What i write in bold is my opinion.
I write further to your complaint about south devn health trust (the trust) and healthcare commission (the commission) . I have completed my assessment of your complaint and i am in a position to provide you with our decision. I am sorry thati have been unable to do so before now.
Your complaint
Your origional complaint tothe trust related to the care and treatment you recieved , as you believe that you were not appropiately treated when you had a iscarriage on 6 may 2008. You said thatin your opinion your experience of the trust was poor , due to it not prioritising your miscarriage and not treating you appropiately . You believe tht you were treated disrespectfully and were given the products of your miscarriage in a jar. When you tried to complain verbally you believe you were again treated with disrespect.
You have said that you dont believe that the commission have critically examined the detail of your complaint and did not hold the trust accoutable . You told me you would like the ombudsman to review your complaint and to provide confirmation that lessons have been learnt from your complaint.
The ombudsan role.
I thought it would be helpful to clarify that the ombudsman 's role is to undertake independant investigations into complaints that the NHS has not acted properly , fairly or has provided a poor service. -There was previouslya threestage NHS coplaints process , which was followed when you made your complaint : local resolution by the body concerned , independant review by the commission and consideration by this office. The ombudsman does not consider that her role is to repeat an investigation that has been undertaken by the commission. Therefrore , in deciding to investigate a complaint , we first assess wheather the commissions handling of it appears to be reasonable .
With that in mind , the ombudsman willy usually only investigate a complaint where it appears that the commission have not acted properly ,fairly and their conclusions were unreasonable. We would also expect to see some evidence that the person affected had suffered an unremedied injustice as a result of the commissions actions and to be satisfied that an investigation by this office is likely to achieve a worthwhile outcome. Our consideration of your complaint has therefore focussed on the commissions handling of the matters put to them.
Our decision.
We have carefully considered your written complaint and the papers we have recieved , buti can see no evidence that the commission has reached unreasonable conclusions in relation to your complaints. I will turn to my reasons for that below but , for completeness , i have first set out a background of your complaint .
Background to your complaint.
You attended the trusts accident and emergency department (A&E) , with your partner on 6 may 2008 suspecting that you were miscarrying . Upon arrival , you were told to sit and wait . You said during your wait you soiled your trousers and were also passing small blood clots .
Yes i did say that i had soiled throug my trousrs while waiting over an hour but i was not clotting at this point just heavy bleeding.
When you approached the reception you were told to go to the nurses station to seek assistance. You explained that at this point you started going into shock as you begun to realise the reality of what was happening. You spoke to a nurse who arranged for you to be taken to a room where you could have privacy.
Yes i admit i was taken to a room on the A&E department but only for 10 minutes max.
You were then examined by the nurse. You said the nurse took your hand and told you that although bleeding in early pregnancy was normal , given the volume of blood you were loosing the chances were that something was wrong . The nurse then put you on a drip.
Actually I didnt get examined untill after i had finnished miscarrying there was too much blood she couldent see a thing. Yes that nurse was very kind to me i am forever grateful for everything she did for me that night. At that point barry went to make a phonecall she mentioned getting a drip going but then decided to put me into resuss i had NO privacy there was a MAN in te next cubicle . That is where the drip was set up.
You were then taken to another room. You continued on the drip and were given liquid paracetamol and fluids .Your blood preasure was also taken . You said the nurse then left the room. -Another nrse etered and sat writting notes . She also left and two other women entered. At this point you were shaking as you were cold and upset as you were losing your baby. You said that one of the women , a gynaecologist then said to you its only a miscarriage.
No i wasnt taken to another room i was taken to resuss. There was no drip to continue but they did start one up. (actually there were 2 drips ) I agree i had paracetamol and fluids and i was als o given morphine orally. Yes i had my blood preasure done. The lady that did the blood preasuree was the only one i saw writting any notes. There were no 2 other women . Yes i was terribly shaken they had to put the sides up i was shaking so much i couldent put any clothes on untill barry got back with them they were covered in blood. Yes it was the registrar of gynaecology and she told me "Its OK its only a miscarriage" .
Once your drip had drained you asked to go to the toilet. You were informed that you were unable to walk to the toilet as there was a possiblity you would pass out. You were offered a commode. Whilst you were sat on the commode you noticed you were passing blood clots . You said that you passed a large clot which you suspected to be your baby. After your partner had left , the gynaecologist returned with a sample jar , hlaf wrapped in tissue . The gynaecologist then put this down on the table and infrmed you you had undergone a miscarriage . The gynaecologist passed the sample to you and said that the clot was the foetus . The gynaecologist then tried to examine you to ensure that the entire foetus had come away . You refused to do this untill yuor partner had returned. You were left with the specimen and your partner was contacted.
That is true i was busting for a wee and i was told i couldent walk but when the drip finnished they would bring me a commode and fair enough she did. I knew when the large clot came through that that waas it prgnancy over dreams shattered . I didnt ask to see my miscarriage I was already in pieces with what had already happened for her to give it to me was totally unfair and in my mind sick ad twisted . I mean who in the right mind would do such a insensitive thing?? Damn right i didnt let her examine me would you ? I had what should have been inside of my stomach growing i myhand proof i really had miscarried . Who would leave a mother with their remains i wanted to smash the darn thing on the floor. hoping it was all a dream and i would wakeup any minute but it wasnt a dream it was all happening for real.
You said that your partner returned with your father . You informed your partner that you had had a miscarriage . The nurse at this point took thesample jar from you and passed itto your partner. You were discharged from hospital at 23.15 . You said that you were disgusted at having the foetus 'shoved in my face' .
Yes he did previous to me going to the hospital i called my father to look after the kids though i later anted him there, she sure did take it from me i had it hidden (from barry) under my armpit she snatched it from me and gave it to him. I wasnt discharged at 11.15 i remmeber i was taken to the mccallum ward at 10pm they said i needed to stay there for 2 hours i was actually discharged at 00.15. Yes i was very disgusted and still am.I mean who wants their miscarriage shoved in their face??
You raised your concerns as a formal complaint in your correspondance to the trust of15 may 2008 . You told the trust that you had tried to raise your complaint previously but were told that you could not.
Thats also true i was told that i couldent complain because i had nothing to complain about .