Following a complaint to CALDERDALE ROYAL HOSPITAL HALIFAX regarding the clinical neglect of Kelly during her stay. The hospital have produced a report which includes as follows: Despite numerous requests by Kelly's relatives to treat Kelly for rejection of the heart, doctors decided to ignore relatives and did not consider rejection. - KELLY DIED FROM ACUTE CELLULAR REJECTION OF THE HEART. Although several junior doctors at Calderdale refered Kelly to the cardiac consultant Mr Grant. He later said that he did not see the referals and they have since gone missing. Mr Grant was refered to see Kelly on Wednesday early evening following her being admitted. It appears that there is not seem to be a cardiac consultant available or on call on evenings & nightime. Mr Grant said that he only looks at his referals on Monday & Thursday mornings when he does his ward round, he did not see Kelly or the referal. He then went to a meeting at 10:30am where he was told about Kelly by another medical consultant who saw Kelly on the ward. Mr Grant decided not to visit Kelly as he was due to leave the hospital to go to his private practice. He expected Kelly to be seen by Mr Bloomer (another cardiac consultant)on the ward & Mr Grant did not return to the hospital until after Kelly had left. Mr Bloomer had not been made aware that Kelly was in the hospital until Friday but had been told that Harefield hospital had given instructions as to her tests so did not get involved. Calderdale hospital did not contact Harefield transplant hospital so Kelly's grandad rung them Thursday lunchtime to please help as he could see that Calderdale were not doing anything for Kelly. Harefield requested that Kelly should have had an urgent Echo scan to determin if she was rejecting. It had not been previously requested so Harefield said that it should be done urgently. Calderdale decided that it could wait until Friday as the technicians were due to go home at 5pm (The trust states that Echo scans are available 24 hour for urgent cases). The Echo scan did not take place until Friday midday and results showed that her heart was very impared. It was not until after tea Friday evening that Kelly was given her first prednisalone drip to treat her for rejection. This was 48 hours after she was admitted as an emergancy. Rejection is caused by the immune system attacking a transplanted organ, treatment is needed without any delay to lower the immune system to stop the rejection, THIS WAS NOT DONE. Any delay allows the rejection to gradually kill off cells of the transplanted organ and the condition gets progressivly worse as each hour passes until it reaches a point that the organ begins to fail and other organs begin to fail due to the lack of blood supply to them. By Friday night Kelly's body had begun to shut down, her skin had a yellow caste to it due to her liver & kidneys begining to fail. Her legs & arms had very little blood supply and were icy cold & white, her lips were very blue. Her breathing was becoming more & more difficult as her lungs were getting crushed by the build up of fluid around the heart area (like a swelling around an injury) Pericardial effusion (per-ih-KAHR-de-uhl e-FYU-zhun) is the accumulation of excess fluid around the heart. When the volume of fluid exceeds the pericardium's "full" level, pericardial effusion puts pressure on the heart, causing poor heart function. If left untreated, pericardial effusion can cause heart failure or death. She was not getting enough oxygen despte having an oxygen mask. It was left up to a staff nurse called Nurse Frankland to arrange transport to take Kelly to Harefield Hospital 200 miles away. She did not seem to be aware or bothered that Kelly was deteriating very quickly, she arranged for an ambulance to transfer Kelly for the following day. She did not book it as 'an emergancy' and the ambulance was not given permission to use it's blue light or to speed with it's siren. The ambulance repeatedly was held up in traffic & took over 5 hours to get Kelly to Harefield. Upon arrival she was classed as in a critical condition and was immeadiatly addmited to intensive care and put on a life support machine. Harefield staff concluded that Kelly had been a suitable candidate to have been transfered by air. Staff went on to comment that they had not been made aware that Kelly's condition was critical. Kelly needed to be put to sleep and to have fluid drained from her pericardium to help her get enough oxygen, she was also put anto a kidney machine as hers were not working well enough. Harefield did not expect Kelly to survive the first 24 hours, but she hung on in there and they managed to stop the rejection. The heart and other organs though had probably been damaged too much due to the delay in treatment at Calderdale. Kelly hung on for 8 days in intensive care before finaly passing away. God rest Kelly