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New cross surgery poor examination

Story from nhs.uk

"New cross surgery poor examination"

About: Grange Medicare - New Cross Surgery

The doctor gave a very poor examination of my three year old daughter today. I told him she suffers from febrile convulsions and he did not check her temperature upon arrival nor her throat, ears etc. He only listened to her chest. I had to argue with him for him to check her temperature and he did so very reluctantly.

He gave her a prescription for amoxicillin but didn't check if she had a throat infection because then the treatment would be penicillin. I asked him if he is going to check her throat and he said that it doesn't matter.

We come to see a doctor because we are concerned about our children. I told him she was breathing unusually last night but he didn't take that in to account.

When he gave the prescription he said use common sense. He told me he has treated hundreds of children but that does not mean anything to me because he didn't do a basic examination of my daughter.

Doctors like him should not be allowed to treat small children because children cannot explain well what is going on and that is why we expect clinicians to be thorough in examining children.

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Responses

Response from Grange Medicare - New Cross Surgery 6 years ago
Grange Medicare - New Cross Surgery

Submitted on 25/01/2018 at 12:54
Published on nhs.uk at 14:02

We’re sorry things did not work out during your last appointment but the doctor involved would like to set straight why he did and said what he did.

Firstly he feels that his examination was satisfactory and a full explanation of the examination findings were discussed and a plan of action was also discussed which you appeared to be on-board with.

It seems the issues were mainly around the fact you requested your child’s temperature checking. You were worried about “fever fits”.

The GP involved says he tried to explain to you that constant measuring of and attempts to control the temperature are not effective in preventing further fits. In fact there is specific NICE guidance on this subject (https://www.nice.org.uk/donotdo/antipyretic-agents-do-not-prevent-febrile-convulsions-and-should-not-be-usedspecifically-for-this-purpose ).

The GP has experience of some patients becoming very anxious about controlling temperatures and worrying about fits and whether anything could have been done to prevent them. He wanted to reassure you that you were doing all you could already and wanted to demonstrate this by showing you that taking a temperature was not critical for your child’s wellbeing on this occasion.

Unfortunately the consultation deteriorated before this was fully expressed for which we all share the regret.

We hope you understand that we were not “refusing” to take your child’s temperature.

If you wish to discuss further then please contact the surgery.

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