Philip Day

“When Mr [name redacted] arrived in ED, it was struggling to cope with a large backlog. Waiting times on that night /morning were significant. Triage wait times were approximately 1 hour. The time to see a doctor rose through the night to 7 hours and 38 minutes by 6am. The inquest heard that this was due to sheer volumes and that this is a situation that still arises. The impact is a delay in patients being seen, assessed and treated promptly”

“In relation to Mr [name redacted] the inquest heard that the community OOH Doctor had correctly recognised the risk of neutropenic sepsis and had rung through to speak to a doctor at the hospital. At the inquest there was no documentation to assist in tracking that conversation or any evidence it had been recorded or acted on. It was clear from the evidence at the inquest that the sharing of information between community clinicians and secondary care was important and that there appears to be no recognised”

“The Inquest heard that Mr [name redacted] first EWS score in ED was 2. He did not trigger on EWS for sepsis. However the blood tests in the community had shown a very low neutrophil level and a rising CRP. Had those factors been recognised along with his immunosuppression then he would have been treated under the neutropenic sepsis pathway earlier. The evidence suggested that there is a lack of awareness of the guidance and red flags for neutropenic sepsis which delays treatment. Greater awareness and tri”