NHS sorry after failure to check patient for razors

Parent’s complaint on care of teenager at mental health unit is upheld

NHS Tayside has apologised for failing to stop a teenage patient taking razor blades into a mental health unit.

The Scottish Public Services Ombudsman (SPSO) investigated a complaint from the patient’s family, and ruled that the teen had not been properly searched when they were admitted to the acute unit.

It comes after another damning review of local mental health services, which found that patients with suicidal thoughts were regularly delayed in gaining access to proper treatment.

In its findings published this week, the SPSO said the unidentified teenager – named in the report as Patient A – called home the day after being admitted to the unit.

Patient A spoke of having razor blades and intending to self-harm.

The family contacted the ward and staff visited the patient and took away the blades.

The next day, the teenager phoned home again after leaving the ward. The police were contacted and Patient A was later returned to the unit, before being transferred to another site.

A parent of Patient A complained the teenager had not been searched properly, or reasonably assessed, on arrival at the ward.

According to the SPSO report: “The board told (the parent) that the routine risk assessment at admission had shown no indication that (the patient) was at risk of absconding, and this led to the decision not to lock the ward door.

“They also said that a check of the patient’s belongings when they were admitted had led to razor blades being taken from their possession. The parent was dissatisfied with the board’s response and brought the complaint to us.”

An SPSO spokesman said: “We took independent advice from a mental health nurse. We found that the patient had not been properly searched upon their arrival, that it was unreasonable that the board had not carried out a medical, nursing or joint assessment on the day of A’s admission and that the standard of assessment and careplanning at the point of admission fell significantly below professional expectations.”

The ombudsman upheld the complaint and told NHS Tayside to say sorry to Patient A.

An NHS Tayside spokeswoman said: “We have apologised to the patient and addressed all of the recommendations made in the decision report.”

“Parent was dissatisfied with the board’s response and brought the complaint to us