The “traumatised” daughters of a woman who died just days after knee surgery have said they are “really angry” after their mum’s death was ruled as preventable.
Linda Allan, 59, died at Victoria Hospital in Kirkcaldy, Fife, after suffering a cardiac arrest, multi-organ failure and complications of a perforated gastric ulcer in October 2019.
A fatal accident inquiry (FAI) concluded her post-operative care “was not at the standard that would have been expected”.
In a ruling on Thursday, Sheriff Susan Duff said Ms Allan’s death might have been avoided if she had received daily reviews, including that of her medication.
NHS Fife said it has accepted the eight recommendations outlined in Sheriff Duff’s report.
Ms Allan’s daughters, Shona and Sharon Adams, told Sky News they’ve been left “absolutely traumatised”.
Shona, 36, said: “I still feel really angry. Really angry, and [we’ve] just not really had time to grieve [because] it’s been ongoing for about three-and-a-half years.
“I don’t know how we are going to move on from this, but time will tell.”
Sharon, 39, added: “It’s horrific, especially when we’ve now been told that mum’s death could have been avoided.
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“I think it makes it even worse that now we’re left with this huge gap in our life that nobody [can replace].”
Image: Ms Allan died at Victoria Hospital in Kirkcaldy following knee surgery. Pic: Allan family
Ms Allan, from Kirkcaldy, was admitted to the orthopaedic unit on 15 October 2019 after injuring her right knee while stepping over a low garden wall that gave way.
X-rays revealed a complex fracture and surgery was carried out two days later.
Ms Allan initially reported no pain but on her return to the ward said she was feeling “rotten”.
A few days later, Ms Allan became “very unwell” with stomach pain.
She suffered a cardiac arrest on 21 October but was resuscitated and transferred to the intensive care unit.
Ms Allan then underwent an operation which found a large perforated chronic ulcer. Surgeons also discovered restricted blood flow to the small bowel and possibly the liver.
Doctors decided that any further attempts at intervention would likely be unsuccessful. Ms Allan died on 23 October.
‘I just couldn’t get my head round it’
Shona said: “I was just in complete disbelief, saying ‘how has this possibly happened? She’s came in with a broken knee now to the point like she’s dying.’
“I just couldn’t get my head round it to be honest.”
Shona said she felt “regret” after believing her mum was in the “safest place”, adding: “I still just can’t believe that you can go into the hospital and just never come out again.”
Sheriff Duff said there were “opportunities to detect the deterioration in her condition” and take action to “prevent further decline”.
This included launching an “urgent medical review” when Ms Allan’s pain score went from zero to 10 in just seven hours.
‘She was there alone with no family’
Sharon, who said Ms Allan was given anti-inflammatory medication for the fracture, said it was difficult to hear during the FAI proceedings how unwell and upset her mum was.
“She was there alone with no family,” she said.
In the conclusion of her 32-page determination, Sheriff Duff wrote: “The inquiry has established that the care which Ms Allan received post-operatively was not at the standard that would have been expected.
“There were opportunities for her condition to be reviewed which could have altered the tragic outcome in this case.”
The siblings welcomed the findings but described the hospital’s treatment as “horrific”.
Sharon added: “Personally, now, I don’t want to go there for care.
“I pray that nothing ever happens in our family because I don’t think I would want to go to the hospital.”
The sisters described their mum as their “rock” who was the “life and soul of the party”.
Sharon said: “She wasn’t just our mum, she was like our best friend.”
She said the “devastated” family were still in “shock”, adding: “I still don’t quite believe everything that’s happened. I still go to get my phone to phone my mum.”
Image: Sheriff Susan Duff determined Ms Allan’s death could have been prevented. Pic: Allan family
The sheriff made eight recommendations, including a daily review for every post-operative patient and an immediate referral should a patient change from a low to high pain score between observations.
Dr Christopher McKenna, medical director at NHS Fife, said: “On behalf of NHS Fife I would like to say sorry and extend our condolences to Ms Allan’s family.
“We accept the eight recommendations outlined in Sheriff Duff’s report.
“The recommendations align with the learning and actions that the board has already taken as a result of our internal investigation.
“We will work towards ensuring the recommendations set out in the sheriff’s report are implemented with the aim of preventing harm occurring in similar situation again.”
