Jack Adcock is not the first patient to suffer from a mix up in his notes but a failure to treat his symptoms has lead to a successful criminal prosecution. This highlights the on-going issue of NHS staff failing to treat the symptoms shown by patients. On this occasion there was a case of mistaken identity and no action was taken to treat Jack who was showing sign of sepsis following his pneumonia.
Often mix-ups occur and can lead to a patient suffering. This can be a delay in dealing with pain but in Jack's case, the most serious consequences unfolded.
In a case such as this, there will be an internal investigation, it is through that the hospital will learn where the failings occurred. How does the NHS stop this from happening again? Surely the issue of staff to patient ratios will be relevant. With the winter months approaching, we know the NHS uses more agency ant staff. The systems need to be in place to make sure those staff have the correct notes for the correct patients and the time to read and understand them if Jack's tragedy is not to be repeated.
A doctor has been found guilty of the manslaughter of a six-year-old boy who was "seriously neglected" in hospital.Jack Adcock died of a cardiac arrest at Leicester Royal Infirmary in February 2011.Hadiza Bawa-Garba was found guilty of manslaughter by gross negligence. Sister Theresa Taylor was cleared of the same charge.Agency nurse Isabel Amaro, 47, was found guilty of the same charge on Monday.Jack, who had Down's syndrome and a heart condition, was admitted to the hospital with vomiting and diarrhoea.