Failings in care did not change the outcome for a patient with diabetes

Summary 1081 |

Mr P is diabetic. He complained about poor care and treatment during several hospital admissions, which he believed resulted in the need for further amputation surgery.


What happened

During his first admission Mr P's right big toe had to be amputated because of reduced blood supply. Several days after being discharged he was readmitted and needed further surgery to remove infected tissue. A review a week later found that Mr P had developed more infection and more tissue needed to be removed and additional toes amputated.

What we found

We upheld some parts of Mr P's complaint. The Trust should have continued to give him antibiotics at the time of his first discharge, which might have helped to prevent his infection spreading. The Trust should have arranged for Mr P to have an angiogram sooner than it did, and monitored him more closely during the third admission. However, these failings did not change the overall outcome for Mr P.

Putting it right

The Trust apologised to Mr P and produced an action plan to show what it had learned from this case.

Health or Parliamentary
Health
Organisations we investigated

Warrington and Halton Hospitals NHS Foundation Trust

Location

Warrington

Complainants' concerns ?

Did not take sufficient steps to improve service

Result

Apology

Recommendation to learn lessons or draw up an action plan