Derek Brierley
20 Aug 2013 · Coroner Simon Nelson · Manchester North
The coroner's concerns
1. suprapubic catheter insertion site too high
“Although the consultant performing the suprapubic procedure had done so successfully on nine previous occasions the last such occasion was twelve months earlier. The family overheard instructions for the procedure being read out to the consultant whilst it was being carried out. More likely than not the site of the insertion was too high.”