Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of communication between specialties and roles
The earlier warning
Sheila Ridgway · 16 Jul 2018 · Rashid Sohall, Manchester (City)
“Communication between speciality consultants ~ lack of any system to ensure that communication occurs between the treating consultants as to the necessity for identifying and documenting any potential ongoing risks”
judiciary.uk/prevention-of-future-death-reports/sheila-ridgway
What was promised
No published response from Manchester University NHS Foundation Trust was found for the earlier reports.
What recurred
- 19 Jun 2024 · Thomas Gibson · Chris Morris · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Sheila Ridgway · 16 Jul 2018
“Communication between speciality consultants ~ lack of any system to ensure that communication occurs between the treating consultants as to the necessity for identifying and documenting any potential ongoing risks”
Later · Thomas Gibson · 19 Jun 2024
“there does not appear to be clear guidance available to those working within the Trust as to what is required when communicating (particularly as to test results and a patient's presentation) as between different specialisms and as between different roles within the team.”
What happened next
No web check of the stated actions has been published for this chain.