{"id":729,"date":"2016-03-30T08:06:17","date_gmt":"2016-03-30T07:06:17","guid":{"rendered":"http:\/\/www.glynns.co.uk\/blog\/?p=729"},"modified":"2016-03-29T14:11:29","modified_gmt":"2016-03-29T13:11:29","slug":"girl-dies-from-burst-appendix-after-failings-in-nhs-care","status":"publish","type":"post","link":"https:\/\/www.glynns.co.uk\/blog\/girl-dies-from-burst-appendix-after-failings-in-nhs-care\/","title":{"rendered":"Girl Dies From Burst Appendix After \u201cFailings\u201d in NHS Care"},"content":{"rendered":"<p><span style=\"color: #000000; font-size: medium;\">A seven year old girl has died from a burst appendix after a series of NHS blunders. <\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Malaika Adam, from Essex, fell ill in May last year with pelvic appendicitis, where the appendix sits lower in the abdomen than normal.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">An inquest has heard that she was seen by an out-of-hours GP on 14 May who wrongly diagnosed gastroenteritis, a common stomach bug.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Her condition quickly deteriorated and the following day her mother, Donna Howe, called NHS 111 \u2013 which in south Essex is provided by Integrated Care 24 or \u2018IC24\u2019.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">The call was received at 6.43pm and Malaika\u2019s mother was told a clinician would call her back, but this did not happen for over an hour. <\/span><\/p>\n<p><b><span style=\"color: #000000; font-size: medium;\">Further delays<\/span><\/b><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">An ambulance was then arranged, but only a \u201cGreen Two\u201d priority was given, when it should have been an urgent \u201cRed Two\u201d priority. <\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Consequently an ambulance did not arrive until 8.47pm, and the ambulance crew had been given so little information by IC24 that they did not realise the patient was a child. This led to further delays while paediatric equipment was found.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">By this stage Malaika was in a critical condition and had no radial pulse or blood pressure. Paramedics managed to stabilise her enough to drive to Basildon Hospital.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">There were more delays at hospital when the handover between paramedics and hospital staff took 30 minutes \u2013 twice the recommended 15 minute target.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Sadly Malaika died later that evening from peritonitis due to acute appendicitis with perforation. <\/span><\/p>\n<p><b><span style=\"color: #000000; font-size: medium;\">\u201cFailings in the service\u201d<\/span><\/b><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Coroner Caroline Beasley-Murray highlighted the errors made, saying: \u201cThere were failings in the service provided by both IC24 and the East of England Ambulance Service. It is possible that care might have made a difference to the outcome.\u201d<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">The news comes after a leading paediatrician said NHS 111 may not be \u201csafe and effective\u201d when diagnosing children.<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">Professor Neena Modi recently questioned whether it was appropriate to assess children over the phone, because diagnosing a serious illness \u201cgets more and more difficult the younger the child.\u201d<\/span><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">She also raised concerns that NHS 111 call-handlers are not medically trained, saying that \u201ceven a clinician trying to make an assessment over the telephone would find it much more difficult in a smaller child than in an older child.\u201d<\/span><\/p>\n<p><b><span style=\"color: #000000; font-size: medium;\">Expert legal advice<\/span><\/b><\/p>\n<p><span style=\"color: #000000; font-size: medium;\">To talk to a solicitor about substandard medical care received either by yourself or your loved one, please contact us at Glynns Solicitors. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A seven year old girl has died from a burst appendix after a series of NHS blunders. Malaika Adam, from Essex, fell ill in May last year with pelvic appendicitis, where the appendix sits lower in the abdomen than normal. An inquest has heard that she was seen by an out-of-hours GP on 14 May [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[54],"tags":[983,793,794,795,792],"class_list":["post-729","post","type-post","status-publish","format-standard","hentry","category-appendicitis","tag-appendicitis","tag-burst-appendix","tag-burst-appendix-death","tag-delay-in-appendicitis-treatment","tag-pelvic-appendicitis"],"_links":{"self":[{"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/posts\/729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=729"}],"version-history":[{"count":3,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/posts\/729\/revisions"}],"predecessor-version":[{"id":731,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/posts\/729\/revisions\/731"}],"wp:attachment":[{"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.glynns.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}