Keith Hankin
17 Sept 2025 · Coroner Karen Henderson · West Sussex, Brighton and Hove
The coroner's concerns
1. lack of clinical governance of Community Urology Service
“Lack of clinical governance of the Community Urology Service (CUS) by the Integrated Care Board (ICB) who commissioned the service and Sussex Medical Chambers (SMC) who were responsible for providing the service”
2. fragmented urology service
“Lack of Integration of the Community Urology service with NHS Hospital Urology Services”
3. insufficient appraisal and mandatory assessment of clinicians
“Lack of appraisal and mandatory assessment of clinicians employed by CUS”
4. lack of robust assessment and guidelines for practicing privileges
“Practicing Privileges within the private sector”
5. lack of independent review of death circumstances
“Learning from Mr [name redacted] death”
6. delayed sepsis diagnosis and treatment
“Management of Mr [name redacted] at Goring Hall Hospital”
Responses
2025-0472-Response-from-Care-Quality-Commission.pdf ↗· Care Quality Commission
2025-0472-Response-from-Circle-Health-Group.pdf ↗· Chief Executive
Stated action
“CHG has in place, and stringently applies, a Practising Privileges policy which requires those seeking practising privileges to provide robust evidence of their qualifications, experience and competencies to ensure it is suitable for them to practise at our hospitals using the title of”
2025-0472-Response-from-Department-for-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
2025-0472-Response-from-NHS-Sussex.pdf ↗· Sussex Medical Chambers
2025-0472-Response-from-Sussex-Medical-Chambers.pdf ↗· Sussex Medical Chambers