Clinton Fear
29 Jun 2023 · Coroner Simon Fox · Avon
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. risk of Mycobacterium Chimaera infection from surgery
“1. There is an inconsistency between - Previous Public Health England and current NHS guidance only to notify patients undergoing surgery from January 2013 of the risk of Mycobacterium Chimaera infection And Evidence of patients contracting Mycobacterium Chimaera infection from surgery substantially earlier than January 2013 (at least as far back as 2008)”
2. delayed diagnosis and consequent harm
“Patients who have contracted Mycobacterium Chimaera infection from surgery before January 2013 may be suffering a delay in diagnosis and consequent harm as a result of a lack of notification due to the existing guidelines”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“It is apparent that it is important that the nationally recognised level of the risk of developing Mycobacterium Chimaera from exposure to a heater cooler unit is accurate”
This report
“There is an inconsistency between - Previous Public Health England and current NHS guidance only to notify patients undergoing surgery from January 2013 of the risk of Mycobacterium Chimaera infection”
Responses
No published response was found on judiciary.uk.