Doctors at Bournemouth Hospital admit failures in care of teenager Connie Moore

Bournemouth Echo: Doctors at Bournemouth Hospital admit failures in care of teenager Connie Moore Doctors at Bournemouth Hospital admit failures in care of teenager Connie Moore

DOCTORS at the Royal Bournemouth Hospital have admitted failures in the care of a 16-year-old girl who died of meningitis.

They have conceded that a lumbar puncture procedure – which caused the catastrophic brain damage which killed Connie Moore – should not have been carried out “with hindsight”.

And they have admitted that “the earlier you give antibiotics the better” after an inquest into her death heard there was a delay of four hours before she received the medication.

Dr Charles Gordon said the decision to carry out the lumbar puncture was taken without having Connie’s full notes, which would have revealed she was suffering from increased pressure on the brain and that the procedure should not be performed.

Instead they relied on a CT scan, which appeared normal, and Dr Gordon said: “We gave far too much importance to the CT scan and that was wrong. We interpreted the information we had the wrong way.”

Fellow consultant Dr Michelle Scott said “with hindsight” she would not have agreed to a lumbar puncture being carried out.

Connie, a pupil of Bournemouth School for Girls, died in January after being admitted to hospital suffering with a number of symptoms including a headache, high blood pressure and a high temperature.

She was initially treated at the Royal Bournemouth Hospital before being transferred to Southampton General Hospital where she died.

Her family has since raised a number of concerns about her care and a serious incident review has been carried out at the Royal Bournemouth.

Associate Medical Director Dr Sean Weaver told the Southampton inquest how the hospital was sorry for Connie’s death and said lessons had been learned as a result of it with more education and training in place as well as the introduction of new policies.

Coroner Keith Wiseman heard Connie was treated as an adult because she was 16 and that her mother was not consulted about her treatment, a policy he criticised when delivering his narrative verdict.

He said: “A differential diagnosis of meningitis was made at a very early stage but there was a failure to give antibiotics at all for a four hour period after admission in breach of NICE Guidelines which indicate that they should be given within one hour of admission where meningitis is suspected.”

He said drugs directed specifically at meningitis were not given for nearly six hours by which time Connie had “significantly deteriorated and required emergency treatment”.

The hospital was strongly criticised in a Care Quality Commission report following an inspection last year, which noted that A&E and medical care services did not always follow clinical guidelines, and that there was a need for “greater external scrutiny” of mortality rates.

The report stated: “Some patients were still not receiving the care they needed in a timely manner, and there was an ongoing high risk of this continuing.”

In February the hospital’s board of directors heard measures have been put in place to address criticisms, including recruiting more student nurses and reducing bed occupancy.

CHARITY Meningitis Now said antibiotics given early on to patients in suspected meningitis cases substantially improved their survival chances.

“If doctors suspect meningitis then usually antibiotics will be given as soon as possible, before further tests are carried out,” said helpline manager Claire Donovan.

She said doctors might hesitate to administer antibiotics due to the risk of side effects, and the wider healthcare consequences of increasing resistance to the drugs. Around ten per cent of meningitis cases in the UK result in death, and many others in mental and physical disability.

Comments (16)

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7:57am Thu 1 May 14

djd says...

There is so much that can be said about this damning indictment of the treatment received by this young lady when she was so ill.
Perhaps lessons have been learnt but a family has lost a dear daughter and others a dear friend.
Perhaps the doctors concerned will hang their heads in shame and realise guidelines are there for a reason, not to be followed when it suits them.
Rest in peace Connie, and I sincerely hope that the lesson learned from your sad and untimely death are put into practice.
There is so much that can be said about this damning indictment of the treatment received by this young lady when she was so ill. Perhaps lessons have been learnt but a family has lost a dear daughter and others a dear friend. Perhaps the doctors concerned will hang their heads in shame and realise guidelines are there for a reason, not to be followed when it suits them. Rest in peace Connie, and I sincerely hope that the lesson learned from your sad and untimely death are put into practice. djd
  • Score: 40

8:18am Thu 1 May 14

bobthedestroyer says...

