Allan Watt

“Mr [name redacted] arrived at A&E at 8pm, he was seen within an hour by a nurse practitioner and admission arranged. However after he got onto the ward at 2am he did not see a doctor to be clerked in until 10.30. Both [the deceased]'s family and I as coroner felt this delay was unacceptable.”

“After [the deceased] had been clerked in and IV fluid and antibiotic advised he did not receive an IV line or a first dose of antibiotic until 3pm -it was now 19 hours after he had arrived in A&E and in that period he had received no fluid or drug treatment.”

“[the deceased] died at 18.45, evidence suggested that he may have been too ill to survive even at the time he arrived in the A&E department but I have no doubt that the want of timely assessment and treatment denied him any chance at all. It is my hope that attention to these concerns will indeed prevent future deaths at your hospital.”