Surgeon Yaser Jabbar: Patient ‘G’s case of Medical Negligence

This is the story of Patient ‘G’, a teenager whose life has been severely impacted by the substandard care and questionable practices of surgeon Mr Yaser Jabbar, who worked at the renowned Great Ormond Street Hospital (GOSH) in London.

The harrowing experience of Patient ‘G’ sheds light on the systemic failures that allowed such negligent care to persist, and the fight for justice and accountability.

Yaser Jabbar’s troubled tenure at GOSH

Mr Yaser Jabbar, a 43-year-old surgeon, joined the orthopaedic department at GOSH in June 2017, quickly making a name for himself as a specialist in complex leg-straightening and lengthening procedures.  Dubbed the “frame guy” by his colleagues, Jabbar became known for his work with children suffering from congenital limb deformities.

However, beneath the surface, concerns about Mr Jabbar’s practice began to emerge. Colleagues raised concerns about his “cavalier” approach to unexpected complications and his tendency to dismiss or even hide these issues, raising serious questions about patient safety under his care.

The troubling case of Patient ‘G’

Patient ‘G’ was born with VACTERL association, a genetic condition that affects the formation of the bones and organs in utero. He suffers from a radial club hand deformity with thumb hypoplasia, which affects the bones of his hand, radius and ulna. They were referred to GOSH in February 2017 at the age of nine, to explore surgical options to straighten and lengthen his left arm and wrist, with the hopes of improving the cosmetic appearance.

‘G’ was initially seen by Mr Jabbar in January 2020 and later again in February 2020 and April 2021.  Unfortunately, these appointments were marked by a lack of detailed medical history-taking or clear communication about the proposed surgical plan and its risks and benefits.

The flawed surgery

In June 2021, ‘G’ underwent surgery to his left arm – but what was performed was vastly different from what had originally been planned. Instead of the agreed-upon procedure to “straighten and lengthen” the left forearm with an Ilizarov frame, Mr Jabbar performed a “length neutral (or even shortening) correction with a plate, and joint distraction. This approach was later deemed “unacceptable” following an investigation by the Royal College of Surgeons (RCS) into Mr Jabbar’s practice.

The RCS report criticised Mr Jabbar’s surgical technique, noting significant under-correction of the radial inclination and the lack of a clear plan for follow-up procedures.  His choices were considered highly questionable.

Complications and consequences

Following the surgery, ‘G’ faced a series of complications, including persistent pain, nerve issues and worsening deformity. ‘G’ also developed a post-operative infection, which required removal of the metal pins in his arm. These problems required multiple additional surgeries and extended treatment, including bone grafting.

The RCS investigation concluded that ‘G’ had suffered “moderate harm” due to Mr Jabbar’s actions, with the possibility of further deterioration and the need for more corrective procedures in the future. The findings also noted that Mr Jabbar failed to properly inform ‘G’ and their family about the significant changes made to the surgical plan – raising further concerns about professionalism, transparency and patient care.

The devastating impact

The consequences of Mr Jabbar’s actions have been far-reaching and deeply damaging for Patient ‘G’. Their left arm, which had previously undergone successful surgical correction at a young age, was now in a worse condition, with increased deformity, reduced function, and ongoing pain. Three years on, ‘G’ is still awaiting treatment to rectify the damage caused by Mr Jabbar.  The experiences have taken a significant toll on their physical and emotional wellbeing.

Wider systemic failures at GOSH

Unfortunately, this case is not an isolated incident, but part of a larger pattern of systemic issues within GOSH’s orthopaedic department. The RCS investigation revealed a “dysfunctional” team environment, marked by poor communication, a lack of collaboration, and hostility towards staff members who raised concerns.  The report also highlighted failures in the hospital’s leadership which ignored or downplayed warnings from staff, allowing Mr Jabbar’s harmful practices to go unchecked for years, ultimately leading to the harm of hundreds of young and vulnerable patients.

The aftermath and ongoing legal battle

In the wake of the RCS investigation, GOSH has launched a comprehensive review of the cases of 721 children treated by Mr Jabbar, with the hospital acknowledging the “serious concerns” raised and apologising to the affected families.

