Queen Elizabeth University Hospital: Health board issues apology to families after report finds failings

A health board has apologised to families after an interim report into infection issues found failings at Scotland’s biggest hospital.

The Queen Elizabeth University Hospital Oversight Board was set up to address the specific issues of infection prevention and control at the £842 million facility, which opened in 2015.

A separate independent review was ordered by Health Secretary Jeane Freeman following the deaths of three patients between December 2018 and February 2019.

An adult and a child died after they contracted cryptococcus, an infection linked to pigeon droppings, while another adult died after contracting fungal infection mucor at the hospital.

The Queen Elizabeth University Hospital in Glasgow.

In the latter case the Procurator Fiscal concluded that the death was from natural causes and was likely unavoidable and that mucoraceous mould, while present, did not contribute to the death.

Milly Main, 10, died in 2017 at the hospital from an infection, which her mother said she believes was “100%” due to contaminated water.

The oversight board said it recognised that there were “significant shortcomings” in the construction and handover of the QEUH, and how NHS Greater Glasgow and Clyde (NHSGGC) responded to emerging and related problems.

It said these “include the concerns that were raised by a number of clinicians at an early stage as well as how ‘warning signals’ about potential problems were – or were not – acted upon over the years”.

The report said some of the clinicians did not feel that their concerns – particularly about water and ventilation and the risk of their contribution to infection of such a vulnerable patient population – were being effectively addressed.

The independent review, published in June, found no sound evidence avoidable deaths resulted from failures in the design, build, commissioning or maintenance of the QEUH and Royal Hospital for Children (RHC) which is part of the campus, but said certain aspects of the design, build, commissioning and maintenance of the flagship hospital have increased the risk of infections.

The interim report published on Monday highlighted dissatisfaction among parents about communication with NHSGGC, which was placed in level 4 special measures by the Scottish Government last year amid the ongoing concerns.

Wards 2A and 2B at RHC were closed in September 2018 after contamination was found in water outlets and drains in 2A, and children were moved to wards in the main QEUH building.

The report said there had been “a clear failure of the goals of communication” for this group of children and their families, with suggestions patients and families were hearing about key information through the media and health board press releases.

The report made 17 recommendations including that the health board should pursue “more active and open transparency”.

Jane Grant, NHSGGC chief executive, said: “We welcome the areas of good practice highlighted – in particular the praise for staff working within the unit who worked tirelessly to support patients and families throughout this time. The oversight board has also endorsed the steps we have been taking over the past year to improve, and this is also encouraging.

“Nevertheless, there remain lessons for the board to learn and we are committed to implementing the recommendations in this interim report.”

The Scottish Government has also published its response to the independent report published in June.

Ms Freeman said a number of initiatives are already being taken forward, including the establishment of the National Centre for Reducing Risk in the Healthcare Built Environment.

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