Cancelled appointment follow-up
22 items
1 source
Hospital policies for cancelled appointments lacking clinical input to assess individual patient urgency, risking vulnerable patients.
Cross-Source Insight
Cancelled appointment follow-up has been flagged across 1 independent accountability source:
22 PFD reports
This theme has been identified in one data source. As more data is added, cross-references may emerge.
PFD Reports (22)
Caitlin Imber
Concerns: CAMHS closed a referral for a vulnerable child due to missing contact information without making further enquiries, causing a significant and potentially dangerous delay in support.
Response: CAMHS has changed its standard operating procedure to ensure appointments are offered even when contact numbers are missing from referrals, a change made following the investigation. The service is also …
Responded
Milos Jankovic
Concerns: Inadequate follow-up for Barrett’s oesophagus in primary care, including a lack of routine recall and prompts for GPs to consider endoscopy, is leading to missed surveillance and preventable cancers.
Overdue
Joseph Powell
Concerns: GPs failing to proactively book follow-up appointments for mental health patients, instead requiring them to self-book, often results in missed care and medication for vulnerable individuals.
Responded
Lady Lola Crouch
Concerns: The patient was not informed of potential malignancy findings from a CT scan, leading to missed follow-up. Additionally, insufficient medical staffing caused delayed responses to urgent patient deterioration.
Responded
Sara Grinnell
Concerns: Extensive and repeated delays in urgent gynaecology appointments, relying only on written correspondence, resulted in a significant 24-month diagnostic delay. There were missed opportunities to escalate urgency upon re-referral.
Responded
Jacqueline Cobain
Concerns: A system flaw allowed a patient to submit concerning questionnaire responses after cancelling an appointment, but there was no protocol to alert clinicians to review these urgent responses outside the standard timeframe.
Responded
Paul Bradley
Concerns: Systemic failures in patient follow-up, appointment tracking, and inter-team communication led to missed critical appointments and inadequate care for a hard-of-hearing patient.
Responded
Rachelle Ross
Concerns: GP IT systems lack automatic flags for patients who miss national smear test invitations, leading to inconsistent follow-up and reduced patient safety.
Responded
Hugo Carlos
Concerns: The GP clinical system lacks a scheduled task feature for future alerts, burdening patients with follow-up responsibility and risking missed essential investigations.
Overdue
Stephen Barton
Concerns: The NHS lacks a system for tracking non-cancer outpatient appointments, unlike cancer cases. Implementing such a system could prevent unnecessary deaths and improve administrative efficiency.
Overdue
Hannah Bampfylde
Concerns: Poor communication protocols meant Hannah's GP was unaware of her non-engagement with mental health services. The engagement policy lacked clarity on re-booking appointments and escalating non-attendance, allowing newly referred patients to slip through the system.
Responded
Imre Thomas
Concerns: Cancelled hospital appointments put vulnerable prisoners at risk, highlighting a need to investigate organizing special prison clinics for hospital consultants.
Overdue
Gemma Azhar
Concerns: Repeated mental health appointment cancellations by administrators, without clinical follow-up, left patients at risk. The "formal position" for duty worker contact after cancellations lacks proper policy, training, or consistent application.
Responded
Connor Davies
Concerns: Repeated cancellation of consultant psychiatrist appointments without clinical input on patient urgency meant individuals at serious need could "fall through the net," as a preventative system was not yet operational.
Responded
John Lee
Concerns: A clerical error severely delayed an urgent vascular appointment, changing an elective procedure to an emergency and contributing to the patient's death, highlighting issues with ambiguous terminology and inadequate checking systems.
Overdue
Robert Power
Concerns: A patient was "lost to follow-up" for eight years after an incorrect diagnosis, highlighting a risk of future deaths if outpatient care is not consistently maintained.
Responded
Michael Halfpenny
Concerns: A GP referral for vascular screening was sent to the wrong department and refused, with no follow-up. Both GP practice and hospital screening teams lacked awareness and proper systems for managing screening referrals.
Responded
Luke Moulding
Concerns: A critical "opt-in" follow-up letter was not sent after a psychiatric consultation, and the current system of typing letters rather than using pre-printed materials caused significant delays.
Responded
Shelia Stokes
Concerns: Systemic delays plagued patient care, including following up on missed appointments, acting on alerts, and an inadequate protocol for obtaining custom-made grafts, all exacerbated by an incomplete internal investigation.
Responded
Ann Hardman
Concerns: The DVT scan protocol relies on GP referrals for follow-up, risking patients missing re-scans. An automatic re-booking system from the ultrasound department is needed to improve compliance.
Responded
Suzanne Greenwood
Concerns: Lack of systems and protocols for contacting patients who miss appointments, informing GPs of non-attendance or discharge, and ensuring continuity of care when patients are lost to follow-up.
Responded
Amanda Hawkins
Concerns: Patient vulnerability was exacerbated by service changes and failures in coordinating care, including sending critical appointment letters directly to a patient unable to understand them, and a lack of follow-up on missed appointments.
Overdue