A watchdog has rejected a complaint against NHS Borders regarding the care and treatment a patient received during a number of admissions to the Borders General Hospital at Melrose.
However, the Scottish Public Services Ombudsman has urged the health board to ensure that medical records reflect discussions with patients over treatment options.
In the background given for last week’s decision, the watchdog explains that the patient (Mr C) was concerned that, given previous surgery, he should not have been offered endoscopic retrograde cholangiopancreatography (ERCP), a procedure using a flexible tube to examine the bile duct.
“The advice we received was that the care and treatment provided to Mr C was appropriate,” says the report.
The patient also alleged he was not given “appropriate information” on what would happen if a procedure to drain his bile duct was unsuccessful.
“We found that the medical records did not detail any discussion held with Mr C about alternatives to ERCP and failed to detail what advice he was given,” states the ombudsman.
“We therefore upheld this aspect of the complaint.”
An NHS Borders spokesperson said: “We have taken learning from this case which has been used by our clinical team to make improvements to the information provided for our patients. We are also making changes to the way discussions about treatment options are recorded.”