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'Serious failings' over Prince Philip Hospital death

From BBC - October 23, 2017

"Serious failings" have been identified in the care of a 79-year-old man who died shortly after being declared fit for discharge at Prince Philip Hospital in Carmarthenshire.

The Public Services Ombudsman upheld complaints about Hywel Dda University Health Board by the patient's daughter.

She said doctors were slow to respond to her father's deteriorating condition which resulted in cardiac arrest.

The health board said it was committed to learning from its mistakes.

The patient, known in the ombudsman's report as Mr F, was admitted to hospital on 6 May 2014 for a hip replacement.

He was seen by a junior doctor the next day, but records show he was not seen by a doctor in the three days following.

Symptoms of sepsis

When he was seen by two consultant surgeons, neither were said to have recorded their reviews of Mr F.

On 14 May, a junior doctor said Mr F was fit to be discharged, but nurses did not conduct a final set of observations. When his family came to collect him they reported Mr F was feeling unwell.

He was seen by junior doctors who believed him to show symptoms of sepsis, probably caused by intestinal obstruction.

After tests, Mr F said he was feeling better and his family left him to rest. They were later contacted at home to say Mr F had gone into cardiac arrest and had died.

Mr F's daughter, known as Ms D, submitted a formal complaint to the health board. In it, she said:

Mr F's medical notes were reviewed by the health board's clinical director who concluded that, despite shortcomings in his care, the outcome for him would not have been different.

'Genuine regret'

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