Anne Hawkes
2 Apr 2024 · Coroner Sarah Slater · South Yorkshire East
The coroner's concerns
1. delayed cardiology referral
“The delayed cardiology referral whilst Mrs [name redacted] was on an orthopaedic ward led to sub optimal management of her cardiac failure which in turn is implicated in her death”
2. lack of communication between services
“The lack of communication between services within the Trust (surgery, cardiology and tissue viability) led to a delayed and incohesive approach to the wound management”