It has been released recently that NHS hospitals could face financial penalties if a patient is readmitted as an emergency within thirty days of leaving hospital. These changes have been unveiled by the new Health Secretary, Andrew Lansley. Hospitals will receive payment for initial treatment but not for any related problems if the patient is brought back within 30 days, sources from the BBC have confirmed ( source). This seems to be in an attempt to stop patients from being released from hospital early in an attempt to free beds, as figures show that between 1998 – 99 and 2007 – 08 readmissions increased from 359,719 to 546.354.

If you have ever felt that you have been negligently treated by an NHS hospital, you could potentially have a claim for compensation. Depending on the circumstances of the incident, you may be entitled to claim for an amount for any suffering caused by a hospitals negligence. Hospitals have certain procedures that are in place to ensure that the patient is given adequate care and treatment. If something has happened to you because a member of the NHS hasn’t completed their job properly, they are negligent, and you are within your rights to pursue a claim against them.
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Acute appendicitis is sudden inflammation of the appendix, usually caused by an obstruction. It is the most common cause of acute abdominal pain in the UK, meaning that about 10% of the population will develop appendicitis at some point – most commonly between the ages of 10-20. If it is not suspected, or diagnosed promptly, it can rupture and cause a severe, life threatening infection. For this reason, it should always be at the front of any physician or surgeon’s mind.

In one recent case, a patient was admitted to an A+E department with a short history of diarrhoea and vomiting. He was promptly and thoroughly assessed and was diagnosed as having a case of gastroenteritis, with the warning that if his symptoms deteriorated, he should seek further medical advice.

Unfortunately, by the next day, the patient’s symptoms had worsened and he was feeling feverish and had developed severe abdominal pain. When he saw his GP, and informed him of the diagnosis, the doctor was falsely reassured by the previous findings and recommended analgesia and to drink more fluids. A urine test showed blood which may have indicated a urinary tract infection, so antibiotics were also prescribed. At no point did the doctor repeat the abdominal exam which may have provided valuable information.
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Most of us find that when attending our GP surgery, we often see a number of different GPs and medical practitioners and have no continuity of care.

Often this is frustrating and means that we have to repeat our medical history on every visit and we never build up a relationship with our GP. But sometimes this problem can lead to a misdiagnosis when GPs are unfamiliar with the patient’s past medical history.

A case has come to light recently whereby the failure of a GP to properly read and understand the patient’s medical records and history has led to a misdiagnosis and a failure to spot a condition, which without immediate treatment at the onset of symptoms, leaves the sufferer with very serious permanent symptoms.
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The recent case of Dr. Daniel Ubani is still fresh in many people’s minds. To recap, he was a German locum GP who inadvertently injected a 70 year old patient with over ten times the safe amount of diamorphine; a strong painkiller, resulting in their death. Not so well known is the fact that he is still practicing medicine in Germany, despite the seemingly clear case of negligence. Dr Ubani avoided a manslaughter prosecution in the UK as he had already been convicted in a German court of law, finding him guilty of death by negligence and giving him a nine-month suspended sentence.

In a similar case, a German surgeon, Werner Kolb, operated on a 92 year old lady during a routine hip procedure. He had been employed by the Lincolnshire Trust as holiday cover for one of their surgeons. As European law stipulates that Medical qualifications must be accepted at face value, no further checks were performed. During the operation, he strayed into a danger area and severed an artery, causing the patient to lose over 2 litres of blood. The patient was left bed bound by the operation and subsequently died of pneumonia.
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A horrendous medical negligence case has recently been reported in the news, where a Consultant Paediatrician at the Manchester Children’s Hospital mistakenly removed a baby’s bladder when undertaking an operation to remove a hernia (source 1, http://news.bbc.co.uk/1/hi/england/manchester/8546501.stm and source 2).

The seven-week year old baby, referred to as ‘Baby A’ for the purposes of the investigation, was admitted to the Manchester Children’s Hospital with a hernia problem and constipation. It was discovered that her left ovary was protruding into her stomach and surgery was therefore required.

43 year-old Consultant Paediatrician, Miss Pierina Kapur, set out to remove the inguinal hernia, an operation which would normally take only 15 minutes. In this occasion, however, it took over an hour before the surgery was completed and the abdomen closed.
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This week, it has come to light that more than 200 patients treated at the Liverpool Women’s Hospital are suing one of the consultants there for negligent treatment.

The BBC states (source) that all the women went to the hospital for treatment for incontinence and have come out with symptoms significantly worse that they had before the operation. Some had minor urinary incontinence and left the hospital suffering with double incontinence affecting both their bladder and their bowels.

Incontinence is a common problem in the UK, particularly found in women following childbirth, but the fact that it is common does not lessen the serious effects that it can have on people’s lives. This is a humiliating condition which, when severe, can dictate what the sufferer is able to do. Many patients must forward-think their day to ensure that they are never too far from a toilet and some people can almost feel housebound by the condition.
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A report prepared by the National Patient Safety Agency (NPSA) has revealed an alarming number of medical errors occurring in the treatment of children and babies in our hospitals.

In a one year period, the researchers found that over 60,000 children were exposed to clinical mistakes, the majority of which were cases where the patient was administrated with an incorrect dose of medication or where no medication was provided at all. Medication errors are particularly worrying as they can have very grave effects for the patient. The research by the NPSA found that 33 children and 39 babies under one year died following provision of an incorrect dose of medication.

The NPSA have urged drug companies to begin to manufacture medications in child doses as well as adult doses in the hope that fewer administrational errors can be made. When dealing with such a small body mass, a slight increase in medication can cause disastrous consequences. It is therefore extremely important that prescribed doses are checked and checked again.
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An increasing number of women are choosing home birth, the perception being that it is safer, cleaner and a better birthing experience. In some circumstances this can be true and after careful consideration by a doctor or a midwife this service can be offered through the NHS. However, some women are turning away from the perceived failures of the NHS and putting their trust into independent midwives.

Whilst some women are getting the experience they hoped for, others are not. In one recent high profile case, the independent midwife who delivered J K Rowling’s two children recorded a high foetal heart rate of 190 beats per minute, over 30 beats over the accepted safe rate, and yet failed to act upon this result. Instead, she continued with labour as normal and only checked the heart rate again after another hour had passed. Eventually, having recorded a dangerously high foetal heart rate on 5 occasions and realising the baby was in the wrong position, an ambulance was called for and the independent midwife then left the mother to wait for the arrival of the paramedics alone.
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