Roger Wood
21 Oct 2020 · Coroner Graeme Irvine · East London
The coroner's concerns
1. AAA not referred for treatment
“The ultrasound scan of Mr [name redacted] AAA completed in June 2017 measured the aneurysm as 5.5 ems. The report simply stated the size and position of the AAA.”
2. redundant GP link causing failure
“In the light of the sad facts of Mr [name redacted] death, Barking, Havering and Redbridge University NHS Trust have now changed Trust policy. Now when a patient is identified to have a AAA equal or greater than 5.5cm results include advice to make a vascular referral are not simply sent to a GP electronically, they are also emailed.”
3. redundant GP link causing failure
“My concern is that the current treatment pathway contains a possibly redundant link, the role of the GP. A link, which as demonstrated in Mr [name redacted] case, is capable of failure.”
Responses
No published response was found on judiciary.uk.