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| Disabled people 'failed by NHS' | |
| (about 2 hours later) | |
| NHS and social services in England are failing to meet the health needs of people with learning disabilities, investigators say. | NHS and social services in England are failing to meet the health needs of people with learning disabilities, investigators say. |
| The Health Service and Local Government Ombudsmen said the standard of care was an "indictment of our society" after reviewing the deaths of six people. | The Health Service and Local Government Ombudsmen said the standard of care was an "indictment of our society" after reviewing the deaths of six people. |
| They found one man died as a result of failings in his care, while a second death could have been avoided. | They found one man died as a result of failings in his care, while a second death could have been avoided. |
| The government said it was taking steps to address the problems. | The government said it was taking steps to address the problems. |
| CARE LINKED TO DEATH Mark Cannon - The 30-year-old died eight weeks after being admitted to hospital with a broken leg. He waited three days to see a pain team and developed an infection. Complaints were upheld against the hospital and council - he was in a care home when he was first injured. The ombudsmen ruled care contributed to death.Martin Ryan - Died several weeks after having stroke. While in hospital, the 43-year-old went 26 days without being fed. The hospital was criticised: death could have been avoided if care had been better. class="" href="/1/hi/health/7959961.stm">Will shocking care be addressed? | |
| The ombudsmen investigated the cases after they were highlighted by the charity Mencap. | The ombudsmen investigated the cases after they were highlighted by the charity Mencap. |
| The two bodies looked into complaints made by the families of the six people who died between 2003 and 2005. | The two bodies looked into complaints made by the families of the six people who died between 2003 and 2005. |
| The report found failings by hospitals, local health bosses, the official NHS regulator and social care services provided by councils, although none of the complaints against GPs were upheld. | The report found failings by hospitals, local health bosses, the official NHS regulator and social care services provided by councils, although none of the complaints against GPs were upheld. |
| As well as linking the care of two of the six to their eventual deaths, it also said the failings in the care of two more was partly due to the fact that they had learning disabilities. | As well as linking the care of two of the six to their eventual deaths, it also said the failings in the care of two more was partly due to the fact that they had learning disabilities. |
| Care was found to be inadequate in the final two, although the ombudsmen ruled this could not be put down to the way the organisations treated people with learning disabilities. | Care was found to be inadequate in the final two, although the ombudsmen ruled this could not be put down to the way the organisations treated people with learning disabilities. |
| Nonetheless, they said there was enough evidence to suggest the problems were endemic across the services. | Nonetheless, they said there was enough evidence to suggest the problems were endemic across the services. |
| 'Inadequate care' | 'Inadequate care' |
| Ann Abraham, the Health Service Ombudsman, said: "The recurrence of complaints across different agencies leads us to believe that the quality of care in the NHS and social services for people with learning disabilities is at best patchy and at worst an indictment of our society." | Ann Abraham, the Health Service Ombudsman, said: "The recurrence of complaints across different agencies leads us to believe that the quality of care in the NHS and social services for people with learning disabilities is at best patchy and at worst an indictment of our society." |
| In total, the role played by 20 different bodies in the cases was investigated. | In total, the role played by 20 different bodies in the cases was investigated. |
| Hospitals were criticised for the inadequate care and treatment given to people with learning disabilities as well as the way they looked into complaints. | Hospitals were criticised for the inadequate care and treatment given to people with learning disabilities as well as the way they looked into complaints. |
| POOR CARE BECAUSE OF DISABILITY Tom Wakefield - The 20-year-old had long history of stomach problems before dying of pneumonia and reflux problems. The council and the NHS were criticised for not planning and providing adequate care. The Healthcare Commission complaint handling was also found at fault.Ted Hughes - After spending most of his life in care homes, the 61-year-old died the day after being released from hospital after an operation. Discharge arrangements by the hospital were found to be inadequate. href="/1/hi/england/gloucestershire/7960135.stm">Anger over care for son who died | |
| Councils were attacked for failing to provide or secure adequate levels of health care, while local health managers working for primary care trusts were said to be struggling to plan services properly. | Councils were attacked for failing to provide or secure adequate levels of health care, while local health managers working for primary care trusts were said to be struggling to plan services properly. |
| The Healthcare Commission, the NHS regulator, was even ruled to have not handled complaints properly in some of the cases. | The Healthcare Commission, the NHS regulator, was even ruled to have not handled complaints properly in some of the cases. |
| The ombudsmen said there was sufficient policy and guidance available, but agencies were not following it and, as a result, were in breach of human rights and disability discrimination laws. | The ombudsmen said there was sufficient policy and guidance available, but agencies were not following it and, as a result, were in breach of human rights and disability discrimination laws. |
| They recommended all agencies review the systems they have in place for making sure the needs of people with learning disabilities were met. | They recommended all agencies review the systems they have in place for making sure the needs of people with learning disabilities were met. |
| Communication | Communication |
| In particular, they said staff needed to improve communication with the patients and their families and social care and NHS teams had to work together better to ensure discharge arrangements were good enough. | In particular, they said staff needed to improve communication with the patients and their families and social care and NHS teams had to work together better to ensure discharge arrangements were good enough. |
| The ombudsmen's report comes after the government has already promised to improve training and carry out a full inquiry into premature deaths among people with learning disabilities. | The ombudsmen's report comes after the government has already promised to improve training and carry out a full inquiry into premature deaths among people with learning disabilities. |
| POOR CARE NOT LINKED TO DISABILITY Emma Kemp - The 26-year-old died shortly after being diagnosed with cancer. Her mother complained she should have been diagnosed earlier and given chemotherapy treatment. The complaint not upheld, but the way it was handled was criticisedWarren Cox - Died 90 minutes after being admitted to hospital with stomach pains. The hospital was found to have acted correctly, but the Healthcare Commission failed to offer them proper review of case | POOR CARE NOT LINKED TO DISABILITY Emma Kemp - The 26-year-old died shortly after being diagnosed with cancer. Her mother complained she should have been diagnosed earlier and given chemotherapy treatment. The complaint not upheld, but the way it was handled was criticisedWarren Cox - Died 90 minutes after being admitted to hospital with stomach pains. The hospital was found to have acted correctly, but the Healthcare Commission failed to offer them proper review of case |
| Ministers made the announcements earlier this year after an independent inquiry last year into the deaths found significant failings. | Ministers made the announcements earlier this year after an independent inquiry last year into the deaths found significant failings. |
| Care services minister Phil Hope said: "Preventable deaths of people with learning disabilities are absolutely unacceptable. | Care services minister Phil Hope said: "Preventable deaths of people with learning disabilities are absolutely unacceptable. |
| "We are taking action to ensure that people with learning disabilities get the equal access to the health care that they deserve." | "We are taking action to ensure that people with learning disabilities get the equal access to the health care that they deserve." |
| But Mencap chief executive Mark Goldring said the findings were "damning". | But Mencap chief executive Mark Goldring said the findings were "damning". |
| But he said: "We would have liked to see individuals held accountable where they have not met required standards. | But he said: "We would have liked to see individuals held accountable where they have not met required standards. |
| "We will continue to fight for justice for the families and, with them, consider referring the individual doctors who failed in their duty of care to the General Medical Council." | "We will continue to fight for justice for the families and, with them, consider referring the individual doctors who failed in their duty of care to the General Medical Council." |