The death of a man from a haemorrhage has resulted in two NHS health boards being ordered to apologise for failing to provide adequate care and treatment.
The unnamed Scottish man was twice told to take paracetamol after his wife described symptoms including sudden pain, sweating and losing colour from his face.
Hours later, after another doctor diagnosed a subarachnoid - bleeding from a blood vessel running over the brain - and he was rushed to Southern General Hospital.
The Scottish Public Services Ombudsman has now upheld complaints against Greater Glasgow and Clyde Trust and the out-of-hours health advice service NHS 24.
A medical adviser said clinical symptoms initially described over the phone provided enough information for a proper diagnosis which “should have been followed through”.
NHS 24 was ordered to ensure call handlers’ basic training is developed, while the Greater Glasgow and Clyde doctor who told the man to take paracetamol must “reflect” on the case.
The ombudsman added: “NHS 24 and the board have accepted the recommendations made within this report and some work on those recommendations has begun.”
Should the trust be forced to apologise?