Payment for delay in diagnosing and treating cancer

Clinical Negligence case report: £10,000 Payment for delay in diagnosing and treating cancer

Our client had a long and complicated history of symptoms for which she attended regular GP and hospital appointments dating back to December 1989. During that time, she was suffering chronic pain and her GP requested a full range of blood tests in August 2000.

The blood tests, which showed she had raised levels of alkaline phosphatase, were received by the GP practice very promptly, in fact the following day. Sadly, and negligently, the blood test results were neither noted nor actioned.

Our client in fact had cancer which was not diagnosed for some months. She suffered from spinal cord compression, restricted mobility and sphincter control and considerable pain. As a result of the cancerous tumour in her spine, our client's condition deteriorated and she passed away in July 2002.

It was alleged that there was a negligent failure by our client's GPs to treat her symptoms with the seriousness that they warranted and accordingly to refer her for further investigations into the cause of her back pain and to act upon her abnormal blood test results in August 2000.

Although it was accepted that given the seriousness of our client's cancer, her ultimate prognosis would have been poor.

It was alleged that earlier diagnosis and hence earlier treatment would have delayed her death by some months if not years and further would have eliminated the chronic pain and emotional distress caused as a result of being left untreated and not provided with a proper diagnosis for her condition.

Following our client's death, her husband brought an action against her GP Practice under the Fatal Accidents Act 1976/Law Reform (Miscellaneous Provisions) Act 1934 for statutory bereavement damages and his late wife's funeral expenses.

Following service of a Letter of Claim, the Defendant conceded that "It is clear that the abnormal result was noted by a member of staff at the practice because the finding was ringing and ticked for filing but no further investigations regarding this were carried out".

It was also conceded that this constituted a systems failure at the practice and therefore fell below a reasonable standard of care. In relation to causation, the Defendant accepted that had our late client's abnormal blood test results in August 2000 been followed up, her bone metastasis would have been established at that stage.

It was most likely that she would have received radiotherapy which would in turn have provided her with pain relief and prevented the development of her spinal cord compression.

This was not in fact diagnosed until August 2001 and it was therefore accepted that as a result of the delay in diagnosis in August 2000, our late client suffered 12 months of increased pain together with additional symptoms from her spinal cord compression.

Unfortunately, we didn't have the opportunity of obtaining a signed witness statement from our late client before she passed away.

Her husband appreciated the evidential difficulties that this caused and was keen to see a conclusion to the claim following the sad loss of his wife. He therefore accepted the Defendants' Offer of £10,000 plus payment of his costs in June 2005. He was very pleased with the settlement.

Clinical Negligence Team
Hodge Jones and Allen

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