Ronald Clark
8 Apr 2019 · Coroner David Clark · Portsmouth and South East Hampshire
The coroner's concerns
1. wrong-sized stent used
“stents in this sort of packaging are in general use in most, if not all, NHS hospitals”
Responses
2019-0151-Response-by-NHS-England.pdf ↗· NHS England
Stated action
“The National Patient Safety Team, being part of NHS Improvement, is in the process of reviewing the National Safety Standards for Invasive Procedures (NatSIPPs).”