Maureen Dick
6 Mar 2023 · Coroner Nadia Persaud · East London
The coroner's concerns
1. lack of professional curiosity investigating severe pain
“There was a lack of professional curiosity by the medical staff in relation to investigating the cause of Mrs [name redacted] severe pain in October 2021.”
2. failure to assess sacral pressure ulcer
“There was a failure by the medical staff to adequately assess the sacral pressure ulcer between the 24th October to 29th October 2021, particularly in light of the increasing white cell count and severe pain complained of by Mrs [name redacted].”
3. failure to diagnose osteomyelitis
“There was a failure to diagnose Osteomyelitis at Queens Hospital prior to her transfer to Broomfield Hospital on the 29th October 2021.”
4. lack of mandatory training for clinical staff on pressure ulcers
“There is no system for mandatory training for clinical staff in relation to pressure ulcers.”
Responses
No published response was found on judiciary.uk.