.

21. Regarding Ms C’s complaint that the Trust failed to transfer her mother to a respiratory ward, we identified the Trust did not provide the appropriate respiratory treatment regardless of which ward she was on. There is no indication that Mrs B needed any treatment that could only be provided on the respiratory ward.

Duty of Candour

22. All NHS organisations have a responsibility to be open and transparent with patients and their family members. This is called the duty of candour. It is laid out in section 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

23. Section 20 outlines: ‘As soon as reasonably practicable after becoming aware that a notifiable safety incident has occurred a registered person must notify the relevant person that the incident has occurred’.

24. In this context, a ‘notifiable safety incident’ means ‘any unintended or unexpected incident that occurred in respect of a service user during the provision of a regulated activity that, in the reasonable opinion of a health care professional, could result in, or appears to have resulted in— (a) the death of the service user, where the death relates directly to the incident rather than to the natural course of the service user’s illness or underlying condition, or (b) severe harm, moderate harm or prolonged psychological harm to the service user’.

25. In this case, the Trust identified failings in its own care, which they say could have potentially increased Mrs B’s chances of death. In our view this amounts to a ‘notifiable safety incident’ in line with Section 20. As such the Trust had a duty of candour and should have informed Ms C about their failure to deliver appropriate care.

Impact

26. The Trust’s own SJR outlines respiratory acidosis with pH<7.25 is associated with poor outcome and explains its failure to provide an NIV to Mrs B could have increased her chances of death. The report assigns an ‘avoidability score’ which provides its judgement as to the likelihood that death could have been avoided in this case. The avoidability score outlined is 4, which represents ‘possibly avoidable, but not very likely (less than 50:50)’. Therefore, the Trust’s position is that it could possibly have prevented Mrs B’s death if it provided the appropriate respiratory treatment. However, the chances of this were small.

27. Our adviser says it is possible that death was made slightly more likely if Mrs B remained in respiratory failure, which could have been properly treated with NIV. The failure to do the further blood gas test meant there was no consideration for additional treatment particularly of NIV. It is possible that Mrs B remained acidotic with respiratory failure. If this were the case then it was mild; her observations were not worryingly abnormal and she was noted to be clinically stable. Her death did not appear to be related to progressive respiratory failure; it was sudden. However it is possible that the terminal event (possibly cardiac or stroke) was made a little more likely if she remained in respiratory failure. We consider the SJR conclusion were reasonable in that there was a small possibility that Mrs B’s death may have been avoided if her respiratory failure had been properly assessed and treated.

28. The Trust has demonstrated learning from this incident. However, The Trust’s response does not remedy this, as it defended its actions, instead of accepting the errors its own report identified. The Trust has explained to us that it did not share these findings with Ms C because it does not share SJR’s with family members as standard. As such, Ms C was not provide with any information about the Trust’s findings.

29. The Trust did not provide an adequate explanation to Ms C about the problem it identified with its provision of care. There was no communication about the steps the Trust has taken to prevent this occurring again. This is not in line with the Trust’s duty of candour. Therefore, the Trust’s actions in identifying failings did not go far enough to remedy Ms C’s complaint.

Our Decision

1. We carefully considered Ms C’s complaint about Sandwell and West Birmingham Hospitals NHS Trust’s care and treatment of her late mother, Mrs B.

2. We found a failing with the Trust’s management of Mrs B’s respiratory failure. We believe there is a small chance that had the appropriate care been given, this could have prevented her death. We saw no indication the Trust shared information it held in relation to this with Ms C or acknowledged any failings in the care provided. Therefore we uphold this complaint. We appreciate how distressing this has been for Ms C and her family.

3. To remedy this, we recommend the Trust create an action plan and write to Ms C acknowledging and apologising for the impact of the failings we found.

Recommendations

30. In considering our recommendations, we have referred to The NHS Complaint Standards NHS Complaint Standards | Parliamentary and Health Service Ombudsman (PHSO). The Complaint Standards support organisations to provide a quicker, simpler and more streamlined complaint handling service. They have a strong focus on:

• early resolution by empowered and well-trained people • all staff, particularly senior staff, regularly reviewing what learning can be taken from complaints • how all staff, particularly senior staff, should use this learning to improve services.

31. As an outcome to her complaint, Ms C wanted an acknowledgment of wrongdoing and service improvements. As above, the Trust has accepted it should have assessed Mrs B’s need for NIV treatment. However, it has not acknowledged this to Ms C.

32. The Ombudsman’s complaint standards outline that organisations should: ‘Give fair and accountable responses that set out what happened and whether mistakes were made.’ Therefore, to remedy this complaint, the Trust should within one month:

• Write a letter to Ms C that apologises for the distress the poor care has caused and explicitly acknowledges where there were failings with her mother’s care.

33. The Ombudsman’s complaint standards also highlight that organisations should: ‘take action to make sure any learning is identified and used to improve services’. We can see the Trust has already identified service failings and appropriate learning. However this has not been communicated with Ms C. In line with this, the Trust should, within three months:

• Create an action plan which reflects the findings of the SJR and highlights the actions the Trust has taken, or will take, to prevent similar occurrences of poor management of respiratory failure.

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