Gemma Marshall

“Evidence was given by the consultant surgeon who fitted the band, a senior bariatric surgeon at the treating hospital and a consultant radiologist at the treating hospital that the gastric band had slipped”

“CT scan was undertaken on 13.03.24 and reported on by a radiologist with expertise in musculoskeletal imaging (rather than gastric or abdominal imaging) who worked for an outsourced company. This was because of staff shortages in the hospital. The scan report mentioned the existence of the band but didn't comment on the fact that the images clearly showed the band was out of position.”

“This was, in my view, a critical failure in the care Ms [name redacted] received. Had this image been correctly reported, then a referral to bariatric surgeons would have probably been made which might have meant she would have survived”