Georgina Wade, Solicitor at Tees is representing ‘G’ and his family in the pursuit of justice for the harm caused by Mr Jabbar’s negligence. Georgina is also representing a number of other families who have been affected.

The case of Patient ‘G’ and the broader issues at GOSH highlight the critical need for accountability and transparency within the medical profession. When there is a breakdown of trust, and patient safety is compromised, the consequences can be devastating – not only for the individuals and families directly affected, but also for the public’s confidence in the healthcare system.

The call for accountability and reform

This case is one of several cases which serves as a call to action – healthcare providers must prioritise patient safety, foster a culture of openness, and swiftly address shortfalls in care when they occur. Only by committing to these values, can we protect vulnerable patients like ‘G’ and begin to rebuild and restore trust in the medical profession.

Statement from solicitor Georgina Wade

Solicitor Georgina Wade said: “As the family’s solicitor I am deeply troubled by the findings of the Royal College of Surgeons into the care provided to ‘G’ by Mr Jabbar. Both ‘G’ and his family trusted him; he was someone they believed to be a respected and experienced surgeon at one of the world’s leading children’s hospitals. He abused that trust and used his position of authority to perform a totally different surgical procedure to the one which was agreed to by ‘G’ and his family.

“Beyond Mr Jabbar’s worrying practices, the fact that he was allowed to continue treating children after concerns were raised about his practice also raises questions about the conduct of Great Ormond Street. As the extent of Mr Jabbar’s worrying practices now comes to light, I am shocked to see how many vulnerable children have been affected by his behaviour. One child coming to harm is one too many. ‘G’ and his family, along with all those affected by this deserve answers and accountability, as they will have to live with the consequences of the actions of both GOSH and Mr Jabbar for the rest of their lives.”

A family’s fight for justice over hospital’s failings

The family of an 85-year-old woman who passed away in early 2022 have spoken out against a Norfolk hospital that incorrectly treated their mother and contributed to her death.

First hospital visit

Marlene Webb was admitted to James Paget University Hospital on 14 December 2021 after she suffered a fall whilst out delivering Christmas cards. Although Ms Webb had a few pre-existing health conditions, she had been independent and mobile, undertaking all her own daily needs in her house, before her fall.

On the day Ms Webb was admitted to the Great Yarmouth hospital, her weight was incorrectly recorded as 77kg, when in fact she was just under 60kg. The blood thinning medication she was on (warfarin) to treat her pre-existing atrial fibrillation was stopped.

The day after, on 15 December, Ms Webb underwent hip surgery for the injuries sustained during her fall. Later that evening though, she began feeling sick and vomited a dark colour. After this, the hospital queried an upper gastrointestinal bleed, but it was deemed unlikely.

Following this, Ms Webb received numerous blood transfusions due to low levels of haemoglobin (found in red blood cells, haemoglobin transports oxygen around the body). She was prescribed blood thinning medication edoxaban to help prevent blood clots. However, the prescription was based on her weight – which had been incorrectly recorded at 77kg – meaning she was being given a higher dose than her body could take. The dosage prescribed to her was 60mg, when it should have been 30mg, based on her weight. Ms Webb continued taking this incorrect dosage for over a month, until one day before her death.

The side effects of edoxaban can include:
  • Can cause individuals to bleed more than usual (as it prevents the blood from clotting as easily)
  • Tiredness
  • Heart palpitations
  • Feeling dizzy or lightheaded
  • Nausea
  • Stomach pain
  • Indigestion
More serious side effects can include:
  • Severe bleeding
  • Bleeds on the brain

A form completed at the hospital on 23 December 2021 shows Ms Webb’s weight being at 57.75kg. Even at this point, nine days after her hospital admission, this was not picked up and she continued to be given the incorrect dosage of edoxaban.

Back home

On 28 December, Ms Webb was discharged from hospital. Her medical notes from that day state she had some ‘delirium.’

