David Curry
25 Jul 2024 · Coroner Jacqueline Lake · Norfolk
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. delayed ureteroscopy
“Mr [name redacted] was treated for an infected obstructed left kidney and a left ureteric stent was placed as an emergency on 7 April 2023. Mr [name redacted] name was added to the NHS waiting list for Day Case urgent left ureteroscopy and laser stone fragmentation.”
2. increased infection risk
“Evidence was heard that the risk of post operative urinary infection and sepsis is increased by prolonged stent dwell time.”
3. delayed procedure
“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023. The procedure was carried out on 15 September 2023.”
4. post‑procedure sepsis
“Following the procedure being carried out Mr [name redacted] developed sepsis and died on 1 October 2023.”
Linked reports
Identical hazardConfidence 0.95 · high
Earlier report
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
This report
“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023.”