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GP Negligence prescribed sleeping pills which caused urine retention and an indwelling catheter to be put in - Quality of life ruined by GP negligence!!


linzie
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4 hours ago, linzie said:

Does complaitn need to be raised to the hospital being made to wait 6 hours plus in A&E given my brothers age, dementia, with blood passing through the catheter into the catheter bag. After bloods taken being told to wait for Dr to arrive to bladder scan urine levels in bladder before/after catherer removal but no scan was done no dr showed up. Nurse came removed the catheter. Patient went home, overnight urine rentention happened again. Back to hospital for urine drainage with catheter and a new catherer put inside patient but no bladder scan done again to check if bladder completely empty or if the bloody urine or any debri left in bladder.

 

 

Sorry, what bit are you complaining about?.

 

The 6 hour wait in A&E once the catheter was in?. What would you have preferred instead?

(If they'd sent him home with the catheter in? - would you then be complaining that they didn't give him a trial without catheter.....)

If they'd waited less time? would you then be complaining that they removed it too soon, and the retention was bound to recur?

 

I've answered already about the bladder scan (or lack thereof).

 

It seems to me that your current mindset is that they are "damned if they do, and damned if they don't"

 

For the hospital, why not approach PALS? again, not as a complaint, but wanting to understand what happened ; if you calmly ask questions you may find they help you come up with the right questions, for you to get answers (and it might even turn out you then find you don't need to complain......)

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Posted (edited)

Hi BazzaS, I wasn't in a good mood when I wrote post 47. I read your post feeling the same way as you, first step find out what happened behind the decision to use sleeping tablet X and if it was noted in the records or not by the Gp.

 

Lets get an explanation and medical records first then go from there.

 

This is the letter I have written requesting an explanantion.

 

Please can you provide an explanation why GP1 (name here) on xx/xx/xx, GP2 (name here) on xx/xx/xx and GP3 (name here) on xx/xx/xx prescribed (medication) to my brother? What was the rational behind the prescripton?

 

Is this letter good enough does it need tweaking?

 

Is a cover letter needed that your writing on behalf on a relative to request an explanation the surgery might refuse under GDPR regulations

Edited by linzie
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I mentioned this earlier in the thread and I think BazzaS did as well.

 

You can't just write to the surgery and ask for information on your brother. It would be like me writing to your GP and asking about your medical records.

 

HB

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Illegitimi non carborundum

 

 

 

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Is this good enough for cover letter requesting data on brothers behalf

 

Consent form

(for another individual to gain access and / or to discuss my medical record)

 

 

Patient details

Patient name

 

 

Date of birth

 

 

Address

 

 

 

 

 

Postcode

 

 

 

I am a patient of Medical Centre and understand I need to give consent for another individual to have access to my medical records and/ or to discuss my medical requirements. I understand the contact details of the individual will be recorded on my medical record.

 

Signature of patient/ guardian:

Relationship to patient:

 

Date:

 

 

Contact details for the individual who I wish to grant access

Full name

 

 

Telephone number

 

 

Relationship to patient

 

 

 

Then the letter below goes with the consent form

Subject Access Request Access

 

Date of request XX/XX/XXXX

To: F.A.O. the Practice Manager. Milton Medical Centre

Please accept this as a formal request for ALL DATA whatever format you may hold this in whether it be written, computerized etc. relating to (insert full name, Date of Birth, Full Address).

If any records are redacted could you provide clarification as to why this has been done and under which parts of the Data Protection Act/General Data Protections Regulations you are relying on to do this. If you redact any of the record please could you provide a summary of what you have redacted?

Yours faithfully

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Then for requesting explanation for the medicine, send the same cover letter but with a letter requesting an explanation

 

Please can you provide an explanation why GP1 (name here) on xx/xx/xx, GP2 (name here) on xx/xx/xx and GP3 (name here) on xx/xx/xx prescribed (medication) to my brother? What was the rational behind the prescripton?

 

I'd like to get both the medical records request and letter for explanation for medicine tweaked this weekend then send to Gp

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Yet again : does your brother have capacity to sign such a letter?. If not, it would be a nullity - as if it wasn’t signed.

 

I’ve already explained this previously.

it could be as simple as the practice asking him what his wishes are … what do you think would happen?

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Hi

 

I haveh ad a good re read of your Topic and do agree with BazzaS  that you need to take a step back from this and I can appeciate that you are not happy with the treatment that your relative has been given due to the sleeping pill being prescribed.

 

You mention the wait at the hospital of over X hours but you do not say if this relative went to a certain department with a GP letter or whether this was via the hospital A&E Department.

