Joyce Marchant

1. 1. delayed GP notification of critical test results

   “The inquest heard that the Manchester Royal Infirmary use the postal system to provide GPs with information about blood results/follow up information. Faxes are no longer used due to GDPR. The trust propose to move to an email system for notifying GPs recognising that the use of the postal system carries delay and risk of information not reaching the GP(7% was the figure given to the inquest). Their IT system at this time is not capable of this information transfer and the information was that i”

2. 2. delayed drainage procedure for biliary abscess

   “During the course of the Inquest the evidence given was that the delay in offering the drainage procedure was attributable to a shortage of interventional radiologists which meant that the Trust could not accommodate the need for a drainage procedure until 31° May. There was greater availability at tertiary centres but transfers to a tertiary centre could take time and not be practicable. The inquest heard that if she had been at the tertiary centre when the abscess was identified she would”

3. 3. lack of coordinated treatment plan between centres

   “The MRI was the treating centre for Mrs [name redacted] underlying medical problems which led to her deterioration. However there was no evidence of a clear communication strategy or treatment plan involving the DGH and Tertiary Centre. This was attributed in part to the sheer volume of demand on tertiary centres and the extent of support they can provide to DGHs.”

No published response was found on judiciary.uk.