Mrs R was seen in the Accident and Emergency Department of her local hospital as she was concerned by a sharp and constant abdominal which had developed. She was reassured and discharged. The following day she was seen by an out of hours GP as the pain had become worse and couldn’t be controlled by pain killers. On examination the GP found her tummy to be rigid and she was distressed. The GP diagnosed a panic attack but he should have considered the possibility she had serious problem and referred her to hospital for investigation. She was in fact suffering with peritonitis as a result of a perforated ulcer. Sadly she died the following day. The GP admitted he should have referred her to hospital and the case settled for £125,000.00.