Back at home, Ms Webb was initially thought to have been making a good recovery, but by 5 January 2022, a GP home visit was requested by her family as her legs were swollen and she seemed very confused. Since she had been home, she was becoming more forgetful and was experiencing more regular falls. This was a stark difference from how she was when she first went to the hospital. In the space of three days, she had four falls. She was also hallucinating and speaking to people who were not present.

Second hospital visit

An ambulance took Ms Webb back to hospital on 18 January 2022 after she suffered a head injury from another fall. Upon her admission this time, her weight was recorded at 54kg. her dosage of edoxaban was still not altered and she remained confused and delirious.

An extract from her medical records on 23 January shows what her mental state was like: Patient is very confused, shouting and crying at times … declining to drink and eat … trying to remove oxygen at times” … “doesn’t believe we are in hospital. Keeps trying to get out of bed. Doesn’t believe I am a doctor. Wants to phone the police. Explained to pt she is poorly … Does not have capacity … Pt left to calm down for a few minutes.”

On 28 January, Ms Webb was given a blood transfusion. On hospital documents, it is stated that this was necessary due to gastrointestinal bleeding and anaemia. Sadly, Ms Webb did not respond to this treatment and passed away just before 9am on 29 January 2022.

The death certificate of Ms Webb lists the causes of death as:

I(a) Gastrointestinal Haemorrhage / II Frailty of Old Age / Atrial Fibrillation (On Anticoagulation) / Hypertension

James Paget University Hospitals NHS Foundation Trust

On the day of Ms Webb’s death, the Trust submitted two incident reports. One of those recorded:

Patient should not have died due to GI bleed.” The root cause was recorded as: “Edoxaban being prescribed at an incorrect (higher) dose due to incorrect weight recording as of the 28th December 2022. A 7-day delay in starting an alternative to PPI to avoid rebound acid hypersecretion and predisposition to upper GI bleeding.”

The outcome of the second report is recorded as “staff did not adhere to policy. Time management, staffing issues and enhanced supervision of patients led to delays in care provision of blood transfusion.”

These findings were also repeated in the Trust’s Root Cause Analysis Investigation Report.

The legal claim

Tees’ Medical Negligence team identified several failings in the care the hospital had provided, including a failure to correctly record Ms Webb’s weight; a failure to carry out further investigations for a gastrointestinal bleed despite Ms Webb having exhibited symptoms on 15 December; the prescription of an incorrect dosage of edoxaban and a failure to stop prescribing it on the realisation that it had been over-prescribed. There was also a failure to prescribe alternative medication to prevent gastrointestinal bleeds whilst she was on edoxaban.

The evidence was that the over-prescription of edoxaban led to her becoming confused and causing hallucinations, suffering from bruising, a general decline in her health and recurrent falls. It also caused or exacerbated the upper gastrointestinal bleed, which caused her death.

Trust response

James Paget University Hospitals NHS Foundation Trust admitted that an incorrect dosage of edoxaban was prescribed but denied that this caused the injuries complained of.

The Trust did, however, admit that there was a failure to administer alternative gastroprotection whilst she was receiving edoxaban and that if it wasn’t for this failure, she would not have developed the gastrointestinal bleed and sadly died on 29 January 2022.

In January 2024, Ms Webb’s family settled their claim out of court against James Paget University Hospitals NHS Foundation Trust.

Impact on the family

Ms Webb’s family said: “Although the Trust admitted fault for the staff’s wrongdoings in relation to the incorrect dosage of edoxaban that was given to our mother, we find it extremely disappointing that they have denied the full impact of this on our mother.

“We think it’s so important to speak out. We were not even able to see our mother when she was in hospital – The Covid-19 pandemic being used as an excuse, despite things having improved significantly by that time. We will never get that time back which could have been so important for us to see her and raise our concerns if we had seen her.  

“We found it very difficult to find out how our mum was doing in hospital and were not kept informed, we kept telling ourselves that she was in the best place, but we do not believe she was, had we been told what was happening and how upset our mum was we could have told the doctors that there was something seriously wrong. We were not told that mum was in her last hours and therefore we were not all by her bedside when she passed. The hospital responds that they are learning, which just isn’t good enough, they failed to get the basics correct and their neglect contributed (if not caused) the demise of our beloved mum.

