Linda Oldland

14 Aug 2023 · Coroner Anna Crawford · Surrey

The coroner's concerns

1. information not shared with GP
“Did not pass on pertinent information to the GP about the positive dip stick test on 30 December 2021”
2. information not shared with ambulance service
“Did not pass on pertinent information to the ambulance service on 2 January 2022 about Mrs [name redacted] wishes and the GP plan should she deteriorate with suspected sepsis”
3. failure to recognise cardiac arrest
“Did not recognise that Ms [name redacted] was in a state of cardiac arrest on 3 January 2022”
4. incorrect DNAR communication
“Incorrectly informed the ambulance service that Mrs [name redacted] had a valid DNAR in place on 3 January 2022”