University Hospitals Birmingham NHS Foundation Trust

“The practice in place at the time was that when a new procedure was launched, a global email was sent to all radiographers attaching the document and asking that staff sign and return a form to the CT lead. This form was reviewed by the CT lead and retained by them in a central folder within the CT department. Where staff did not return their forms, this was followed up by the CT lead with the individual radiographer to ensure that every radiographer is aware of any new procedure/document”

“The Trust now have in place a single MDT to support decision making in oesophago- gastric cancer care, however for the purposes of care delivery there are currently two teams. The work to establish a single service for all aspects of care is in train and will be in complete by June 2019.”

“The Trust recognises the concerns with regards to the apparent inconsistent approach to the MEWS Standard Operating Procedure (SOP) in BHH ED and the lack of consideration given to increasing the frequency of patient observations and the lack of escalation to the Nurse in Charge as the clinical condition of the patient deteriorated.”