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University Hospitals Bristol Nhs Foundation Trust Launch Independent Pathology Review

19 June 2009

University Hospitals Bristol NHS Foundation Trust is to launch an independent, external review into pathology services at the Trust following allegations of 15 cases of misdiagnosis in histopathology between 2000 and 2008.

Dr Jonathan Sheffield, Medical Director at University Hospitals Bristol NHS Foundation Trust, says: I am confident about the quality of our pathology services and there is no evidence to confirm a significant error rate.  However, I take any allegations over clinical performance extremely seriously and therefore this review is necessary to reassure patients and the public that they can have confidence in our pathology services.

The Trust has taken advice from the Royal College of Pathologists. On their advice, the Trust will carry out an independent audit of cases from a recent years workload. 3,500 randomly selected cases from 2007 will be re-examined.  The Trust deals with an average of 18,000 to 19,000 cases each year, so this represents almost one in five cases for that year. Each case will be checked by two independent specialist pathologists. This will establish if there is a significant error rate and identify any areas of concern. 

Pathology and histopathology are areas of complexity subject to variation of opinion and interpretation between reporting doctors, as indicated by the published professional guidance from the Royal College of Pathologists.

The audit is expected to take at least 10 weeks.  When it has been completed, the results will be published and the Trust will take further advice from the Royal College of Pathologists to establish if further action is needed.

The Trust has informed the Care Quality Commission and Monitor, the independent regulator for Foundation Trusts, of the actions that it is taking to assess these allegations.

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For more information see the list of questions and answers - Histopathology review June 2009