Richard Lockley
10 Jan 2019 · Coroner Andrew Haigh · Staffordshire (South)
The coroner's concerns
1. poor communication during patient transfer
“very poor communication between County Hospital and Royal Stoke in respect of the transfer”
2. unavailability of gastroenterology bed
“difficulties in actually finding a gastroenterology bed at Royal Stoke for Mr [name redacted]”
Responses
2019-0010-Response-by-University-Hospitals-of-North-Midlands-NHS-Trust.pdf ↗· University Hospitals of North Midlands NHS Trust
Stated action
“In relation to optimising communication between our two hospital sites, it is agreed that Mr [name redacted] pathway fell short of the standard of care that we hope to provide albeit, all the correct multidisciplinary services were involved in his care (ie radiology, gastroenterology, dietetics). Following discussion with the gastroenterology team and the imaging (radiology) team, there are some lessons that we have learned from this case and they include: a. There was a small window of opportunity to”