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"Inaccurate discharge letter and confusing information given"

About: Queen Elizabeth The Queen Mother Hospital / Accident and emergency

(as a service user),

Mum was admitted via A&E following a collapse at home. She was completely unable to communicate, confused and had temp of 38.8 on admission. In A&E we were told she was being treated as possible sepsis and also a potential stroke. She had a previous stroke which presented with similar symptons except for fever. After a CT and admission to the ward we were told she had a right sided stroke and also a urine infection as well as a vitamin deficiency. An MRI the next day apparently showed no evidence of the stroke (? Wrong patient details reported to family after CT) And she continued to be treated with IV antibiotics. She responded and started communicating on day 2. Discharge letter shows that she had vitamin deficiency and "probable syncope". No mention of fever on admission and infection treated with antibiotics. Question regarding delirium diagnosed in admission showed none, frailty fracture noted in history ( never had a fracture). Other inaccuracies noted in history for MRI scan..

Made an appointment for 88yr old lady to go to GP for first of  injections to be given three times a week, she lives alone and has limited mobility. 
Will speak to GP and try and get more clarity for her records, arrange for district nurse to administer injections. But this is an example of poor communication which could have further consequences for the patient. The care and treatment was good from the ward staff, but we are very disappointed at the information discrepancies.
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Responses

Response from Amanda Hallums, Operations Director, Barking, Havering and Redbridge NHS Trust 4 years ago
Amanda Hallums
Operations Director,
Barking, Havering and Redbridge NHS Trust
Submitted on 26/06/2019 at 22:04
Published on Care Opinion on 28/06/2019 at 10:04


Good evening

thank you for your email. I am pleased a diagnosis of stroke was discounted. Thank you also for you kind comment about the ward staff.

I completely understand your concern and would like to investigate further if you are in agreement in order to affect change and ensure reflection and learning.

If you would like to email me further info at Amanda.Hallums2@nhs.net and I can investigate informally

Alternatively you have the option to raise formally again please advise.

I can share your email however it may not reach individuals / depts. concerned

kind Regards

Amanda Hallums

Interim Chief Nurse

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