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Medway NHS Foundation Trust

P-003737 · Statement · Decision date: 27 August 2025 · View Medway NHS Foundation Trust scorecard
Administration Communication Communication Death, mortuary and post-mortem arrangements Death, mortuary and post-mortem arrangements Complaint handling Inaccurate and inaccessible patient records Coroner family information gaps
Complaint (AI summary)
Mrs O complained about administrative errors during her sister's hospital admission leading to inappropriate treatment, poor communication, and delays in processing her sister's death, preventing a final viewing.
Outcome (AI summary)
The complaint was partly upheld. The Trust failed to communicate effectively and provided an unclear complaint response. However, clinical care was found to be appropriate, and the Trust agreed to apologize.

Full decision details

The Complaint

5. Mrs O complains the Trust made an administrative error when her sister was admitted to hospital on 27 September 2023. She says this resulted in clinicians being unaware of her of medical history and providing treatment that was not appropriate to her needs.

6. She says this caused Ms A’s health to deteriorate and led to her death. This was very distressing for Mrs O.

7. Mrs O also complains that because of the administrative error on admission, she was not advised of her sister’s admission to hospital, and when she contacted the hospital, she was informed her sister was not a patient. She adds she had to contact local hospitals and the police before she could locate her sister.

8. She adds the Trust communicated poorly with her throughout Ms A’s admission. She adds that it failed to inform her that her sister was being placed in a medically induced coma and transferred to the Intensive Care Unit (ICU).

9. Mrs O also complains the Trust delayed in completing the paperwork to transfer her sister to the chapel of rest after her death. This meant her sister’s body was too decomposed for her to view in the chapel of rest, and she lost the opportunity to say goodbye to her sister.

10. In addition, she complains the Trust provided the wrong information to the registry office, meaning the wrong person was notified about Ms A’s death certificate.

11. She also complains that the Trust’s complaint response contained a lot of medical terminology, and she struggled to understand the contents. She adds that the Trust committed to a meeting, but failed to facilitate this, which would have helped her to better understand the circumstances surrounding her sister’s death.

12. Mrs O says these failings caused her a lot of stress, distress and anger. She adds she was unable to process her grief, and her grief was protracted and complicated by the circumstances surrounding her sister’s death.

13. She would like the Trust to acknowledge what went wrong and apologise. She would also like it to make meaningful service improvements to prevent the same errors occurring again. She would also like the Trust to compensate her for the impact its failings had on her.

Background

14. Ms A was a lady with a history of brittle diabetes (a severe form of diabetes that is difficult to control) and chronic kidney disease. On 27 September 2023 she was found on the floor of her home by a friend and was unable to get up. Her friend called for an ambulance.

15. The ambulance crew found Ms A’s blood sugars were very high and she was confused. She was transported to an emergency department (ED), run by the Trust. The ambulance service incorrectly documented Ms A’s date of birth on the patient handover documents. Due to Ms A’s confusion, she was unable to correct this or inform staff who her next-of-kin was.

16. On admission to the ED, Ms A was assessed as being in diabetic ketoacidosis (DKA). This is a very serious medical emergency where a lack of insulin causes harmful substances called ketones to build up in the blood. It is a life-threatening condition. She was placed on the Trust’s DKA pathway, which is a standardised treatment protocol for people who are experiencing a DKA.

17. Later that evening, Ms A’s oxygen saturation (the percentage of oxygen in her blood) dropped to 77%, which is very low. She also had a high temperature, and her white blood cell count was raised, which can indicate an infection. The clinicians commenced antibiotic treatment to address this.

18. On 3 October, the doctors were concerned Ms A was retaining fluid on her lungs. A consultant physician documented on, 4 October, that this may be due to her chronic kidney disease. The doctors prescribed medication to treat this fluid retention.

