Paul Mclean
22 Oct 2019 · Coroner Graeme Hughes · South Wales Central
The coroner's concerns
1. inadequate seizure call scripting
“The adequacy/accuracy of the scripting of questions for seizure/fitting calls. In particular, and in relation to code 12D02 calls (post 19.6.19) the requirement for a healthcare professional to call back after 20 minutes of continuous fitting to trigger a call upgrade from Amber 1 to Red”
2. lack of pathway for prison staff call prioritisation updates
“Whether a pathway exists, or should be created for updating G4S - the operators of Parc Prison with changes implemented by the WAST affecting call prioritisation”
3. absence of structured clinician-WAST communication
“Whether there is, or should exist, a clear pathway for dialogue between the Princess of Wales Hospital Emergency Department clinicians and WAST in relation to best practice for call categorisation”