Investigation reports

We found that a medical assessment performed during a home visit was carried out in line with good medical practice, but that the GP should have recorded what had been discussed with the patient and her family, and what they should do if her symptoms did not improve.

A patient who died three days after visiting his doctor for a routine medical review received treatment that was 'appropriate and in accordance with relevant guidance' according to an investigation by the Ombudsman.

An investigation has revealed that a nursing home failed to fully record its observations of a resident's head injury following a fall, and did not call an ambulance to take him to hospital until almost eight hours after the incident.