19. By 6 October Ms A’s DKA had resolved, but she continued to retain fluid and was in metabolic acidosis (where body fluids become too acidic) due to her chronic kidney disease. She was transferred to the hospital’s High Dependency Unit (HDU). An HDU is a ward for patients who are seriously unwell and need more care than a standard ward.

20. Sadly, Ms A’s breathing continued to deteriorate, and by 11 October she was transferred to the Trust’s Intensive Care Unit (ICU) for intubation. This is a type of invasive ventilation that is needed when a patient can no longer breathe effectively for themselves. An ICU is ward for patients who are critically unwell with a life-threatening illness.

21. Ms A remained in hospital receiving treatment on the ICU. Sadly, by 29 October Ms A had not responded to treatment or improved. The doctors documented a family discussion where they explained Ms A’s poor prognosis.

22. Doctors decided to withdraw treatment following this discussion, due to the likelihood that Ms A would not recover or have a quality of life. Once treatment was withdrawn, Ms A died at 10.20pm.

Findings

Clinical care

26. Mrs O is concerned that an administrative error relating to Ms A’s date of birth on admission adversely impacted on the treatment provided to her. We have, therefore, considered why this administrative error happened and whether the care provided to Ms A was appropriate.

27. We have reviewed Ms A’s medical records, and this mistake appears to have been made by the ambulance service, not the Trust. This is because the handover document provided to the Trust by the ambulance service reflects the incorrect date of birth.

28. Due to Ms A’s confusion, she was unable give staff her correct date of birth. The ED clinician documented ‘patient cannot give [history] due to confusion, [history] taken from ambulance and ED notes’. This means the ED staff had to rely on the information provided by the ambulance service in the first instance. We recognise, however, why Mrs O is concerned about this impact this may have had on Ms A’s care.

29. We asked our Physician Adviser whether this oversight appears to have impacted on the care received by Ms A. Specifically, we asked whether the care provided was appropriate in the context of Ms A’s chronic kidney dysfunction.

30. Our Physician Adviser explained that not knowing Ms A only had one kidney would not have impacted on her care. This is because doctors use blood tests to establish how well the kidneys are functioning overall, rather than a verbal history. This type of test is called estimated glomerular filtration rate (eGFR). The eGFR tells doctors how efficiently a person’s kidneys are removing waste products and excess water from the blood.

31. Ms A had blood tests on admission and the doctors quickly identified she had impaired kidney function because her eGFR was low. The ED doctors also documented that they were aware of her reduced kidney function.

32. We also considered whether Ms A should have been given intravenous fluids and whether her treatment was appropriate in the context of her reduced kidney function.

33. The Trust has a policy for managing DKAs that is informed by and aligns with the guidance issued by the Joint British Diabetes Societies for Inpatient Care. This policy outlines the standard procedure for managing a DKA. The essential steps include:

• take venous or arterial blood gases (a blood test that helps doctors understand how well the body is handling breathing, metabolism, and circulation) • undertake tests to check for inflammation, infection, glucose, electrolytes, and waste products in the blood • prescribe fluids – usually one litre over 60 minutes via a cannula (a tube that is inserted into a vein) • prescribe and start fixed rate insulin (an infusion of insulin given at a fixed dose per hour) based on the patient’s weight. This can be estimated if the patient cannot be weighed.

• monitor blood glucose and ketones hourly • commence a strict fluid balance chart (a chart that monitors the fluid input and output for the patient).

34. It is not uncommon for doctors to have to balance the risk of harm in patients with competing and complex medical needs. Treating one medical need can commonly affect a different medical need, and doctors have to prioritise the most urgent need.

35. The evidence indicates the Trust followed its DKA protocol. As this was a life-threatening medical condition, the doctors had to prioritise resolving the DKA over any concerns about Ms A’s kidney function.

36. Our Physician Adviser explained that, on admission, Ms A was clinically dehydrated. This is common in a DKA as the glucose in the blood pulls water into the bladder and causes increased urination. A DKA can also cause vomiting, leading to further dehydration, and the ambulance crew reported Ms A vomiting prior to admission.

