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South Tees Hospitals NHS Foundation Trust

P-005111 · Report · Decision date: 25 March 2026 · View South Tees Hospitals NHS Foundation Trust scorecard
Complaint handling Treatment
Complaint (AI summary)
Mr B complained his mother was discharged from urology services without monitoring, leading to a cancer diagnosis and her death.
Outcome (AI summary)
The complaint was not upheld. The ombudsman found that the Trust provided appropriate monitoring of Mrs C’s condition.

Full decision details

The Complaint

4. Mr B complains about South Tees Hospitals NHS Foundation Trust’s (the Trust) decision to discharge his mother, Mrs C from its urology services on 30 April 2018. He says his mother had a tumour on her right kidney and the Trust discharged her without any further monitoring of her condition.

5. Mr B says as a result his mother developed renal cell carcinoma (kidney cancer) and this led to her death on 20 April 2023. He says this was devasting for him and his father.

6. Mr B wants the Trust to admit its mistake, service improvements and financial compensation.

Background

7. Mrs C was under the care of the Trust’s urology department from 2013 to 2018.

8. On 17 July 2013 a consultant physician and nephrologist referred Mrs C to the Trust. The consultant nephrologist was investigating Mrs C for proteinuria (the presence of protein in urine). Following a CT scan it found a lesion on her right kidney and referred her to the Trust’s urology department for investigations. On 8 August 2013 Mrs C’s case was discussed at the Trust’s urology multi-disciplinary team (MDT). Mrs C had a 26mm tumour in her right kidney.

9. Between 2014 and 2018 Mrs C had annual scans to monitor her condition. The scans showed no change to her tumour and in April 2018 she was discharged.

10. On 7 December 2022 Mrs C had a CT scan. This showed a large right renal tumour which had spread. On 16 January 2023 Mrs C attended an appointment at the Trust. The consultant urologist explained the findings of the CT scan to Mrs C and arranged a biopsy with a view to offering treatment. The biopsy of the renal tumour confirmed collecting duct renal cell carcinoma.

11. On 20 April 2023 Mrs C sadly died.

Findings

15. Mr B complains about the Trust’s decision to discharge his mother from its urology services on 1 April 2018. He says his mother had a tumour on her right kidney and the Trust discharged her without any further monitoring of her condition.

16. The Trust say Mrs C was referred to its services on 16 July 2013. She had a 26mm tumour in her right kidney. She had scans on an annual basis between 2013 and 2018. The scans showed no changes. In 2016 and 2017 the CT scans confirmed the stable appearance of the tumour. In 2018 the CT scan showed the tumour had remained unchanged in the last five years. The consultant urologist felt it was unlikely to progress and recommended it stop further regular scans and Mrs C was discharged.

17. The records show at the time of her referral to the Trust in 2013, Mrs C was 69 years old. She had a history of chronic kidney disease, high blood pressure, rheumatic mitral valve disease, mechanical aortic valve for which she was on life long anti-coagulant therapy.

18. In July 2013 a CT scan showed Mrs C had a tumour on her right kidney. She was referred to the urology department at the Trust.

19. On 8 August 2013 Mrs C’s case was discussed at a multi-disciplinary team (MDT) meeting. She had a 26mm tumour in her right kidney. A CT scan including of her thorax was recommended in six months. On 3 February 2014 Mrs C attended her appointment and her CT scan was reviewed. It showed there was no change to her 26mm tumour. A repeat CT scan was recommended in a year.

20. On 16 February 2015 Mrs C attended the Trust and her recent CT scan on 19 January 2015 was reviewed. The tumour remained static and in view of her comorbidities the Trust said it would be reasonable to continue with surveillance.

21. On 15 February 2016 Mrs C’s scan was reviewed. The CT scan showed no changes. A repeat scan was recommended in one year.

22. On 20 February 2017 a further CT showed no obvious changed. The plan was to review Mrs C in one year.

23. The Trust explains on 24 April 2018 Mrs C had a further CT scan. On 30 April 2018 she was reviewed. The consultant urologist explained the tumour remained unchanged over the last five years. The radiologist said as the tumour had remained unchanged for five years the enhancement of the tumour was not very high. The consultant urologist felt the tumour was unlikely to progress and recommended they stop further surveillance was regular scans.

24. The Trust explains on 7 December 2022 a gastroenterologist did a CT scan which showed a large right renal tumour which had spread. On 16 January 2023 the consultant urologist explained the findings to Mrs C and arranged a biopsy with a view to offering treatment. The biopsy of the renal tumour confirmed collecting duct renal cell carcinoma.

25. We have seen due to Mrs C significant co-morbidities and the small size of her tumour she was being managed with active surveillance. This is in line with section 7.1.4.2 of EAU guidelines for surveillance which says active surveillance is appropriate for initially monitoring small renal masses.

26. Our adviser confirms at the time there would have been no official guidance to say when a patient should be discharged from active surveillance. Current NICE guidance which is due for publication in March 2026 says to considers discharging a patient from active surveillance if lesions remained stable or with minimal changes for five years or more. While we are not holding the Trust to this guidance as it was not in place at the time of Mrs C treatment, we are satisfied this represents best practice at that time.

27. Our adviser says at the time in 2018 and currently it would have been appropriate for the Trust to discuss stopping active surveillance for Mrs C as she was 75 years old and had significant co-morbidities and her tumour had remained stable for five years. Ultimately it should be a shared decision making process with the patient. We can see in the Trust’s response letter the consultant had the patient’s approval to stop further surveillance.

28. There is no indication the Trust should have done anything differently. The only way this rare form of kidney cancer could have been diagnosed early would have been if a patient had surgery or a biopsy of the kidney tumour. Our adviser says both of these options given Mrs C’s comorbidities would have been high risk as she would have had to stop her anticoagulant treatment which she required for her heart. Our adviser says given Mrs C’s tumour had been stable for five years neither surgery or a biopsy would have been indicated. We hope this provides the family with reassurance.

29. We understand how distressing it was for the family when they were told in January 2023 Mrs C had renal cancer. When we weigh up the available evidence, we can see the Trust monitored Mrs C on an annual basis for any changes to her tumour. Her tumour remained stable for five years and the Trust acted in accordance with best practice at the time by stopping active surveillance. We consider the care provision appropriate.

30. This ends our report.

Our Decision

1. We do not uphold the complaint about South Tees Hospitals NHS Foundation Trust.

2. Mr B complains about the care and treatment his mother, Mrs C, received at South Tees Hospitals NHS Foundation Trust. We understand how difficult and devastating the events have been for Mr B and his family and we understand the impact this has had on them. It is only natural to question if further monitoring would have changed the outcome.

3. We have found South Tees Hospitals NHS Foundation Trust provided appropriate monitoring of Mrs C’s condition. We do not uphold this complaint.

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