Mislaying of 700,000 medical letters ‘totally unacceptable’ says Jeremy Hunt
A major blunder which saw more than 700,000 confidential patient letters mislaid was “totally unacceptable” and should never have been allowed to happen, Health Secretary Jeremy Hunt has said.
However, Mr Hunt told MPs that no patients had been harmed by the mix-up, which occurred when letters sent between GPs and hospitals were mistakenly stored in a warehouse by private company NHS Shared Business Services (SBS) for five years, rather than being redirected when the patient changed GP practice or moved away.
Shadow health secretary Jonathan Ashworth described the incident as “an absolute scandal”, referring to a new study from the National Audit Office which claimed more than 1,700 patients could have been put at risk by the blunder.
Responding to the urgent question in the Commons, Mr Hunt (pictured) said: “First of all, what happened at SBS was totally unacceptable.
“It was incompetent and they should never have allowed that backlog to develop.”
The Health Secretary said he had been alerted to the error in March 2016 but he was advised not to inform the public in case GPs could not investigate the most urgent cases due to a barrage of calls from worried patients.
All documentation has been sent on to GPs for assessment, of which 84% were confirmed as “no harm to patients” with 9% needing further review, Mr Hunt said.
He added: “To date no harm has been confirmed to any patients as a result of this incident.
“Today’s National Audit Office report confirms that patient safety was the Department and NHS England’s primary concern.
“But, as well as patient safety, transparency with both the public and the House has been my priority.
“I was advised by my officials not to make the issue public last March until an assessment of the risks to patient safety had been completed and all relevant GP surgeries informed.”
The NAO report found that, as of May 31 this year, a review of the backlog has found 1,788 cases of potential harm to patients.
Overall, NHS England and NHS SBS have identified just under 709,000 items of unprocessed correspondence.
The study said that while no cases of actual harm have been identified yet, a third of GPs have not yet responded on whether unprocessed items sent to them indicate potential harm for patients.
Replying, Mr Ashworth said: “Is it not an absolute scandal that more than 700,000 letters including blood test results, cancer screening appointments, child protection notes were failed to be delivered, left in an unknown warehouse and many destroyed?
“And does not the NAO reveal today a shambolic catalogue of failure that took place on the Secretary of State’s watch?”
The mix-up could cost more than £6.6 million, which is equivalent to the annual salary for 230 nurses, he said.
Mr Ashworth also raised questions about a potential conflict of interest between Mr Hunt’s role as a board members of SBS, which is co-owned by the Department of Health, and his duties as Health Secretary.
He asked Mr Hunt: “Can you say how these costs are going to be met and do you expect these costs to escalate?
“Finally, do you agree with the NAO that there is a conflict of interest between your role as Secretary of State and your role as a board member?”
Mr Hunt defended the fact that the public and Parliament were not immediately informed about the issue.
“Transparency is incredibly important, but it’s not an absolute virtue,” he said.
“In this case, there was a very specific reason why if we had informed the public and the House immediately, GP surgeries would have been overwhelmed – 709,000 pieces of patient data we’re talking about – and they would not have been able to get on as quickly as we needed them to do with identifying risk.”
The Health Secretary also denied accusations that there was a conflict of interest over his role as a board member at SBS, saying: “Whilst I completely recognise that with the Government arrangements there is a potential conflict of interest, I do not accept there was an actual conflict of interest because patient safety concerns always overrode any interest that we had as a shareholder in SBS.”
SBS was stripped of the contract in 2015, Mr Hunt told MPs, and will have to pay “their fair share” of the costs resulting from the incident.
He also said such an incident was “unlikely” to happen again as the NHS moves over to electronic records, while the process of clinical review to ensure there has been no patient harm will take until the end of the year.
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