"The hospital was strongly criticised in a Care Quality Commission report following an inspection last year, which noted that A&E and medical care services did not always follow clinical guidelines, and that there was a need for “greater external scrutiny” of mortality rates.

The report stated: “Some patients were still not receiving the care they needed in a timely manner, and there was an ongoing high risk of this continuing.”

The hospital didn't follow the NICE guidelines in this instance and as the CQC mentioned they didn't do this all the time.

I know it is helpful and won't bring their daughter back but I hope they will be pursuing this case further with the GMC to get everyone involved "reviewed".

Nice to see Spotswood is keeping his head down.

And what makes this even worse is this happened after the CQC report had been published. Shame on the doctors involved. Through their ineptitude someone lost their life and all one of them can say is "with hindsight" what a crass comment.

I don't know the family or anyone connected but if this happened to my daughter I know how I would feel.
"The hospital was strongly criticised in a Care Quality Commission report following an inspection last year, which noted that A&E and medical care services did not always follow clinical guidelines, and that there was a need for “greater external scrutiny” of mortality rates. The report stated: “Some patients were still not receiving the care they needed in a timely manner, and there was an ongoing high risk of this continuing.” The hospital didn't follow the NICE guidelines in this instance and as the CQC mentioned they didn't do this all the time. I know it is helpful and won't bring their daughter back but I hope they will be pursuing this case further with the GMC to get everyone involved "reviewed". Nice to see Spotswood is keeping his head down. And what makes this even worse is this happened after the CQC report had been published. Shame on the doctors involved. Through their ineptitude someone lost their life and all one of them can say is "with hindsight" what a crass comment. I don't know the family or anyone connected but if this happened to my daughter I know how I would feel. bobthedestroyer
  • Score: 33

8:31am Thu 1 May 14

Hessenford says...

As usual the same old rhetoric is banded about, " lessons have been learned", this seems to be a standard response from hospitals and social services when something goes horribly wrong and a life is lost, Dr Gordon said: “We gave far too much importance to the CT scan and that was wrong. We interpreted the information we had the wrong way,” well then you shouldn't be let loose on the general public if you cant interpret the information you have correctly.
With today's technology and properly trained competent people these lessons should should not have to be learned, so much went wrong for this poor young girl who should have had her whole life in front of her.
As usual the same old rhetoric is banded about, " lessons have been learned", this seems to be a standard response from hospitals and social services when something goes horribly wrong and a life is lost, Dr Gordon said: “We gave far too much importance to the CT scan and that was wrong. We interpreted the information we had the wrong way,” well then you shouldn't be let loose on the general public if you cant interpret the information you have correctly. With today's technology and properly trained competent people these lessons should should not have to be learned, so much went wrong for this poor young girl who should have had her whole life in front of her. Hessenford
  • Score: 32

8:33am Thu 1 May 14

pete woodley says...

As a regular visitor to RBH,it leaves me a bit scared,of what else is happening,re my own care.
As a regular visitor to RBH,it leaves me a bit scared,of what else is happening,re my own care. pete woodley
  • Score: 27

9:29am Thu 1 May 14

a.g.o.g. says...

Sheer incompetence and dereliction of duty can only prosper under a culture of ``establishment/doct
or power`` over ``urgent patient need`` as sadly exists at RBH - says one who has managed to survive it thrice!
Sheer incompetence and dereliction of duty can only prosper under a culture of ``establishment/doct or power`` over ``urgent patient need`` as sadly exists at RBH - says one who has managed to survive it thrice! a.g.o.g.
  • Score: 13

11:19am Thu 1 May 14

Southerner138 says...

Unfortunately - it's well known that RBH don't follow 'guidance or procedures' - ask how they deal with a 'hypo' :(
Unfortunately - it's well known that RBH don't follow 'guidance or procedures' - ask how they deal with a 'hypo' :( Southerner138
  • Score: 18

11:38am Thu 1 May 14

TheDistrict says...

