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Obstetrics and Gynaecology review

September 2020

University Hospitals of Derby and Burton NHS Foundation Trust has this week written to a further 79 women as part of a review into the past treatment provided by a former consultant in Obstetrics and Gynaecology.

The Trust announced in April 2020 that a review was underway following concerns expressed by members of the Obstetrics and Gynaecology Team regarding the practice of their consultant colleague, raised in late 2018.

An initial 57 cases were independently reviewed, primarily regarding gynaecology outpatient and surgical treatment. For eight of these cases we have identified lapses in care which have resulted in unnecessary harm. The Trust has since apologised to these women for the care they received.

Following this the Trust asked NHS England to establish an independent clinical review of the wider work of this consultant. To do this the Trust contacted a further 136 women1 who were patients of this consultant between 2015 and 2018 and who received a major obstetric or gynaecological intervention in the three years prior to this development to ask them to engage in the review process.

The latest 79 women included are part of a review of intermediate care, such as a diagnostic test, that took place between April 2017 and June 2018. Although there are no current concerns about the care these women received, the Trust and NHS England have expanded the review to ascertain whether women who required intermediate care need to be included.

Dr James Crampton, Medical Director for Quality and Safety, said: “It is important to widen the review at this time to investigate whether those who underwent intermediate care from this consultant received safe care. We are doing this proactively, rather than in response to any specific concerns, so that the review is as thorough as possible. We will continue to work closely with NHS England to establish the full facts of the care provided by this consultant and will provide all the necessary support they need during their review.”

The review, which has been slowed due to the Covid-19 pandemic, is necessarily complex and will determine whether patients have been managed appropriately and whether any harm has been caused by any deficiencies in their care. As with the initial review we are writing to the patients this week to informed them that their patient records will be confidentially shared as part of the NHS England review.

​Members of the public are asked to continue not to call the hospital switchboard in relation to this issue as all those patients who are potentially affected at this stage have already been contacted directly. However, anyone needing further reassurance should visit the Trust website for details of how to get in touch. Once the review is complete the anonymised findings will be published on our website.

April 2020 Obstetrics and Gynaecology review

University Hospitals of Derby and Burton NHS Trust is reviewing the past treatment provided by one of its consultants in Obstetrics and Gynaecology. An initial 58 cases have been independently reviewed, primarily regarding gynaecology outpatient and surgical treatment. For eight of these cases we have identified lapses in care which have resulted in unnecessary harm.

The Trust has this week written to all 58 patients advising them that their past treatment has been thoroughly reviewed. The review was set up following concerns expressed by members of the Obstetrics and Gynaecology Team regarding the practice of their consultant colleague, raised in late 2018. The consultant involved has not undertaken clinical activity at the Trust since June 2018.

Furthermore, the Trust has asked NHS England to establish an independent clinical review of the wider work of this consultant, which will conclude fully following the Covid-19 pandemic. To do this the Trust has contacted 136 women who were patients of this consultant and who received a major obstetric or gynaecological intervention in the three years prior to this development to ask them to engage in the review process.

Both groups represent all women who may have been affected and each has already been contacted by the Trust and invited to contribute to the review.

Dr Magnus Harrison, UHDB Executive Medical Director, said: “I would like to express my sincere regret and apologies to any patients who may have received a standard of care that is below that expected. The Trust took immediate action as soon as serious concerns about specific aspects of this consultant's practice were brought to our attention.

"These concerns were raised by the Obstetrics and Gynaecology Team themselves in a clear demonstration of their commitment to the highest quality of patient care and their duty to work in an open and transparent way. We will be working closely with NHS England to establish the full facts and will provide all the necessary support they need during their review.”

The review is necessarily complex and will determine whether patients have been managed appropriately and whether any harm has been caused by any deficiencies in their care. In writing to the patients this week the Trust informed them that their patient records will be confidentially shared as part of the NHS England review.

​Members of the public are asked not to call the hospital switchboard in relation to this issue as all those patients who are potentially affected at this stage have already been contacted directly. However, anyone needing further reassurance should contact the Patient Advice and Liaison Service (PALS) on 01332 786653, email uhdb.contactpalsderby@nhs.net  or write to the following address

Patient Advice and Liaison Service

The Royal Derby Hospital

Uttoxeter New Road

Derby

DE22 3NE

Once the review is complete the anonymised findings will be published on our website.