There has been an increase in the number of so-called “serious incidents” in NHS hospitals and health services managed by the Cardiff and Vale University Health Board up to and including February this year.
The Health Board discussed a range of such incidents in a meeting at the end of last month – noting that ” There are significant potential financial implications associated
with this work in relation to clinical negligence claims.”
An internal report to the board says ” there are currently a number of quality and
safety issues that remain of concern and continue to receive a high level of
focus and monitoring”.
During February 2018 there were 25 “Serious Incidents” – said to be due largely to the increase in the reporting of “pressure damage”.
There were also Serious Incidents “related to Endoscopy services” – mainly to access to the service, delays in urgent and routine endoscopies and “patients who are being lost to follow up”. The Cardiff and Vale Health Board says it is taking steps to “deliver the necessary improvements” and has “received in-year funding to improve waiting times “. The board also admits that from January this year it’s had to call upon private health providers to help “on an outsourcing arrangement” to reduce waiting times – and says that ” the number of Serious Incidents as a result of long waiting times in endoscopy is likely to increase ”
There continue to be “Patient Falls” – but the Health Board points out that there is balance to be struck between “the risk of rehabilitating and mobilizing patients who would otherwise start to ‘de-condition’” It says “The majority of patients, do not experience major harm, approximately one patient a week experiences a serious injury from an in-patient fall”.
Other “Serious Incidents” included:-
- A female patient who was supposed to receive medication “via an epidural” began having it wrongly injected into a vein. (The Health Board says the error was identified very promptly and “no harm came to the patient.”)
- There are “concerns” regarding the management of a patient suffering from sepsis – who subsequently died.
- A clinical negligence claim has been reported to the Welsh Government concerning delays in the treatment of an ophthalmology patient
- A hospital patient was harmed by not having anti-coagulation treatment re-commenced in a timely manner.
- A patient received a botox injection into “an unintended site”.
- A member of NHS staff has been “arrested by the police following serious allegations regarding medicines.”