Will this hospital every change. It has been some 12 years since my mothers passing, and the way she was treated, or not treated back then appears to have not changed. We had a meeting with Spotwood and Staff, but basically got laughed out of the meeting, with promises of changes afoot, and matters will be looked into. Within days we received a letter with their findings. All had been done that could be done. We asked ourselves, why we were cleaning my mother, why were we moving in her bed, why did we do everything to make her comfortable. The same, or similar happened four years previous with my father. He gave up and passed away.

Why is Spotwood and his staff still there.
Will this hospital every change. It has been some 12 years since my mothers passing, and the way she was treated, or not treated back then appears to have not changed. We had a meeting with Spotwood and Staff, but basically got laughed out of the meeting, with promises of changes afoot, and matters will be looked into. Within days we received a letter with their findings. All had been done that could be done. We asked ourselves, why we were cleaning my mother, why were we moving in her bed, why did we do everything to make her comfortable. The same, or similar happened four years previous with my father. He gave up and passed away. Why is Spotwood and his staff still there. TheDistrict
  • Score: 21

12:30pm Thu 1 May 14

BournemouthMum says...

Disgusting.

Completely unrelated, but I know someone who was diagnosed with bowel cancer 3 years ago, he was fairly old - 79 - and the doctors said there was nothing they could do and basically were going to send him home to die. It was only because his wife who is a feisty woman, insisted on a second opinion, then insisted they operate that he is alive today. Long story short ALL the cancer was removed during the operation and he is now clear of cancer.

There is NO excuse for such shoddy treatment - we may not have to pay for the NHS at the point of delivery, but we all pay for it through direct and indirect taxation and the treatment of this young lady is unacceptable.
Disgusting. Completely unrelated, but I know someone who was diagnosed with bowel cancer 3 years ago, he was fairly old - 79 - and the doctors said there was nothing they could do and basically were going to send him home to die. It was only because his wife who is a feisty woman, insisted on a second opinion, then insisted they operate that he is alive today. Long story short ALL the cancer was removed during the operation and he is now clear of cancer. There is NO excuse for such shoddy treatment - we may not have to pay for the NHS at the point of delivery, but we all pay for it through direct and indirect taxation and the treatment of this young lady is unacceptable. BournemouthMum
  • Score: 18

1:03pm Thu 1 May 14

High Treason says...

TheDistrict wrote:
Will this hospital every change. It has been some 12 years since my mothers passing, and the way she was treated, or not treated back then appears to have not changed. We had a meeting with Spotwood and Staff, but basically got laughed out of the meeting, with promises of changes afoot, and matters will be looked into. Within days we received a letter with their findings. All had been done that could be done. We asked ourselves, why we were cleaning my mother, why were we moving in her bed, why did we do everything to make her comfortable. The same, or similar happened four years previous with my father. He gave up and passed away.

Why is Spotwood and his staff still there.
Spotswood and his staff still there because we have a load of wimps at the NHS Trust who are afraid to sack him. I hope Tony Spotswood ends up in hospital and gets poor care the same as he condones at RBH. Maybe he will end up in a nursing home and get appalling care there for the rest of his days.
He has the same evil mindset as Tony Blair.
[quote][p][bold]TheDistrict[/bold] wrote: Will this hospital every change. It has been some 12 years since my mothers passing, and the way she was treated, or not treated back then appears to have not changed. We had a meeting with Spotwood and Staff, but basically got laughed out of the meeting, with promises of changes afoot, and matters will be looked into. Within days we received a letter with their findings. All had been done that could be done. We asked ourselves, why we were cleaning my mother, why were we moving in her bed, why did we do everything to make her comfortable. The same, or similar happened four years previous with my father. He gave up and passed away. Why is Spotwood and his staff still there.[/p][/quote]Spotswood and his staff still there because we have a load of wimps at the NHS Trust who are afraid to sack him. I hope Tony Spotswood ends up in hospital and gets poor care the same as he condones at RBH. Maybe he will end up in a nursing home and get appalling care there for the rest of his days. He has the same evil mindset as Tony Blair. High Treason
  • Score: 15

1:17pm Thu 1 May 14

funky01 says...

