Antony Williamson
20 Dec 2024 · Coroner Adrian Farrow · Manchester South
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of inter-specialty communication
“save for the referral by the Urology team to the Pain Service in September 2023, there was no liaison or communication between any of the specialties involved in Mr [name redacted] care, which resulted in a lack of understanding on the part of each specialty of the plans and actions of the others”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“That one of the teams caring for Mr [name redacted] was completely unaware of the input from another specialty team, despite both referrals being made under the 2-week urgent referral pathway.”
This report
“Throughout the inquest, it was apparent that save for the referral by the Urology team to the Pain Service in September 2023, there was no liaison or communication between any of the specialties involved in Mr [name redacted] care, which resulted in a lack of understanding on the part of each specialty of the plans and actions of the others.”