NHS blunders led to Devon toddler's death
Sam Morrish died after a "catalogue of errors"
A string of blunders by NHS workers led to the death of a three-year-old Devon boy, a review has found.
Sam Morrish died in December 2010 from a treatable condition
because four health service organisations made mistakes, the
Parliamentary Health Service Ombudsman (PHSO) said.He died of severe sepsis after a "catalogue of errors".
Sam's parents also said they had "serious concerns about the competence and accountability" of the ombudsman.
Ombudsman Dame Julie Mellor said that had Sam received the appropriate care, he would still be alive today.
Cricketfield GP Surgery, NHS Direct, Devon Doctors Ltd and South Devon NHS Trust were all criticised.
Failures included inadequate assessment of the toddler, not recognising that he was vomiting blood and a three-hour delay before he received antibiotics at hospital.
Our involvement included providing information, pointing out omissions, correcting factual errors”
This is far to often the case complaints not addressing the actual problems and false data.
Susannah Morrish Sam's mother
"The astonishing length of time it has taken for PHSO to finalise this report has inescapably prolonged our distress.
Sam's mother Susannah Morrish said: "The report looks the way it does because of our constant intervention.
"The fact there had to be two draft reports, both of which looked radically different to this final report, says something.
"Our involvement included providing information, pointing out omissions, correcting factual errors.
"Our thoughts were if we didn't do this, who would?"
Sam's father Scott Morrish said: "The thing that we're still trying to push for is, we're not clear who the ombudsman is accountable to, we're not clear who really understands what happens behind the scenes there, and we're not entirely sure that Parliament is actually able to look at anything more than what comes out in the report."
Dame Julie said: "I accept that the family are right that the investigation method used in this case was not adequate to the complexity of the case.
"I really recognize that this contributed to the family's distress and we have apologized for that and thanked the family for their feedback on the particular method we used in this case, because we are developing new investigation methods."
The Complaints service in County Councils, Police and NHS is Unfit for purpose whist every attempt is being made to defend the indefensible.
2 Years to get a truthful result is disgusting and I suspect that this is not just an isolated case, the NHS and PHSO are not the only culprits
My heart goes out to this child's family and they have my full respect for their determination to make lessons to be learnt against continual dismissal.
My personal views on this is that the quangos set up by government hold no legal power to enforce any organization to make change in culture.
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We are here to try to make change please dont send posts which are without viable proof there are some good people out there attempting to do a good job.