Michelle Mason
2 Jun 2025 · Coroner Christopher Long · Lancashire and Blackburn with Darwen
This report repeats 4 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of 24/7 thrombectomy service in Lancashire
“NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service”
2. lack of understanding among non-stroke clinicians about thrombectomy availability
“lack of understanding from non-stroke specialist clinicians in Lancashire as to when and where thrombectomy services are available for patients in Lancashire”
3. absence of regional mutual aid for thrombectomy
“There is no mutual aid regionally, even where thrombectomy is available, clinically appropriate, it is known lack the procedure is likely to result in death and it is anticipated resources are available to complete the procedure”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“I heard evidence during this inquest that the availability of thrombectomy is currently variable and dependent on geographical location and timing.”
This report
“NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service”
Identical hazardConfidence 0.90 · high
Earlier report
“There is no thrombectomy service available 24/7 for RCHT patients.”
This report
“NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service”
Identical hazardConfidence 0.90 · high
Earlier report
“Evidence was heard that there is no provision in Lancashire for Thrombectomy Service following a stroke after 5pm and that neighbouring Trusts who provide this service are no longer able to accept patients from Lancashire.”
This report
“NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service”
Closely relatedConfidence 0.90 · high
Earlier report
“Calderdale Royal Hospital (CRH), the hospital with a hyper-acute stroke unit closest to [the deceased]'s home address, does not offer a thrombectomy service, whether in or out of hours.”
This report
“NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service”