David Jones
14 Oct 2025 · Coroner Nathanael Hartley · Nottingham and Nottinghamshire
The coroner's concerns
1. undisclosed atypical aortic dissections
“potential learning, which may make a difference to future patients presenting with atypical aortic dissections, has not been identified or passed on to clinicians within the emergency department and any other relevant departments”
2. ineffective training on atypical aortic dissections
“training in relation to atypical aortic dissections brought to my attention in evidence”
Responses
2025-0514-Response-from-Nottingham-University-Hospitals-NHS-Trust.pdf ↗· Nottingham University Hospitals NHS Trust
Stated action
“Aortic Dissection Improvement project. This work will be undertaken by an Acute Aortic Dissection Improvement Group led by the Cardiac Surgery team, with support from colleagues in the Emergency Department, Acute Medicine, Stroke, Radiology, Patient Safety team and the Medical Director's Office, and involves other teams such as Stroke and Radiology etc as required.”