Accident and Emergency
This is often the first point of contact a patient will have with the NHS due to an illness or after an injury. The staff who practise in emergency medicine have skills in prevention, diagnosis and management.
Case reports
T -v- Calderdale & Huddersfield NHS Trust
The Claimant was taken to the Accident & Emergency Department at Calderdale Royal Infirmary after being knocked down by a car
and was diagnosed as having an unstable short spiral fracture of the right femur. Her leg was placed in a splint which had to be re-applied because it was the wrong size. She was admitted to the children’s ward of the hospital. She remained in hospital but there was a failure to monitor the healing process of her leg in the splint, to the extent that poor union of the femur was achieved and her leg was bent when the bone was healed and had a boney protruberance. The bowing of the leg also entailed shortening of the femur and consequently the leg itself.
The case settled for £28,000.00 which included damages for care provided to the Claimant by her parents, the cost of some reconstructive surgery on her scarring and damages for her psychological distress, as well as for the leg injuries overall and for the otherwise would have been unnecessary.
Tameside Hospital NHS Foundation Trust
Thursday, 21 January 2010 00:00 | 
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In June 2007, an independent report was prepared by Dame Pauline Fielding into the quality of care at Tameside Hospital. This report was commissioned at the request of the North West Strategic Health Authority following concerns expressed by HM Coroner, Mr J Pollard.
Following the review, the hospital acknowledged that on occasions the standard of nursing and medical care at the hospital had fallen below acceptable standards.
One of the issues raised was “communication and information giving” and in particular, how there was a lack of information given to patients families about progress and in particular deterioration.
Case Study
Medical negligence solicitor, Rachel Donovan, was recently approached by three children who believe they lost their mother due to the actions of Tameside Hospital NHS Foundation Trust.
Their mother was only 42 when she died and she left behind her three children who at that time were 22, 20 and 16.
Their mother, who the children describe as “the best” had been suffering with right sided stomach pain and a change in bowel habit for about 3 months before she attended the hospital.
In March 2009, the pain increased so she decided to attend the Accident and Emergency with her son. She apparently underwent an ultrasound scan and was given an enema and told that if the pain continued, she should make an appointment with her General Practitioner.
Over the next couple of weeks her pain increased and she made an appointment with her GP who referred her immediately to hospital.
Their mother went into hospital on the 23rd March 2009 and was placed on morphine and according to the childrens’ account of events, their mother’s symptoms were ignored.
Their mother was in hospital from the 23rd March 2009 to the 12th April 2009 and in that time the children were never informed about their mother’s condition and in particular her deterioration.
Their mother eventually received surgery on the 12th April 2009 and was then transferred to the Intensive Care Unit in North Manchester Hospital.
Tameside Hospital did not send their mother’s notes across with her and they did not arrive for a further 4 days.
In the absence of the notes, North Manchester Hospital struggled to tell the family what happened in Tameside who were again left in the dark but were told how serious their mother’s condition was.
Between the 12th April 2009 and the 29th April 2009 their mother had a further 4 operations to try and treat the peritonitis and ongoing multi organ failure. Sadly, their mother died on the 29th April 2009, leaving behind her 3 children and her newly born grand-daughter.
After her death, the children discovered that she had died from a perforation of the colon due to an obstruction in the sigmoid colon.
The children now want to know why this was not picked up before her attendance at the hospital on the 23rd March 2009 and why it was not diagnosed and treated during her time in hospital from the 23rd March 2009 to the 11th April 2009.
As far as the family are concerned, there was a failure to recognise the signs and symptoms of the obstruction which caused their mother’s death.
In December 2009, the Dr Foster Hospital guide labelled Tameside Hospital as one of the worst hospitals in the country. Tameside Hospital NHS Foundation Trust scored just 4.8 out of 100 on patient safety.
The report which was assessed on areas such as death rates, infection and staffing put Tameside in the bottom 12 of more than 150 Trusts in England. It particularly pointed to the high death rate which was the third highest in the country.
David Heyes, MP for Ashton-under-Lyne, has formed a Tameside Hospital Action Group for concerned families and the e-mail for the group is Tamesidehospitalactiongroup@yahoo.co.uk.
Health watchdogs are to join together to discuss concerns about death rates at Tameside Hospital. A local conference has been planned to enable Councillors, MPs, Tameside Hospital Action Group, members of Tameside local involvement network and other interested parties to discuss the underlying reasons for the high levels of mortality at Tameside Hospital.
The Chairman and Chief Executive of Tameside Primary Care Trust will also be present.
The meeting will be held at Dukinfield Town Hall on Friday 22nd January 2010 at 2.00 p.m. and it will be chaired by Dame Pauline Fielding. Members of the public are invited to attend to observe proceedings.
A spokesman from the hospital said “the Trust welcomes the opportunity to discuss and explain the hospital’s mortality rate and action that that is taken in response.”
If there is anything that you wish to discuss with regards to medical negligence following reading this article, then please do not hesitate to contact the solicitor, Rachel Donovan, on 0151 227 1214 or e-mail her at: don@johnpickering.co.uk.
Further information:
Rachel Donovan, Solicitor
John Pickering and Partners LLP
19 Castle Street
Liverpool
L2 4SX
Freephone: 0808 144 0958
Fax: 0151 258 1262
Notes
John Pickering and Partners LLP
About Us
Our clients are people who have suffered injury as a result of a medical accident in the UK. We are clinical and medical negligence solicitors. We handle negligence claims against hospitals, GP’s and other medical practitioners for clients across the UK.
We try to obtain maximum amounts of compensation.
We are committed to providing public funding (previously known as Legal Aid) and have a franchise from the Community Legal Services Commission. This means that they have looked at the firm carefully and approved of the way we work. They consider that we are medical negligence claims specialists. They trust us to handle medical accident claims properly.
If you are not eligible for public funding, we can offer a Conditional Fee Agreement, also known as a ‘no win, no fee’ agreement with insurance. We shall check the best method of funding your claim.
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Claire Horton is an experienced clinical negligence solicitor who is based in our Manchester office. She continues to practice as an independent funding ajudicator for the Legal Services Commission and acts on a pro-bono basis for the AvMA helpline.
For further advice on medical negligence in Liverpool please also contact Rachel Donovan and for Halifax contact Ruth Davies, who are both experienced in the field of clinical negligence.
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If you need advice about a clinical negligence claim, contact us now for information about making a claim for compensation.