37. Due to how significantly dehydrated Ms A was on admission, she required intravenous fluids to save her life. This was one of the first steps on the DKA pathway, and our Physician Adviser explained this was a clinically appropriate course of action. We are satisfied the evidence indicates Ms A received clinically appropriate treatment from the Trust and that, had the Trust known her medical history, this would not have changed the treatment she received.

Communication

38. Mrs O was not informed of her sister’s admission to hospital and this meant she spent a day looking for her sister, contacting local hospitals and the police. This was, understandably, very distressing for her.

39. There is no national guidance which outlines when a patient’s next-of-kin should be informed of a patient’s admission to hospital. That said, the NMC Code says nurses should share information they need to know with carers and family members, so far as the law allows. Because Ms A was confused on admission to hospital, and could not contact her family herself, the nurses should have taken steps to do this.

40. The handover from the ambulance crew included the telephone number for Ms A’s friend. This meant the nursing team had a means of at least attempting to establish Ms A’s next-of-kin. The staff did not document any attempts to locate or make contact with Mrs O until the following day.

41. This appears to fall short of effectively communicating with Ms A’s family; however, we cannot know whether or not the nurses would have been able to make contact with Ms A’s friend using this number.

42. With regards to overall communication from the nursing team during Ms A’s admission, in line with the NMC Code the nurses should have updated her family when there were important developments in her care. This includes any changes to Ms A’s clinical condition and any transfers to different wards in the hospital.

43. The GMC’s Good Medical Practice guidelines also say that doctors should be considerate of those close to their patient and be sensitive and responsive in giving them information and support.

44. Doctors and nurses have different roles when communicating with patients/their family. Broadly speaking, doctors will update families on a patient’s diagnosis, prognosis and treatment. Nurses are responsible for day-to-day updates on a patient’s general condition and care, including when a patient is transferred elsewhere.

45. There is very little documented about the nurses’ communication with Ms A’s family prior to 9 October. We know a doctor updated Mrs O on 28 September, but there is nothing documented in the nursing notes to indicate the nurses considered what information needed to be communicated to Ms A’s family, nor that any information was provided. There is also little evidence of communication from the doctors regarding Ms A’s prognosis and treatment after the call on 28 September. This appears to fall short of the expected standard of communication.

46. On 8 October, Ms A was transferred to the Trust’s HDU. There is no evidence the nurses informed Mrs O of this transfer, which appears to fall short of the expected standard of communication.

47. After Ms A’s admission to the HDU, the communication appears to have improved, and Ms A’s family were updated regularly by both doctors and nurses between 9 and 29 October. Our Nursing Adviser also noted that when Ms A’s DKA had resolved she was no longer confused and was assessed to be able to communicate effectively. Her family were regularly visiting, and she was able to update them alongside the communications from the clinical team. This appears to align with the expected standard of communication.

48. Ms A was transferred to the Trust’s ICU on 22 October and there is a well-documented account of this being communicated to Mrs O. This indicates the communication aligns with the expected standard regarding this transfer.

49. Overall, the evidence indicates the Trust’s communication fell short early in Ms A’s admission. We understand this was distressing for Mrs O. The Trust has apologised for failing to update Mrs O about the transfer on 8 October and it has agreed to also apologise for the overall poor communication between 27 September and 9 October. We consider this is a fair and proportionate action to put things right, in line with our NHS Complaint Standards.

Death certificate

50. Prior to 2024, there were no guidelines or legislation that specified the time within which a death certificate should be completed. However, our Physician Adviser explained that in hospitals, it was always usual practice is to complete the death certificate as soon as possible, typically within three to five working days. The certificate is then verified by the hospital’s Medical Examiner.

51. There may be unusual circumstances which cause a delay. For example, if the treating clinicians are absent from work this can delay the death certificate because, by law, only doctors that have treated the patient can complete this.

