P v Leeds Teaching Hospitals NHS Trust
[2004] EWHC 1392 (QB)·2004·Liability decided at trial
After a local scan found an abdominal wall defect, specialist scans reported a bladder was visible, ruling out the much more serious cloacal exstrophy; in fact there was no bladder. The judge held that a focused referral scan demanded a higher standard than a routine anomaly scan, and with proper persistence the error would have been exposed.
When a patient is referred to a specialist centre to answer a specific question, the standard of care rises to match that focus. Failing to use the available checks to confirm a critical finding can be negligent even where a routine scan might be excused.