“As a family, we now meet up more than we did before which our mum would have loved, mum was the life and soul of a party and I’m sure many people have fond memories of her. We cannot put into words how this tragedy has affected us all and find it difficult to deal with especially being robbed of time in her last moments.

“We are devastated by the actions of the JPH and we cannot get our mum back, we want people to be made aware that mistakes are being made and that if anyone feels something isn’t quite right with their loved ones care shout from the rooftops for a second opinion, we would hate for another family to go through this trauma.  We would also like to thank Tees who were excellent from the outset.”

Medical negligence solicitors supporting clients to a better future

At Tees Law, our specialist lawyers are ranked Tier 1 in the Legal 500 and understand that concerns about treatment can be overwhelming. We are here to provide sensitive, personal legal advice, supporting you, while also ensuring that wider lessons are learnt to improve care.

Patient safety during maternity care called into question

Tees’ Clinical Negligence team advocates for campaigning for patient safety concerning antenatal, maternity, and neonatal care.

BBC Panorama exposes maternity care failures

A BBC Panorama documentary aired on Monday, 29 January 2024, highlighting maternity care issues at Gloucestershire Hospitals NHS Foundation Trust, including the Cheltenham Birth Centre.

A tragic loss: Margot Frances Bowtell

Tees’ client, Laura Harvey from Gloucester, lost her baby, Margot Frances Bowtell, at just three days old. Laura recalls her experiences with Gloucestershire Hospitals NHS Foundation Trust in 2020 after the hospital admitted liability for failures in her care that led to Margot’s death.

Margot was born on 14 May 2020 at the midwife-run Cheltenham Birth Centre and passed away on 17 May 2020 due to a hypoxic brain injury sustained during delivery.

Investigation and accountability

The care Laura and Margot received was provided by two midwives, who are no longer working at the Trust. Both midwives are now under investigation by the Nursing and Midwifery Council (NMC) regarding the circumstances surrounding Margot’s death.

A report by the Healthcare Safety Investigation Branch (HSIB) identified multiple care issues, including a failure to update Laura’s risk assessment after she experienced reduced fetal movements and a bleed at 34 weeks pregnant. As a result, Laura was admitted to a midwife-led, low-risk ward instead of the consultant-led unit she needed.

Missed opportunities for intervention

During labor, Laura experienced further episodes of bleeding. However, these were not escalated to the on-call obstetricians, nor was the information properly handed over between midwives during the shift change on 14 May 2020. HSIB concluded that a referral to the obstetric-led unit for continuous monitoring of Laura and Margot was necessary.

Gloucestershire Hospitals NHS Foundation Trust admitted liability for failures in Laura’s care that caused Margot’s death.

Legal advocacy and expert commentary

Sarah Stocker, Associate at Tees, stated:

“The midwives involved did not follow both national guidance and the hospital’s own clinical guidance on several occasions during Laura’s labor. If the midwives had acted in the hours before Laura gave birth, she would have been transferred to the appropriate ward for obstetric-led care. With continued monitoring, Margot would have been delivered at the first sign of fetal distress and would still be with us today.”

Laura Harvey’s perspective

Reflecting on the midwives and ongoing investigations, Laura Harvey said:

“As a family, we want and more importantly deserve to know why both midwives made the decisions they did and why they chose to directly ignore and not follow the Trust’s own standard practice procedure. It was not just one point where they failed to escalate my care; it was a series of failures.”

A positive experience after loss

In December 2023, Laura safely delivered a baby daughter at Gloucester Hospital, under the care of the Rainbow Team. This time, she experienced exceptional care.

Calling for safer maternity practices

Laura Harvey continues to advocate for better maternity care, emphasising the importance of following safety procedures:

“There are midwives who are working hard and following the safety procedures in place to bring babies into our world, going above and beyond to help everyone.

It should not be a postcode lottery where you give birth and the care that you receive. Midwives and doctors need to follow the national set of safety procedures.

We need to highlight the Trusts that are excelling and share knowledge with those currently struggling. Most importantly, we need to share and learn from what happened to Margot to prevent it from ever happening again.”