Janet Willcock
9 Apr 2021 · Coroner Veronica Hamilton-Deeley · City of Brighton & Hove
The coroner's concerns
1. head injury and fractured wrist without cardiac assessment
“She had a head injury and a fractured wrist. There is no evidence that her chest was auscultated.”
2. wrist fracture surgery without cardiac assessment
“On the 28" August 2020 Mrs [name redacted] attended for day surgery (fixation of her wrist fracture). Again, there is no evidence that her chest was auscultated.”
3. missed cardiac referral after syncope
“The evidence | heard informed me that if it had been a new heart murmur it would have been heard which, taken with the syncope, should have resulted in an immediate referral to Cardiology.”