Stephen Widman
29 Apr 2014 · Coroner Ian Arrow · Plymouth, Torbay & South Devon
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delayed treatment of neurapenic sepsis
“There should be an accelerated pathway for individuals suffering neuropenic sepsis so they are dealt with promptly”
2. inappropriate catheterisation
“The deceased was catheterised too frequently without the management of a urologist”
3. lack of vulnerability identification
“treatment could be expedited if patients were issued with a card noting their vulnerability and bringing with them a contact telephone number”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“The deceased was catheterised too frequently without the management of a urologist.”
Later report
“Catheterisation was carried out including attempts/manipulation on several occasions by different individuals without recourse to a consolidated catheterisation record.”
Responses
No published response was found on judiciary.uk.