Anne Leake

“the failure to fit the ICD was causative of Mrs [name redacted] death and it amounted to neglect.”

“Each team uses their own ward-based medical notes which are not accessible by the other teams”

“Plans to introduce electronic patient records to which all medical teams have access are still at an early stage and no date has been identified for moving over to a single electronic notes system”

“The steps which the Trust has taken as a result of Mrs [name redacted] death to address the risk of MDT decisions being missed in the future still rely upon the manual transcription of decisions from one set of medical notes to another, with the continuing potential for human error and important decisions about treatment being overlooked”