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Patient faces losing toe after botched nail removal surgery in London leaves her with gangrene

Read the original at Evening Standard ↗
Cite

Place, T., & Gray, K. (2026, September 26). Patient faces losing toe after botched nail removal surgery in London leaves her with gangrene. Evening Standard. https://www.standard.co.uk/news/london/patient-toe-nail-surgery-gangrene-london-nhs-trust-b1298419.html

Dated when The Aporia collected the article, usually within hours of publication. Check the original for its exact date and byline.

Evening Standard · collected 2026-09-26 · by Tom Place, Katherine Gray

Quick Summary

A woman in London is facing the loss of her toe after a botched nail removal surgery that led to gangrene. The incident occurred on January 16, 2025, at a podiatry service within the Central London Community Healthcare NHS Trust. Multiple failures were identified in the care provided, including missed opportunities to assess blood flow and lack of proper documentation. These oversights contributed to delays in recognizing the severity of her condition, leading to chronic limb-threatening ischaemia and gangrene. The trust has since implemented new protocols to enhance patient safety.
Written by AI on 2026-09-26, from this article's own text only (the story summary below draws on all the coverage).

AI analysis

Story summary

In January 2023, a diabetic woman in London experienced severe pain from a blackened toenail and an ulcer underneath. Despite visiting her local podiatry service multiple times at Central London Community Healthcare NHS Trust, the team failed to properly assess her condition before removing a section of her toenail on January 16 without checking blood flow or obtaining written consent. Her condition worsened, leading to gangrene in her toe due to poor circulation. Now facing potential amputation, she is living with constant pain while awaiting either a "self-amputating" toe fall-off or surgical removal. The Patient Safety Incident Investigation Report revealed that the podiatry team missed opportunities to recognize and address the deteriorating blood flow to her foot.

Written for “Toe In Danger After Surgery Complication” on 2026-11-02, grounded in this article and the 0 other(s) covering the same event.

Story

📰 Toe In Danger After Surgery Complication
Health · 1 article(s) covering the same event.

Compared with similar articles

Nothing to compare against. No article is close enough to this one for the pipeline to have linked or judged the pair.
How this article was measured signals, leaning charts, publisher record, byline, topics and claims

Signals How these are calculated →

Claims extracted
17
sentences that state something as happening or true
Uncertain
0%
0 of 17 hedged ("reportedly", "may", "according to")
Leaning
not political
takes no side on a contested political question
Publisher signals
64/100
Evening Standard's corrections and hedging, across everything collected from it. Not a measure of accuracy.
Outlets on this story
1
Health
Same framing elsewhere
1
articles that frame the event the way this one does
Analyzed 2026-09-26 · how these are computed

How this is being covered How these are calculated →

Article leaning vs. publisher reliability
Source leaning vs. consistency

Publisher

Evening Standard · 8215 article(s) · 73 correction(s) detected
Running correction rate · 73 correction(s)

Who wrote this

Tom Place
153 article(s) here · 0 carrying a prediction
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🔮 “I couldn’t just go, ‘guys it’s me, vote for me, but that’s all I can do really’.
🔮 The Labour leader responded, saying both Labour and the Conservative councillors could gauge concern through “many emails” and in-person conversations with Jewish residents and leaders of Jewish organisations. Cllr Rawlings also claimed that support for The Green Party policy essentially amounted to telling Jewish people to “disown their communities to participate in British politics”. Before the final vote, Barnet’s sole Green councillor Charli Thompson said there was “highly inaccurate” information in Cllr Rawlings’ claims, adding: “I would argue that we need to be voting on motions with accurate information in them – not falsehoods”.
🔮 This is a breaking news story and will be updated.
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All 153 articles by Tom Place →
Katherine Gray
14 article(s) here · 0 carrying a prediction
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All 14 articles by Katherine Gray →

Topics

Brent Hillingdon London Westminster the Central London Community Healthcare NHS Trust

Subjects

Brent PERSON · 1× Hertfordshire GPE · 1× Hillingdon GPE · 1× Kingston GPE · 1× London GPE · 1× Podiatry Team ORG · 1× Westminster ORG · 1× the Central London Community Healthcare NHS Trust ORG · 1×

Narrative

The team also went ahead with the procedure without conducting a preoperative assessment or getting written consent. “This investigation found that the patient experienced harm due to missed opportunities to recognise and act on worsening blood flow to the foot,” reads the report.
framing: assertive · carried by 1 article(s) · first seen 2026-09-26

Claims (17 extracted, 0 hedged)

An investigation found several failures in the care provided by the Central London Community Healthcare NHS Trust, which serves 14 London boroughs including Brent, Hillingdon, Westminster and Kingston as well as Hertfordshire. asserted
which → find → Brent
The woman, who has been kept anonymous, was a known diabetic attending the podiatry service since 2015. asserted
who → keep → 2015
She attended her local Podiatry Team in severe pain with a blackened toenail with an ulcer underneath on January 16 last year. asserted
She → attend → January
A section of her toenail was removed and the patient was prescribed antibiotics by her GP. asserted
patient → remove → GP
However her pain worsened and circulation to her toe deteriorated until it became gangrenous. asserted
it → worsen → toe
The patient and her daughter visited the podiatry service multiple times where she complained about being in “excruciating” pain. asserted
she → visit → pain
The patient is now living with ongoing pain, waiting for her toe to either ‘self-amputate’ - fall off on its own - or to be surgically removed. asserted
toe → live → own
What went wrong? asserted
What → go → ?
A Patient Safety Incident Investigation found that no assessment was carried out to check if there was enough blood flow to the toe to safely perform surgery. asserted
assessment → find → surgery
The team also went ahead with the procedure without conducting a preoperative assessment or getting written consent. “This investigation found that the patient experienced harm due to missed opportunities to recognise and act on worsening blood flow to the foot,” reads the report. asserted
report → go → foot
Read More “Although the patient had diabetes and a history of vascular risk factors, key assessments were not completed or documented at critical points, particularly when the patient presented with severe pain, colour change, and ulceration of the right big toe.” asserted
patient → read → toe
The patient and her daughter reported feeling “distressed, unheard and uncertain” that their concerns were being taken seriously. asserted
concerns → report → ?
Further issues were identified, such as failure to review her diabetic foot classification, failure to escalate to specialist vascular services, incomplete and inconsistent clinical paperwork and problems with the clinical environment. asserted
issues → identify → environment
“These failures contributed to a delay in identifying the severity of peripheral arterial disease, leading to chronic limb-threatening ischaemia, gangrene of the toe, and the need for urgent hospital treatment,” the report adds. asserted
report → contribute → treatment
A spokesperson for the trust said: “The incident took place in January 2025. asserted
incident → say → January
In response, we introduced mandatory pre-surgery assessments, strengthened our procedures to ensure concerns are escalated promptly, and enhanced training and competency checks for all podiatrists to improve patient safety. asserted
concerns → introduce → safety
“Discussions took place with the patient and their family and we offered our sincere apologies.” asserted
we → take → apologies
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