52. In Ms A’s case, she had been in hospital for approximately one month and had received treatment from a number of different clinicians. This means there were likely multiple doctors who could complete her death certificate, and it is unlikely all these clinicians would have been unavailable to complete it within three to five days. The Hospital provided no explanation as to why this delay happened in its response to Mrs O.

53. We asked the Trust for more information about why the death certificate was delayed and what it has done to prevent delays in future. The Trust explained the hospital’s Medical Examiner initially disagreed with the information on the death certificate, which delayed it being completed. This happened over the weekend, meaning the issue could not be resolved until Monday.

54. Following Mrs O’s complaint, the Trust raised the issue of timeliness when completing death certificates at the Trust’s Mortality and Morbidity Surveillance Group meeting.

55. The Trust appears to have taken this issue seriously and provided further explanation regarding the reasons for the delay. We recognise this set of circumstances was distressing and less than ideal for Mrs O and her family. That said, the explanation appears to be an unusual set of circumstances that may have been unavoidable. For this reason, we cannot robustly conclude the delay in issuing the death certificate amounts to service failure. This in no way detracts from the distress caused to Mrs O and her family.

Complaint handling

56. Our NHS Complaint Standards say that organisations should give a clear and balanced account of what happened based on established facts. Providing a clear account of the facts should include using language that is easy to understand, and which is appropriate to the complainant and their circumstances.

57. The Trust’s complaint response to Mrs O, dated 29 April 2024, provides a detailed account of Ms A’s care. This explanation included a lot of complicated medical terminology with no further explanation as to what these meant. The average reading age in the UK is 9-11 years, and we can understand why many members of the general public would struggle to understand these terms without them being explained in the complaint response.

58. In addition, the paragraphs in the letter were very long, which made navigating the account of Ms A’s care more challenging. There were no breaks between large chunks of text that related to different dates and procedures which took place. This made the response more difficult to understand as the explanation was not broken down into easily understandable paragraphs.

59. Based on the Trust’s complaint response, it appears the Trust’s response fell short of providing a clear account of the facts using language that is easy to understand.

60. With regards to refusing the meet with Mrs O, complaint resolution meetings are offered/held at the discretion of the Trust. That said, our NHS Complaint Standards say that communication should be appropriate to the needs of the complainant. This should include considering whether a face-to-face meeting would help to resolve the complaint.

61. In this case, it would have been helpful to offer a meeting so that Mrs O could ask questions about the medical terminology used in the complaint response. It also would have been an example of good complaint handling. However, we cannot robustly conclude that not doing this indicates service failure.

62. The Trust has agreed to apologise to Mrs O for the impact arising from the missed opportunity to explain her sister’s care in simpler language. We consider this to be a fair and proportionate resolution for a one-off instance of poor service, in line with our NHS Complaint Standards.

Our Decision

1. We have carefully considered Ms O’s complaint about Medway NHS Foundation Trust (the Trust). We were very sorry to learn of her experience and the loss of her sister, Ms A.

2. The evidence indicates the Trust:

• did not make the error relating to Ms A’s date of birth and provided clinically appropriate care in its emergency department • failed to communicate effectively with Mrs O between 27 September and 9 October 2023, but communicated well with the family following this • took longer that would usually be expected to complete Ms A’s death certificate, but this appears to have been due to an unusual set of circumstances • fell short of providing a complaint response that was easy to understand • was not required to facilitate a meeting with Mrs O, but doing so would have been an opportunity to improve Mrs O’s understanding of its complaint response.

3. The Trust has already apologised for some aspects of its poor communication. I has also agreed to apologise for the impact of the broader shortfalls in communication and its complaint correspondence. We consider this is a fair and proportionate action to put things right, in line with our NHS Complaint Standards.

4. We recognise that this was a very distressing experience for Mrs O, and we hope our work goes some way to reassuring her that the care provided to her sister appears to align with the relevant clinical guidelines.

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