It's one thing to hear of a young beautiful and bright girl dying at such a tragic age it's another altogether for her mum and all her family and young friends to have to go through the exhausting what if scenario - it's so horrendous I just can't imagine how I would feel if this was my children. I hope this concert tonight puts something positive for just a brielf moment
It's one thing to hear of a young beautiful and bright girl dying at such a tragic age it's another altogether for her mum and all her family and young friends to have to go through the exhausting what if scenario - it's so horrendous I just can't imagine how I would feel if this was my children. I hope this concert tonight puts something positive for just a brielf moment funky01
  • Score: 21

3:38pm Thu 1 May 14

manjo27 says...

I have been treated by Dr Charles Gordon and I have to say he is one of the best people you can have, he treated my cancer and I am so much better now I cannot speak so highly of him. I would trust him to treat me in the future.
I have been treated by Dr Charles Gordon and I have to say he is one of the best people you can have, he treated my cancer and I am so much better now I cannot speak so highly of him. I would trust him to treat me in the future. manjo27
  • Score: 9

7:18pm Thu 1 May 14

dicey halo says...

Poor Connie, RIP. Those who failed this young lady should be ashamed.

As for RBH, if I collapsed in their car park I would insist the ambulance took me to Poole or Southampton. My poor gran had a complete bodge job done on a nasty cut at RBH and ended up three months later in Salisbury having an operation to correct their cowboy work. My friend as wrongly triaged and as a result had a delay of 8 hrs for an emergency op. I cant stand the place and would never recommend any service they provide. Oh wait..... they have employed more student nurses!! How on earth is that going to improve the situation??? These people have to be babysat by trained staff. Never heard of anything so pathetic.
Poor Connie, RIP. Those who failed this young lady should be ashamed. As for RBH, if I collapsed in their car park I would insist the ambulance took me to Poole or Southampton. My poor gran had a complete bodge job done on a nasty cut at RBH and ended up three months later in Salisbury having an operation to correct their cowboy work. My friend as wrongly triaged and as a result had a delay of 8 hrs for an emergency op. I cant stand the place and would never recommend any service they provide. Oh wait..... they have employed more student nurses!! How on earth is that going to improve the situation??? These people have to be babysat by trained staff. Never heard of anything so pathetic. dicey halo
  • Score: 3

7:49pm Thu 1 May 14

echor23 says...

How many people have to die in Bournemouth hospital before something is done?
How many people have to die in Bournemouth hospital before something is done? echor23
  • Score: 9

11:37pm Thu 1 May 14

sar72 says...

Spotswood should of been sacked years ago, how can this narcissistic fool still keep his job after all the failings at RBH.
Spotswood should of been sacked years ago, how can this narcissistic fool still keep his job after all the failings at RBH. sar72
  • Score: 7

11:17pm Fri 2 May 14

Samjkmoore says...

Connie's friends and family are determined that her death will make a difference. If you have been touched by Connie's death please support them in raising funds for the BUPA 10k on May 25th by visiting "Just Giving Connie Moore" to raise funds for the Meningitis Research Foundation.
Connie's friends and family are determined that her death will make a difference. If you have been touched by Connie's death please support them in raising funds for the BUPA 10k on May 25th by visiting "Just Giving Connie Moore" to raise funds for the Meningitis Research Foundation. Samjkmoore
  • Score: 5

4:16pm Thu 8 May 14

Purbecklass says...

There is no doubt this is an undeniably tragic case. However, whilst I am in total agreement that guidelines should be followed -the Doctors can only treat what they see at the time. They will only have performed a lumbar puncture at the time if they felt it was the right course of action -it is hardly a simple procedure. It is very sad that this girl died but at the time I do not believe she was not being treated as per how she was presenting to them.
There is no doubt this is an undeniably tragic case. However, whilst I am in total agreement that guidelines should be followed -the Doctors can only treat what they see at the time. They will only have performed a lumbar puncture at the time if they felt it was the right course of action -it is hardly a simple procedure. It is very sad that this girl died but at the time I do not believe she was not being treated as per how she was presenting to them. Purbecklass
  • Score: -2

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