Apology to patients over ‘unnecessary operations’ by ex-consultant
THE NHS trust that runs Burton and Derby’s hospitals has made a “full and unreserved apology” to almost 120 women over concerns they were the subject of unnecessary operations at the hands of a former hospital gynaecologist.
University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) contacted nearly 400 women after reports that patients of ex-consultant Daniel Hay suffered “serious harm” between 2015 and 2018. An interim report, overseen by NHS England (NHSE), found major concerns about the care received by 50 patients, with some concern over a further 69 cases.
Lawyers acting on behalf of some of the patients said they were “particularly concerned that lifechanging procedures appear to have been conducted without some women being able to make informed decisions about their care”.
The review of Mr Hay’s care found examples of poor documentation, insufficient information on the rationale for clinical decision making, and some operations added to the waiting list that were not necessary or could have been avoided. A total of 327 cases were reviewed by NHS England, including 181 gynaecology procedures and 36 obstetrics cases.
The care of 110 women, who attended outpatient appointments at Ripley Hospital, was also investigated. Detailing some of the areas for concern, the report said: “The interim report, independently written by NHSE, highlights considerable concerns about decision making and the choice of surgery that was undertaken. The rationale for surgery is often absent or not clear in the clinical notes and treatment plans did not describe non-surgical options prior to embarking on surgery.
“The standard of documentation is poor, and the assessors took the view that what was not documented was not done.”
Mr Hay, who worked at Royal Derby Hospital, has since left the trust and has performed no operations since 2018. The interim report made seven recommendations to the trust, including inviting women to a review of their care, reviewing its measures so information is shared and staff do not work as individuals, and so other employees feel they are able to raise concerns about the standard of care.
Dr Magnus Harrison, executive medical director at UHDB, said: “I want to make a full and unreserved apology to all those women who have identified as being harmed.
“When colleagues initially raised concerns in the latter half of 2018 and right through to today we have worked diligently to piece together a picture of the care they received under this consultant in an open and transparent way.
“I want to make clear that the standard of care these women received was far below that which we strive to provide and for that I am very sorry. “We have now been in touch with all the women who we believe harm is likely to have occurred as a result of a major gynaecological operation and many of these women have now spoken to us in person. We will continue to contact all the women involved through 2021 to offer them the opportunity to discuss their care with us. There is still much work to do but the interim report of investigation demonstrates that it was the right decision to formally investigate the work of this consultant. I want to thank the patients who have already shared their experiences with us, which I know must be extremely difficult for them. “I also want to thank my colleagues in our gynaecology and obstetrics service for initially raising their concerns and for the support they have given these patients since. This has not been an easy task, complicated by an absence of clear patient documentation, and the Covid-19 pandemic.”
The full report findings are due next year.