 

If it was via the Hospitals A&E Department you need to bear in mind the following:

 

1. This was during COVID-19 and protetions will be in place to protect both Medical Staff and Patients coming to A&E

 

2. The A&E Department will Triage every single Patient coming to that Department as to who needs instant medical treament to those who can wait a certain period but as this can be a fast flowing Department the Triage System can change minute by minute dependent on the amount of Casualties/Patients they have to treat.

 

IMO you need to approach this from the beginning as to why your relative was prescribed that specific medication with there medical condition and that GPs reasoning at that time. (was this fully discussed with that relative at that time, as you say they have capacity to sign a letter, did they understand what the GP was saying at the time about this medication and did they agree to the GPs decision to prescribe this medication if they have capacity and were the possible side affects explained)

 

My concern is you state they have Dementia then state they have capacity to sign a letter but we are unaware of what type of Dementia the relative has i.e. is it early onset Dementia as you need to be very careful if they have memory loss issues with stating they have capacity to sign a letter when there is no Power of Attorney nor Deputyship in Place for that relative.

 

 

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From my reading of it, the 6 hours wait in A&E was 6 hours after the catheter had been sited, not a 6 hour wait to be treated.

 

There are a multitude of possible reasons for this delay, indeed : it might have been part of a deliberate treatment plan.

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  • 4 weeks later...
  • 3 months later...

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Since last posting here, I complained to the GP surgery my brother was having difficulty swallowing his prostate medicine which was 1 large capsule which contained 2 smaller capsules inside the casing within the larger capsule. 1st capsule inside the larger capsule was (powder capsule) and the 2nd was (liquid time release, long shape capsule)

 

The GP surgery at this point made no attempt to refer my brother for Speach and Language Therepy or investigate further about the swallowing difficulty etc

 

Gp pharmacist told me me the capsule was not available in a smaller size despite, I looked online and found the 2 capsules could be prescribed individually (so not having to be inside a larger capsule) and given as a combination so I called the surgery and informed them the medicine could be given in 2 seperate capsules. This was then prescribed. Even still the capsules were causing swallowing difficulty and I told the GP who said sorry they can't help.

 

A few months later my brother ended up chocking whilst taking the capsule and gasping for air. Eventually this went away after some minutes and his appeared o.k as well as his oxygen. Several days later his oxygen levels went down and ambulance was called out and my brother taken to hospital and put into a covid cubicle because the paramedic that came to the house said it was signs of covid, when I said it was not. Despite this my brother was put into the covid area in a seperate cubicle.

 

Diagnosed pneumonia....sent home with very strong medication which really knocked him for six which he had to take for 5-7 days.

 

I got a private consultant to look at the xray and she told me straight away the xray showed aspiration pneumonia when food or liquid can go down the wrong pipe.  He gave an urgent referral for swallowing which I gave to the GP.

 

My question is why despite me several complaining to the GP prior to this about swallowing diffiuclty why did the gp surgery help, if they had then maybe this unfortunate incident would not have happened. Why did it take me to go see a private consultant who diagnosed aspiration pneumonia and who asked for a referral for swallowing, if I had not done this the GP would never have helped as they ignored my requests for help on swallowing and never bothered to look into this furthe on their own. Its taken me to go give the the information from the consultant for them to get off their backside.

 

 

Edited by linzie
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Stu, I sent this to the GP not reply

Please can you provide an explanation why GP1 (name here) on xx/xx/xx, GP2 (name here) on xx/xx/xx and GP3 (name here) on xx/xx/xx prescribed (medication) to my brother? What was the rational behind the prescripton?

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Hi Linzie.

 

When did you send the letter to the surgery please? I assume you sent a letter of authority from your brother with it, to authorise them to release information to you?

 

For your other post, while we're waiting for people like @BazzaSand @stu007to get back here, I think an early question is what you would like to happen following this chain of events. I can see you feel your brother could have been better treated but what do you want the surgery to do about it?

 

Also, does your brother want to stay with them or not?

 

HB

 

 

Illegitimi non carborundum

 

 

 

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The key determinant to moving forward with the OP’s questions remains:

 

1) does the brother have capacity to authorise the GP’s to discuss their care with her?

2) Even if the OP feels the answer to 1) is “yes”, does the practice agree?

 

if the practice feel he can’t give valid consent they may be unable to discuss his care with the OP unless she obtains a ‘Health & Well-being” deputyship from the Court of Protection and registers it with the Office of the Public Guardian.

Edited by BazzaS
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Hi linzie

 

Sorry but I have to agree with BazzaS as on one hand you point out they have Dementia then on the other hand say they have Capacity.

 

You need to be very careful dealing with this due to the above.

 

Have you done anything of considering obtaining Deputyship? (this would resolve these issues and keep things legal protecting both you and your brother)

 

WWW.GOV.UK

How to become and act as a Court of Protection deputy - eligibility, responsibilities, how to apply, fees, supervision and when your deputyship...

