Philip Powell
30 Nov 2017 · Coroner Zafar Siddique · Black Country
The coroner's concerns
1. delay in ordering Debrisoft
“Evidence emerged during the inquest that there were delays in ordering Debrisoft which would have helped in managing the wound”
2. poor communication and poor systems in ordering Debrisoft
“evidence of poor communication and poor systems in place in ordering Debrisoft with confusion about the process and overall responsibility”