PEOPLE’s free daily newsletter<\/a> to stay up-to-date on the best of what PEOPLE has to offer, from juicy celebrity news to compelling human interest stories.<\/strong><\/p>\n\u201cHe had respiratory and mobility issues and needed 24-hour care and help with feeding and personal hygiene,\u201d PHSO continued. \u201cDue to his condition, the man had a permanent catheter and was susceptible to Urinary Tract Infections (UTI).\u201d<\/p>\n
The man struggled with communicating his needs with medical staff due to his disabilities. While his mother expressed her concerns with the staff at the hospital, she did not realize he had not yet been given the antibiotics prescribed to him.<\/p>\n
The hospital was also told by the paramedics and care home staff that the Nottinghamshire resident needed IV antibiotics.<\/p>\n
Though the primary care physician had entered the man\u2019s test results into an online system, the hospital did not use it, due to the request not being in writing.<\/p>\n
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Stock image of hospital waiting room<\/p>\n
\u201cInstead, following consultation with a microbiologist, staff decided to try an oral antibiotic, but the requested drug was unavailable,\u201d the release read. \u201cAt that point, the Ombudsman found that doctors should have requested further advice, and it is likely that IV antibiotics would have been advised and available.\u201d<\/p>\n
The IV antibiotic ended up being given to the man \u201c34 hours after he arrived at [the] hospital, and at half the dosage it should have been,” according to the release.<\/p>\n
There was also a three-hour delay from when the doctors asked for the medication to when it was given to the patient.<\/p>\n
He had then become septic by the time the second dose was given, before passing away a week later.<\/p>\n
\u201cIn this case, a man who was unable to advocate [for] himself and completely reliant on clinicians to look after him did not receive the care he needed. Tragically, this meant he unnecessarily lost his life,\u201d Rebecca Hilsenrath KC (Hon), Chief Executive Officer of PHSO, said in a statement.<\/p>\n
\u201cLosing a life through sepsis should not be an inevitability,\u201d she added. \u201cBut we are seeing the same failings repeated time and time again, and complaints about sepsis have more than doubled over the past five years. We also see poor communication between patients and clinicians and we are focusing our efforts to help improve this throughout the NHS.\u201d<\/p>\n
\u201cOrganizations must be held to account so that justice can be provided, and services can be improved for the future,\u201d Hilsenrath continued. \u201cThe NHS needs to have a culture that is open, listens to patients and their families, accepts mistakes when they happen and learns from them.\u201d<\/p>\n
The man\u2019s mother also said, \u201cI knew my son better than anyone, and I was trying to help the doctors by telling them the oral antibiotic wouldn\u2019t work and that the GP had a microbiologist\u2019s report that said he wouldn\u2019t respond to that drug.\u201d<\/p>\n
\u201cBut they just totally dismissed me. Their attitude was they were the doctors, and I was just his mum,\u201d she added.<\/p>\n
\u201cIt was heartbreaking to finally understand the truth,\u201d the mother continued. \u201cI was given the impression he had at least been given some antibiotics, even if they weren\u2019t the right ones. But to find out he was in hospital for all that time with no treatment was very hard.\u201d<\/p>\n
In a statement to PEOPLE, the Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust said they were \u201ctruly sorry for what happened in this case and for the loss experienced by the patient\u2019s family.\u201d<\/p>\n
\u201cWe reviewed the information and care provided at the time through our Patient Safety Panel,\u201d the statement continued. \u201cImmediate actions were implemented to strengthen how antibiotics were prescribed, escalated and given.”<\/p>\n
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