 

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I cannot give any advice by PM - If you provide a link to your Thread then I will be happy to offer advice there.

I advise to the best of my ability, but I am not a qualified professional, benefits lawyer nor Welfare Rights Adviser.

Please Donate button to the Consumer Action Group

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  • 2 weeks later...
On 09/05/2021 at 08:39, BazzaS said:

From my reading of it, the 6 hours wait in A&E was 6 hours after the catheter had been sited, not a 6 hour wait to be treated.

 

There are a multitude of possible reasons for this delay, indeed : it might have been part of a deliberate treatment plan.

Bleeding started  going into the catheter bag, so had to rush to A&E, the 6hr wait was in AE waiting to be seen to remove the catheter

 

My brother has capacity to sign, sent lettter of authority with with the letter asking why sleeping medication was prescribed, what was the rational behind it. Gp have said they did not receive it.

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*****UPDATE*****

 

6-7 months ago I told the GP my brother was having difficulty swallowing capsules, they relunctanly agreed to reduce the capsule size. This did not work too good. So the capsule is now opened up granules mixed in drink.

 

I have made several complaints to the GP telling them my brother has difficulty swallowing his medicine and swallowing problem in general.  No notice taken. The neglience led to my brother suffering from aspiration pneumonia a while ago.

 

The hospital told us it pneumonia, but i went for a 2nd opinion and saw a different specialist who confirmed the aspiration pneumonia and swallowing probem. She gave a letter with her findings and requested the GP refer my brother to SALTS as a priority patient.

 

The Gp has taken no notice, I've had to keep calling the GP to chase the SALTS referral. The GP lost the paperwork or the referral and had to send it a 2nd time causing more delay.

 

SALTS just tell me a referal has been made and no indication when my brother will be seen etc

 

Gp only referred my brother to SALTS after I got a different consulatant to look at the chest xray and she gave a letter telling the GP for an urgent SALTS referral BUT ignored my complaints about swallowing for months.

 

I want to complaint about this too

 

 

 

 

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******SECONDLY******

My brothers family got the Gp to come do a routine check on my brothers, having checked lungs, the GP said everything is o.k.

The next day they took my brother to a private consultant for a 2nd opinion, she said there is fluid in the lung and gave a course of antibiotics.

 

This means the family GP gave the wrong information telling the family the lungs were clear, is this not medical negligence?

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If you want to complain to the practice we can help you to refine it but we need you to do a draft letter first. Only you know what's happened so you need to start this off.

 

Also it might be worth considering the timing of the actions you want to take so that they aren't counterproductive. 

 

A question. Have you already complained to the practice with your brother's written authority and were they aware it was a complaint?

 

HB

Illegitimi non carborundum

 

 

 

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On 22/09/2021 at 21:02, BazzaS said:

The key determinant to moving forward with the OP’s questions remains:

 

1) does the brother have capacity to authorise the GP’s to discuss their care with her?

2) Even if the OP feels the answer to 1) is “yes”, does the practice agree?

 

if the practice feel he can’t give valid consent they may be unable to discuss his care with the OP unless she obtains a ‘Health & Well-being” deputyship from the Court of Protection and registers it with the Office of the Public Guardian.


 

Still applies.

If the OP doesn’t deal with this aspect, they may find they are “stuck”

 

Replying 2 weeks later, but without addressing this key issue, OP risks going round in circles (& slow circles, at that!).

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Capacity is there, the GP can disagree but there have been a series of life changing events caused by the GP practice that have impacted my brother overall health and wellbeing.

 

 

 

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We know you think your brother has capacity but can you tell us why the GP doesn't think he has please?

 

ETA: BazzaS explained about judging capacity in post #39 of this thread.

 

HB

Illegitimi non carborundum

 

 

 

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Posted (edited)
57 minutes ago, linzie said:

Capacity is there, the GP can disagree but there have been a series of life changing events caused by the GP practice that have impacted my brother overall health and wellbeing.

 

 

 

See above,

my Q.2 was IF the GP’s disagrees.

 

you say they “can disagree”.

It doesn’t matter that they CAN disagree (which no one doubts).

What matters is if they DO disagree (and you seem to be studiously ignoring that question!)

 

I doubt anyone here will be able to help until that is addressed.

 

Edited to add: no useful info re: capacity added since May, and as time goes on, if the relative has more and more conditions, the likelihood of capacity can only decrease.

Edited by BazzaS
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On 08/10/2021 at 10:50, honeybee13 said:

We know you think your brother has capacity but can you tell us why the GP doesn't think he has please?

 

ETA: BazzaS explained about judging capacity in post #39 of this thread.

 

HB

The Gp has never said they think there is no capacity.

Edited by linzie
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