Philip Hayes
30 Oct 2019 · Coroner Karen Dilks · Newcastle upon Tyne
The coroner's concerns
1. delayed ambulance dispatch
“Delay in ambulance dispatch Call categorised C2 received response 1 hour 2 minutes after original call”
2. failure to reassess C2 category
“Failure to conduct reassessment of C2 category notwithstanding 5 subsequent calls describing additional symptoms and a deteriorating condition”
3. inconsistent algorithm application
“Inconsistency in approach and answers to algorithm question designed to indicate risk of aortic aneurysm/rupture/dissection”
4. inadequate triage staffing
“Calls triaged by health advisors with limited medical training and no medical qualifications”
5. inconsistent referral for clinical input
“Inconsistency in approach to referral for clinical input”
6. inappropriate algorithm weighting
“Appropriateness of triage by algorithm. Insufficient if any weight given to actual reported symptoms and indicators of a medical emergency”
Responses
No published response was found on judiciary.uk.