Independent Clinical
Investigations

From independent SI reports for NHS Trusts to healthcare litigation reviews, we are able to decisively identify instances of substandard clinical care.

Healthcare Analytics
and Patient Safety

By delivering data analytics relating to instances of substandard care to healthcare providers, we help drive improvements in patient safety and healthcare standards.

World Leading
Clinical Opinions

TMLEP’s Members are individually selected and managed by the TMLEP Clinical Advisory Board, ensuring that all opinions are provided by clinicians who are world leaders in their field.

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Recent Clinical Updates

Thursday 31st May

Thursday 31st May

A Clinical Risk Case Study- Failure to Adequately Monitor Fetal Heart Rate

The TMLEP review identified three main findings of sub-standard care that was afforded to the Patient during labour. These failures contributed to the baby being starved of oxygen and later being diagnosed with cerebral palsy

Tuesday 1st May

Tuesday 1st May

A Clinical Risk Case Study- Failure to Treat a Pressure Ulcer

Pressure ulcers are easily avoidable, however, unfortunately they still arise in a hospital setting, and when they do they can be life threatening. Pressure ulcers develop as a result of pressure being exerted on an area of skin which causes the blood flow to that area to be compromised, resulting in necrosis being induced into the affected area.

Friday 13th April

Friday 13th April

A Clinical Risk Case Study- A Delay in Diagnosing a Rotator Cuff Injury

TMLEP’s independent review identified instances of substandard care that resulted in the Claimant suffering a considerable delay in being referred to the correct department, a late diagnosis and a delay in undergoing surgery.

Friday 9th March

Friday 9th March

A Clinical Risk Case Study- A Lethal Combination of Anticoagulation and Aspirin

The patient was diagnosed with a benign ovarian cyst and surgery was planned for a bilateral salpingoohorectomy. Two days prior to surgery the claimant was advised to stop taking aspirin and Apixaban (their anticoagulation medication).

Monday 5th February

Monday 5th February

A Clinical Risk Case Study- Failure to Treat a Hand Injury Appropriately

The Patient attended Accident and Emergency in the early hours of the morning, two days after sustaining an injury to the left hand, suffering cuts to both the index and middle finger.

Friday 19th January

Friday 19th January

A Clinical Risk Case Study- Failure to Perform the Consented Procedure

A claim was subsequently brought against the Consultant Gynecologist in relation to a failure to perform the procedure that had been expected and originally consented to (salpingo-oophorectomy).

Wednesday 3rd January

Wednesday 3rd January

A Clinical Risk Case Study- Tourniquet Injury

Tourniquet use is commonplace in surgery to create a bloodless field and facilitate the procedure.

Thursday 30th November

Thursday 30th November

A Clinical Risk Case Study – Failure to recognise a Fistula in the Oesophagus

A complaint was raised that there was a failure to recognise a fistula in the patient’s oesophagus, resulting in food particles spilling over into the chest cavity causing the patient’s death.

Wednesday 15th November

Wednesday 15th November

A Clinical Risk Case Study – Failure to Diagnose and Treat Acute Angle Closure Attack leading on to develop Acute Glaucoma

A 65-year-old woman brought a claim against her Consultant Ophthalmologist for a failure to diagnose and treat acute angle closure attack appropriately, which resulted in progression of the condition to glaucoma that consequently lead to loss of vision in the left eye.

Thursday 2nd November

Thursday 2nd November

A Clinical Risk Case Study – Complications during a Caesarean Section

A 30-year-old woman who had had a previous caesarean section brought a claim against her Obstetrician & Gynaecologist for damaging her bladder, during her 2nd caesarean section.

Sickle Cell Disease (Haemoglobin SS)

Sickle Cell Disease (Haemoglobin SS)

Sickle Cell Disease (Haemoglobin SS)

This is an inherited disease of the haemoglobin, which resides within red blood cells; it carries oxygen to tissues.

Friday 13th October 2017

Friday 13th October 2017

Extravasation of Fluid in Anterior Thigh Compartment following Knee Arthroscopy: A Case Report highlighting the Duty of Candour

Knee arthroscopy is one of the common procedures performed in orthopaedic for a variety of pathologies.

4th October 2017

4th October 2017

The Clinical Manifestations of Complications of Laparoscopic Surgery, as produced by The Association of Laparoscopic Surgeons of Great Britain and Ireland

Most patients who developed peritonitis or bleeding after traditional surgery display florid signs of circulatory instability and peritonitis.

26th September 2017

26th September 2017

Complications of Laparoscopic Surgery – Thermal injury

There are different mechanisms by which ‘burns’, i.e. thermal injury to body structures can occur

20th September 2017

20th September 2017

Laparoscopic Surgery of the Abdomen- Injury to the Bowel or Stomach

Bowel injury is the most frequent significant injury caused by a trocar.