Alison Jeanes

“whilst contact was made with the Neurosurgical team at Salford Raval Hosoital on the dav of her admission there was 1 no conversation with a Doctor from that team until the day after her admission. As a result there was no expert neuro input into her care for 24 hours. There was no evidence that there was any attempt to chase up contact earlier”

“Mrs [name redacted] was brought into hospital by ambulance at the direction of a GP who recognised that she had a suspected head injury and was on warfarin. The GP recognised that the NICE guidance suggests there is an 8 hour window for patients on warfarin with a suspected head injury. Her fall had been at 23.58 on 161h March. The inquest heard that she was triaged but her CT scan was not ~xpedited and was not reported on until 11.45 almost 12 hours after the fall. There was no evidence of a system that”

“haematology advice on the day of admission was to reduce her INR. This advice was reconfirmed by the neuro surgeons the following day. There were differences in the recommendations and it was not entirely clear how that difference was being managed. In any event despite repeated attempts with Vitamin K Mrs [name redacted] INR remained above the target. Further advice from the haematologist was not sought until 26th March some 9 days after her admission. It was unclear why that delay had occurred as the”