Audrey Kelly
8 Apr 2014 · Coroner John Pollard · Manchester (South)
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. lack of access to GP notes
“neither they nor the hospital Emergency Departments, have direct access to GP [name redacted]”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“neither they nor the hospital Emergency Departments, have direct access to GP [name redacted]”
Later report
“lack of access to GP information regarding Mr [name redacted] diagnosis of haemophilia, could have caused or contributed to his death”
Identical hazardConfidence 0.95 · high
This report
“neither they nor the hospital Emergency Departments, have direct access to GP [name redacted]”
Later report
“Hospital doctors, including in the Emergency Department and Paediatrics, do not have electronic access to primary care medical notes e.g. GP notes, community mental health notes etc.”
Responses
2014-0155-Response-by-Department-of-Health2.pdf ↗· Department of Health and Social Care
Stated action
“Stockport CCG is already enagaged in continual improvement work in this area. However, as a result of this investigation, the CCG is also planning the following measures: © to seek formal assurance from Mastercall about processes for new starters and contingency plans for when practitioners do not have Smartcards”
2014-0155-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care
Stated action
“The CCG have confirmed that [the deceased] had a shared record which was available to view and which included her allergy to the antibiotic specified in your report.”