When the sun sets on Scunthorpe this Saturday, the town’s steelworks will likely have a new boss – Jonathan Reynolds.
The law that parliament will almost certainly approve this weekend hands the business secretary the powers to direct staff at British Steel, order raw materials and, crucially, keep the blast furnaces at the plant open.
This is not full nationalisation.
But it is an extraordinary step.
The Chinese firm Jingye will – on paper – remain the owner of British Steel.
But the UK state will insert itself into the corporate set-up to legally override the wishes of the multinational company.
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3:23
Govt to take control of steel plant
A form of martial law invoked and applied to private enterprise.
Image: A general view shows British Steel’s Scunthorpe plant.
Pic Reuters
Political figures in Wales are now questioning why nationalisation wasn’t on the table for this site.
The response from government is that the deal was done by the previous Tory administration and the owners of the South Wales site agreed to the terms.
But there is also a sense that this decision over British Steel is being shaped by the domestic and international political context.
Labour came to power promising to revitalise left-behind communities and inject a sense of pride back into places still reeling from the loss of traditional industry.
With that in mind, it would be politically intolerable to see the UK’s last two blast furnaces closed and thousands of jobs lost in a relatively deprived part of the country.
Image: One of the two blast furnaces at British Steel’s Scunthorpe operation
Reform UK’s position of pushing for full and immediate nationalisation is also relevant, given the party is in electoral pursuit of Labour in many parts of the country where decline in manufacturing has been felt most acutely.
The geo-political situation is perhaps more pressing though.
Just look at the strength of the prime minister’s language in his Downing Street address – “our economic and national security are all on the line”.
The government’s reaction to the turmoil caused by President Donald Trump’s pronouncements on tariffs and security has been to emphasise the need to increase domestic resilience in both business and defence.
Becoming the only G7 nation unable to produce virgin steel at a time when globalisation appears to be in retreat hardly fits with that narrative.
It would also present serious practical questions about the ability of the UK to produce steel for defence and the broader switch to green energy production.
Then there is the intriguing subplot around US-China trade.
While this decision is separate from discussions with the White House on tariffs, one can imagine how a UK move to wrestle control of a site of national importance from its Chinese owner might go down with a US president currently engaged in a fierce trade war with Beijing.
This is a remarkable step from the government, but it is more a punctuation mark than a full answer.
The tension between manufacturing and decarbonisation remains, as do the challenges presented by a global economy appearing to fragment significantly.
But one thing is for sure.
As a political parable about changes to traditional industry and the challenges of globalisation, the saga of British Steel is hard to beat.
Teachers in England are once again gearing up for potential strike action after an overwhelming majority of National Education Union (NEU) members rejected the government’s latest pay offer.
In an electronic ballot, 93.7% of respondents turned down the proposed 2.8% pay rise, labelling it inadequate and unfunded.
If the pay offer had been accepted, schools would have had to find the money from existing budgets to pay for the increase – with many saying they are already overstretched.
Some 83% of teachers said they would be willing to take industrial action to secure a better deal.
Image: Daniel Kebede, general secretary of the NEU. Pic: PA
The vote, which included 134,487 teachers in state schools across England (a turnout of 47.2%), was a clear signal that union leaders are not backing down.
In a statement after the vote, Education Secretary Bridget Phillipson said a move towards industrial action by teaching unions “would be indefensible”, given work being done to increase school attendance and urged the NEU to “put children first”.
NEU general secretary Daniel Kebede said years of what he called “real-terms pay cuts” had left the profession in crisis.
He also took aim at the government’s decision not to fund the offer centrally.
“This will only make things worse,” Mr Kebede said. “Our members tell us every day of the desperate state their schools are in due to lack of funding.”
The union says the offer falls below inflation and lags behind private-sector wage growth.
But critics argue strike threats will only cause more damage to students still recovering from the disruption of the pandemic.
The union’s national executive is due to meet at its Harrogate conference next week, and all eyes will be on whether full-blown strike action will be announced.
Those unfamiliar with Scotland’s so-called ‘ferry fiasco’ would barely believe it is a true story.
The new vessels cost quadruple their original price tag, one was delivered seven years late, the other is still being built, and both are too big to fit the main harbour for their daily journeys to and from the Isle of Arran.
But in this latest chapter of the scandal, the unbelievable is very much part of the script. And, as Sky News has been hearing, the consequences are brutal.
