Three patients who had a colonoscopy died after a doctor failed to carry out appropriate follow-up care, NHS Greater Glasgow and Clyde has revealed.
There were among six patients harmed between 2020 and 2022 when they did not receive suitable care following the procedure.
The health board apologised and said the consultant responsible was suspended and has now left their post.
It said it has contacted all affected patients.
NHS Greater Glasgow and Clyde (NHSGGC) said it has reviewed 2,700 patients who had colonoscopies between January 2020 and November last year.
It found that 100 patients treated by the doctor in question were overdue their follow-up colonoscopy.
NHSGGC said it was not naming the consultant as doing so “would potentially” breach its data protection responsibilities.
Deputy medical director Prof Colin McKay said: “We would like to offer our sincere apologies to patients who were not followed up appropriately and our condolences to the families of those patients who have died.
“When errors were first discovered, an immediate, comprehensive review was carried out of all cases managed by the doctor since 2020.
“We would like to reassure patients that we have already contacted all those patients affected and that no other patients should be concerned that they may be involved.”
Bowel screening programme
In a statement released to the media, the board said it informed the regulator, the General Medical Council, of its investigations when the issues first were identified.
The NHSGGC investigation found that the doctor did not consistently follow up the results of investigations that had been completed or requested.
This meant they missed the opportunity for some patients to be treated, including a number of people who went on to develop malignancy.
The vast majority of colonoscopies performed by the doctor were for patients in the bowel screening programme.
The consultant was suspended in November 2022 and has since left the employment of NHSGGC but the board did not say when they left and under what terms.
Timeline
March 2022 – First patient identified
May 2022 – Review finds it is an “isolated administrative error” and no suggestion it was a wider issue
August 2022 – Second patient identified. Patient safety review commissioned into patients who had colonoscopies with endoscopist between April and August 2021.
September 2022 – Outcome of review highlights further issues. Disciplinary investigation and formal review into doctor’s practice begins.
A full review is undertaken of all colonoscopies carried out by the doctor between 2020 and November 2022
September 2023 – Detailed review of patient records and follow up for affected patients is completed.
- A contact number for patients has been set up for anyone who may have concerns or questions about these issues. The number is 0141 451 5435 and is staffed between 08:00 and 20:00 Monday to Sunday.
