Carl Wright
17 Oct 2022 · Coroner Gordon Clow · Nottinghamshire and Nottingham
The coroner's concerns
1. inexperienced junior doctors managing deteriorating patients
“The majority of medical care, including the identification and assessment of deteriorating patients, was done by inexperienced junior doctors with no easy access to input from more experienced doctors”
2. delayed blood test result review
“There was an established culture and practice of most blood tests results not being reviewed in a timely manner”
Responses
2022-0324-Response-from-Nottingham-University-Hospital-Foundation-Trust.pdf ↗· Nottingham University Hospitals NHS Trust
Stated action · 31/12/2022
“All patients who are planned to be transferred from an NUH in patient bed into Linden Lodge are now required to be physically assessed and reviewed by a Consultant from Linden Lodge, prior to transfer. This is to ensure that the patient is medically stable and suitable for transfer and for care within the Neuro-Rehabilitation Unit. The team are developing induction guidelines for junior doctors working in Linden Lodge, supported by an escalation process where a patient may be at risk of clinical”