“It is completely and utterly nuts,” one exasperated campaigner exclaims as we stand overlooking the deserted Ardrossan Harbour on Scotland’s mainland.
Image: The town has been hit hard by the temporary closure of the harbour
Image: The new ferries are too big for the harbour’s jetty and require an £80m upgrade
Image: Ferries are being diverted along the coast to Troon and locals say businesses in Ardrossan are suffering
Ardrossan, on the Ayrshire coast, has been the main port for the ferry service to and from Arran for decades. It is the quickest, most efficient route.
But the 30-year-old ferry serving the islands for generations is failing and two new bespoke-designed ones were ordered, with them due to enter service from 2017.
Image: Ardrossan has operated a ferry service to and from Arran for decades, as it is the quickest, most efficient route
The original £100m cost ballooned to £400m, the shipyard was bought by taxpayers amid financial crisis, one vessel finally started carrying passengers in January 2025 while the other is still being built.
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And to add insult to injury, both are too big for Ardrossan Harbour’s jetty to cope with and require an £80m upgrade.
In the meantime, services are being diverted along the coast to Troon.
Image: Ardrossan is the innocent victim of several costly blunders linked to the new ferry service
Protest as tensions rise in ‘ghost town’
Ardrossan was promised it would remain the primary port for connectivity to Arran. But now the community is in limbo and is fearing for its future.
Christine Cowie, from Save Ardrossan Harbour, told Sky News: “It is completely and utterly nuts.
“Why anybody would commission a ferry which doesn’t fit the harbour for the route it is meant for is crazy. I cannot understand it at all.
“Ardrossan is like an extension of Arran. A lot of people come here to the dentist and use other businesses they don’t have on the island which are losing money since the ferries have gone away.”
Image: Christine Cowie from Save Ardrossan Harbour says Ardrossan is fearing for its future
A botched design process, mismanagement and a string of costly blunders have given the project the label of one of the biggest procurement disasters in the history of Scottish devolution.
People from Arran are joining Ardrossan campaigners on the mainland for a protest on Saturday. Hundreds are expected to gather as tensions boil over.
The group’s chairwoman Frances Gilmour said Ardrossan has become a “ghost town”.
She said: “It is so quiet. It is spooky. It’s frankly a disgrace. Businesses are suffering.
“Economically, this is the route. This is the economic route. We have the infrastructure. We just need the berths fixed.”
Image: Frances Gilmour thinks Ardrossan has become a ‘ghost town’
The 33-year-old MV Caledonian Isles, which has been away over the winter for extensive repairs, is expected to return to Ardrossan next month. But locals question how reliable and sustainable that vessel is.
On the edge of the once bustling harbour carpark is the Bute MOT garage.
Manager Scott Revans says they rely on customers from Arran previously hopping off the ferry and leaving their car for repairs at their centre.
He told Sky News: “The harbour is a ghost town. We’d get the passing trade doing whatever customers need from batteries to punctures. It has had an impact on us.”
Image: Scott Revans, who manages a garage, has been hit by a drop in passing trade from Arran
Could taxpayers pick up the bill?
Ardrossan Harbour is owned by private company Peel Ports.
The Scottish government is currently exploring buying the port, but the talks are a secret, with campaigners feeling left in the dark.
No one involved in the discussions would answer questions from Sky News about when they expect to alert communities to the next steps.
Image: One of the two new ferries, the Glen Sannox, entered service in January but is too big to fit the main harbour. Pic: PA
A spokesman for the Scottish government agency Transport Scotland said: “We absolutely understand people and communities’ views in favour of retaining Ardrossan as the mainland port and remain committed to ensuring the Arran ferry service is fit for the future.
“The Scottish government has instructed officials… to explore options on purchasing Ardrossan Port.
“We will of course update parliament once there is progress and an outcome to report, however, it would be inappropriate to get in the way of these complex and sensitive discussions.”
Jim McSporran, port director at Peel Ports Clydeport, said: “Peel Ports Group welcomes the Scottish government’s statement that it intends to explore the potential purchase of Ardrossan Harbour.
“Regardless of the outcome of this process, our willingness to invest in the harbour remains steadfast. We take comfort that the port continues to operate this lifeline route and that it remains the port of choice for the people and businesses of Arran and Ardrossan.”