Myra Maxfield
25 Oct 2023 · Coroner Emma Serrano · Stoke on Trent and North Staffordshire
The coroner's concerns
1. delayed access to Tissue Viability Team for pressure ulcer patients
“it was crucial that patients who were at risk of developing pressure ulcers, had ulcers already, or had developed them whilst in hospital, saw the Tissue Viability Team as soon as possible, and usually within 6 hours”
2. delays in Tissue Viability Team access
“delays in doing so, could be causative in the death of patients”
3. unavailability of Tissue Viability Team over weekends
“at the Royal Stoke University Hospital, Tissue Viability is not available over the weekend, and this leads to substantial delay in patients being seen”