Toxic dust from a demolition site next to Glasgow's Queen Elizabeth University Hospital (QEUH) caused contamination within its water supply, leading to deadly infections in patients.
Documents have revealed that the safety of the flagship hospital was compromised before it ever opened in June 2015.
The Southern General Hospital which the hospital replaced was being demolished next to the construction of the £842 million site, which includes the Royal Hospital for Sick Children.
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Consultant clinical scientist Susanne Lee was commissioned to carry out an independent probe into the water system in 2018 and found it was already poisoned by bacteria, likely caused by dust from the adjacent demolition, the Sunday Mail reports.
Last night, Dr Lee told the Sunday Mail that the transfer of patients into the hospital should have been delayed.
She said: “People tend to take precautions by dampening down to minimise the amount of dust.
“I wasn’t involved so I have no idea what happened during the construction, only what I’ve seen in the documentation which was given to me.
“There should have been a risk assessment. I can’t tell you if that was done or not.
“But if you’ve got a new build going up in proximity to one that’s being demolished at the sane time, the risk [from dust] is recognised so there should have been a risk assessment and a plan, particularly to minimise that risk.
“If I had been asked for my opinion at the time, I would have said there should have been a delay [in opening].”
The families of loved ones lost to infection, including the mum of 10-year-old Milly Main and widow of Andrew Slorance, demanded straight answers from senior management at NHS Greater Glasgow and Clyde.
Scottish Labour leader said: “Clinicians have told me that right from the start this hospital was a risk and that lives were in danger. That has been backed up by the water reports and now this finding on the construction and demolition only goes to strengthen that.
“We’ve got a government now famous for secrecy and cover-up and mismanagement. In this case it has been with devastating consequences.”
The Scottish Hospitals Inquiry was set up to look at issues around the building of both the QEUH campus and Edinburgh’s Royal Hospital for Children and Young People.
The inquiry documents describe a “history of infection concerns” at the site with the paper confirming that Dr Lee’s report “concluded that it is likely that the system was contaminated before handover”.
It added: “Fluctuations in the water temperature experienced since opening of the hospital were also a likely contributing factor; and that fungus in the water system was likely due to the dust levels around the site during construction and demolitions.”
Dr Lee was called in after a series of bacteria infections, which included 51 among children with blood cancer in 2017 at Ward 2A of the children’s hospital, which a year later had to be closed. Asked how long the delay should have been, she said: “Until they’d rectified and there had been a new risk assessment which said it was safe for patients to go in there.”
Following Dr Lee’s report, further checks were carried out on the water system.
The Scottish Hospital Inquiry report reads: “In order to understand where the bacteria were located within the water supply, samples were taken from all parts of the water system. Results showed that all floors had some contamination, indicating that the problem was widespread.”
It states there was “the presence of cockroaches, fungal odour, room not ventilated, water ingress and dried algae present on the floor”.
On the child cancer ward, 2A, checks also discovered “thick black and yellow grime was visible in the drains”.
The documents state that two out of three patient infections matched swabs taken from the drains which revealed bacteria.
The health board agreed to close the ward for refurbishment after pressure from senior medics.
It was then discovered that dirty and clean extractor fans were connected “which means that dirty air could be recirculated, potentially causing the problem with bacteria”.
Another probe carried out by a consultant on behalf of the health board in September 2018 linked the water problems with the patient infections, with “widespread contamination of the water system”.
In another report carried out in 2019 NHS body Health Facilities Scotland, it concluded the water supply was to blame and likely contaminated during construction.
It reads: “It should be noted that Health Facilities Scotland concluded that contamination of the water system was thought to have occurred at one or more times during installation, and that best practice had not been followed in design, installation, handover, operation or maintenance of the water system.”
An NHS Greater Glasgow and Clyde spokesman said the latest inquiry papers “have not been analysed or investigated by the inquiry nor have they been proved to be factually correct”.
He pointed the Sunday Mail to the health board’s own response to the inquiry documents in which state the health board “does not accept that, on the basis of evidence currently available, any aspect of the water, drainage or ventilation systems” in the hospital campus “has posed a risk to the safety of patients beyond that which may be reasonably expected in any comparable hospital environment”.
A Scottish Government spokeswoman said: “As an independent core participant of the nquiry, the Scottish Government is committed to assisting the Inquiry and therefore cannot comment on specific details at this time.”
The NHS board launched legal action against the contractors Multiplex, Brookfield Europe, Currie & Brown and Capital Property and Infrastructure over what it claims were defects it found at the hospital campus.
Capital declined comment. The other firms did not respond to requests for comment.
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