Systems issues leads to inadequate care being provided to man

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Names have been removed to protect privacy. Identifying letters are assigned in alphabetical order and bear no relationship to the person’s actual name.

  1. This report is the opinion of Dr Vanessa Caldwell, Deputy Health and Disability Commissioner, and is made in accordance with the power delegated to her by the Commissioner.
  2. The report discusses the care provided to the late Mr A by Health New Zealand|Te Whatu Ora (Health NZ),[1] a rehabilitation service provider, and a medical centre.
  3. The following issues were identified for investigation:
    Whether Health New Zealand|Te Whatu Ora provided [Mr A] with an appropriate standard of care from [Month1 2019 to Month7 2020] (inclusive).
    Whether [the medical centre] provided [Mr A] with an appropriate standard of care from [Month1 2019 to Month7 2020] (inclusive).
  4. The parties directly involved in the investigation were:
    Mrs A’s wife - Complainant
    Mr A’s son
    Health NZ                                            
    The medical centre                            
  5. Further information was received from:
    Dr B - Neurologist
    Dr D - General practitioner (GP)/Public Hospital 2[3]
    Rehabilitation service provider[4]        
    Ambulance service provider  
    Mrs A’s counsellor
    A psychiatrist
    The New Zealand Police
    The Coroner
    ACC                                                          
  6. Also mentioned in this report:
    Mr A - Consumer
    Dr C - GP
    RN E - Registered nurse
    Dr F - GP
    Duly authorised officer
Systems issues leads to inadequate care being provided to man
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