Recurance · prevention of future deaths reports
Pre-inquest brief
Unavailable bed leading to delayed patient transfer
The earlier warning
Michael Brennan · 27 Mar 2017 · R Brittain, London Inner (North)
“I am concerned that this backup plan relied on the availability of a bed at a satellite hospital, which was ultimately not available when it was required.”
judiciary.uk/prevention-of-future-death-reports/michael-brennan
What was promised
Stated action 1 · response to Michael Brennan (27 Mar 2017) · stated timescale: end of May 2017
“we will amend it by the end of May 2017 to take account of the normal practice with respect to Westmoreland Street Hospital (WMS) beds which is twice daily updates on the WMS bed state being sent to the main hospital”
judiciary.uk/…/2017-0114-Response-by-University-College-Hospita…
What recurred
- 7 Dec 2023 · Sarah Chappell · Stephen Simblet · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Michael Brennan · 27 Mar 2017
“I am concerned that this backup plan relied on the availability of a bed at a satellite hospital, which was ultimately not available when it was required.”
Later · Sarah Chappell · 7 Dec 2023
“There was a ten day delay in Ms [name redacted] transfer from the Princess Royal Hospital to UCLH.”
What happened next
No web check of the stated actions has been published for this chain.