Overview
The complainant (Mrs C) raised concerns about Grampian NHS Board (the Board)'s handling of her husband (Mr C)'s hip replacement operation. Equipment problems caused complications during the procedure. Following surgery, Mr C developed delirium. Although this largely resolved with time, he was required to remain in hospital for several months following his surgery.
Specific complaint and conclusion
The complaint which has been investigated is that staff at Dr Gray's Hospital (the Hospital) in Elgin failed to conduct Mr C's hip replacement operation on 31 October 2012 in a reasonable and appropriate manner (upheld).
Redress and recommendations
The Ombudsman recommends that the Board:
- conduct a review of the equipment available in their theatres to ensure that their surgical teams have access to any instruments which might be required in the course of an operation; and
- share my findings with their surgical staff for discussion at a suitable learning forum, with particular reference to the appropriateness of decisions made during Mr C's operation.
The Board have accepted the recommendations and will act on them accordingly.