Sufferers are prone to a missed most cancers analysis because of a reliance on paper information, an NHS belief has admitted after a person died because of his tumour being neglected.
Michael Lane, 50, from Shrewsbury, was “failed” by Shrewsbury and Telford Hospital Belief, his household has stated after his most cancers scan outcome was misplaced leaving him with a rising kidney tumour for 10 years.
The belief is but to completely launch an digital file system a yr after an investigation into Mr Lane’s loss of life warned different sufferers had been in danger because of the hole in paper information.
Mr Lane, described as a “light big” by his siblings, went into Shrewsbury and Telford Hospital for a scan following a referral for suspected most cancers in 2011.
The radiographer flagged a small tumour however the scan was neglected, positioned inside his paper information and by no means reported as being a priority.
In an investigation report carried out by the belief in Might 2021, seen by The Unbiased, the hospital admitted that had his tumour been seen and operated on earlier he might have survived.
The report additionally admitted there have been ongoing dangers throughout the belief because of gaps in its digital information system.
It stated: “The implementation of an IT answer won’t stop unhappy circumstances equivalent to that of Mr Lane the place the scan report that was missed came about earlier than the widespread availability of such programs, nonetheless, it’s clear that till we now have an digital requesting and sign-off system we stay prone to new circumstances of missed outcomes and hurt occurring on account of the continued reliance of paper-based outcomes.”
Based on the report, the issue had been beforehand flagged however plans to roll out an digital affected person file system had been placed on pause because of Covid.
Michael’s brother Mark Lane instructed The Unbiased: “How many individuals have been, misdiagnosed or not recognized with most cancers? Who clearly haven’t been picked up.”
“It makes me really feel very indignant actually… They’ve allow us to down. I don’t need this to occur once more, to not anybody else.”
Mr Lane stated his brother had a ardour for motorbikes and loved using excursions of the Isle of Man.
He added: “He had his coronary heart set on shopping for a camper van and travelling and seeing all of Europe however he thought he had longer… [now] he’s only a reference quantity on the NHS. One other statistic the place there was an error concerned and died too younger. That is the person who most of his life paid right into a pension, however by no means bought to see his pension by no means, by no means bought time to get pleasure from his life and that was robbed.”
Mr Lane is looking for any sufferers who suppose they may have been affected by the identical situation to return ahead.
Laura Weir, a lawyer from Lanyon Bowdler who represented Mr Lane and his household, stated it was “disappointing” the belief had nonetheless not applied the possibly “life-saving system”, regardless of admitting the chance of not having it.
Richard Steyn, co-medical director on the Shrewsbury and Telford Hospital NHS Belief, stated: “I wish to supply our honest apologies and condolences to the household of Mr Lane for failing to report the invention of a tumour on an earlier scan.
“We carried out a radical investigation into this case to be taught classes and are planning to introduce trust-wide digital file programs, designed to safeguard sufferers from comparable errors with paper-based information.”
One in 10 hospitals throughout the NHS in England is but to implement a totally digital affected person information system and nonetheless depend on paper information.
Former well being secretary Sajid Javid earlier this month warned in regards to the dangers of diagnostic and administrative errors within the NHS.
In response to questions from The Unbiased at a Coverage Alternate occasion, Mr Javid stated there have been “actually unhealthy administration points” within the NHS and “so many administration errors as a result of all of the paperwork is actually getting misplaced or not being acted upon sooner”
His warning got here after the federal government revealed a brand new plan for all NHS trusts to have digital paper information by the tip of December 2023.
Earlier guarantees set out virtually a decade in the past for a paperless NHS by 2018 had been by no means realised.