James Manning

1. 1. inconsistent referral practices for children's tonsillectomy

   “GPs and general hospital doctors would benefit from national guidance to ensure that greater consistency is achieved when referring children for tonsillectomy and similar treatment”

2. 2. absence of choking in ENT UK Commissioning Guide for Tonsillectomy

   “choking is not mentioned in the current Guide”

3. 3. high risk of life-threatening choking events

   “risk of a life-threatening event is high.”

4. 4. inadequate cover for urgent referrals during staff leave

   “delay in being reassessed and referred to tertiary care was contributed to by medical staff being on leave.”

5. 5. lack of communication of referral priorities

   “locally devised priorities agreed in specialist or Regulation 28 - After Inquest Document Template Updated 30/07”

No published response was found on judiciary.uk.