The patient contacted ACS to query why ACS immediately checked with The patient has now been and Maxillofacial two appointments had been cancelled outpatients for available slots in clinics. accommodated and their appointment PALS Enquiry for the Maxillofacial DOMS clinic. A is on 9 July and the patient is happy further appointment had been made for with the outcome. the patient but not until August. The patient stated that they urgently needed to be seen as they are having lots of difficulties with eating. A patient contacted the ACS who was The ACS contacted Consultant secretary Secretary confirmed that the case had Vascular waiting for results from an MRI scan to query what the next stage was for been discussed at MDT and an PALS Enquiry that had taken place in May 15. The the patient. appointment had been made for July patient had been told that their results 15. would be available within 10 days. Patient had then come for another appointment in Foot Clinic where they queried their results. The Foot Clinic tried to contact the consultant’s secretary who was unavailable. The patient was then signposted to ACS in order to expedite their enquiry. Baby born with Ventricular Septal Investigation undertaken by team to As a result a patient leaflet is being Women’s & Children’s Services Defect (VSD), the family wonder identify whether VSD could have been developed for parents that explains the Complaint whether this should have been detected detected and improve communication. new born check more clearly. during the ante-natal period or The team explained that whilst this immediately following birth. Condition condition cannot always be detected on diagnosed by GP and baby has ante-natal ultrasound, or during the first subsequently undergone heart surgery few days following delivery (because of changes to baby’s circulation), they acknowledged that the purpose and limitations of the new born examination were not fully explained. The Matron was contacted by the The Matron apologised and stated that A checklist has now been implemented Women’s Health Unit husband of a recent patient who had she would immediately investigate. On for to consider the required actions Resolution undergone surgical management of a review of the medical records it was after a diagnosis of pregnancy loss. miscarriage. Upon returning home the apparent that the miscarriage The complaint and subsequent lessons patient had received a letter from notification had not been completed. A that have been learnt have been fed Derbyshire Community Health Service copy of this document would normally
Maxillofacial PALS Enquiry The patient contacted ACS to query why two appointments had been cancelled for the Maxillofacial DOMS clinic. A further appointment had been made for the patient but not until August. The patient stated that they urgently needed to be seen as they are having lots of difficulties with eating. ACS immediately checked with outpatients for available slots in clinics. The patient has now been and accommodated and their appointment is on 9 July and the patient is happy with the outcome. Vascular PALS Enquiry A patient contacted the ACS who was waiting for results from an MRI scan that had taken place in May 15. The patient had been told that their results would be available within 10 days. Patient had then come for another appointment in Foot Clinic where they queried their results. The Foot Clinic tried to contact the consultant’s secretary who was unavailable. The patient was then signposted to ACS in order to expedite their enquiry. The ACS contacted Consultant secretary to query what the next stage was for the patient. Secretary confirmed that the case had been discussed at MDT and an appointment had been made for July 15. Women’s & Children’s Services Complaint Baby born with Ventricular Septal Defect (VSD), the family wonder whether this should have been detected during the ante-natal period or immediately following birth. Condition diagnosed by GP and baby has subsequently undergone heart surgery Investigation undertaken by team to identify whether VSD could have been detected and improve communication. The team explained that whilst this condition cannot always be detected on ante-natal ultrasound, or during the first few days following delivery (because of changes to baby’s circulation), they acknowledged that the purpose and limitations of the new born examination were not fully explained. As a result a patient leaflet is being developed for parents that explains the new born check more clearly. Women’s Health Unit Resolution The Matron was contacted by the husband of a recent patient who had undergone surgical management of a miscarriage. Upon returning home the patient had received a letter from Derbyshire Community Health Service The Matron apologised and stated that she would immediately investigate. On review of the medical records it was apparent that the miscarriage notification had not been completed. A copy of this document would normally A checklist has now been implemented for to consider the required actions after a diagnosis of pregnancy loss. The complaint and subsequent lessons that have been learnt have been fed