Compensation awarded for 8 year GP delay

Clinical Negligence case report: £15,000 awarded for 8 year GP delay in referring for gynaecological opinion

A. V RATNAVEL, JOGARAJAH, SHEPHERD AND ZAKANI OUT OF COURT SETTLEMENT MARCH 2007

Our client received £15,000 against four of her former General Practitioners collectively for a failure to refer her to a Gynaecologist over a number of years resulting in a delay in diagnosis of a retroverted uterus and an avoidable period of consequential symptoms, including abdominal pain and painful intercourse.

Claimant: Between ages of 29 and 39 at time of injury; 41 at time of settlement.

Clinical negligence: Our client started to suffer with gynaecological problems after an appendicectomy operation in April 1984. Following the operation she suffered continual bouts of cystitis and thrush together with abdominal pain and pelvic infection.

In 1992, she complained of pain on intercourse and loss of feeling in her right leg and back. An ultrasound scan performed in June 1992 showed a normal pelvis. Nevertheless the client's pain continued throughout 1993 and she was eventually referred to a gynaecologist at Watford General Hospital in May of that year.

However, prior to any investigations taking place, our client fell pregnant. Following the birth of her child by caesarean section in January 1994, she complained of pain in the back and pelvic region.

In October 1995 she was informed by one of the Defendants at her GP surgery that she might have an infection in her fallopian tubes in view of the continuing pain. Despite this clear query of an infection and well documented record of gynaecological problems and complaints, there was a failure to examine her abdomen properly, arrange for swabs to be taken or to have her followed up to check if the symptoms remained.

Our client continued to complain of pain to each of the Defendant doctors over the next several years. However on each occasion, no proper investigation was undertaken nor a referral made until July 2003 when one of the Defendant doctors referred her to a gynaecologist at Watford General Hospital.

Following an internal examination in December 2003, her gynaecologist confirmed that she required an ultrasound scan which was duly performed and revealed in June 2004 she was suffering from a tethered retroverted uterus.

A laparoscopy took place in June 2005 and completely cured all of the Claimant's ongoing symptoms. The case was resolved during the pre-action protocol period following a Letter of Claim sent to the Defendants in October 2006.

Following a Part 36 Offer in January 2007, the case settled after negotiations although no admissions of breach of duty were made by the Defendants.

Injuries: Low back pain and loin pain; inability to wear tampons; leg numbness; pain on sexual intercourse.

Effects: As a result of our client's continuing pain, this had an adverse effect on her relationship with her husband due to her inability to sustain a close physical relationship. This led to emotional distress and the relationship breaking down at one stage.

Out of court settlement: £15,000 in March 2007

Breakdown of damages: General damages only for the period during 1995 to 2003 when it was alleged the Defendants negligently failed to refer our client to a gynaecologist. No special damages were claimed.

Olivia Lawson at Hodge Jones and Allen represented our clients interests; MPS, MDU and MDDUS for the Defendants.

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