Sarah Kiff
20 Nov 2017 · Coroner Lisa Hashmi · Manchester (North)
The coroner's concerns
1. failure to follow NICE 2005 cancer referral guidance
“GPs at the Practice did not follow the NICE 2005 cancer referral guidance”
2. poor medical record keeping and communication
“Medical record keeping and communication between the medical and nursing teams was poor”
3. lack of continuity of care and failure to appraise clinical history
“lack of continuity of care and a failure by doctors to fully appraise themselves of the clinical history ahead of consultation”
4. reluctance to perform internal examinations on female patients
“male doctors were reluctant to carry out internal examinations on female patients as they felt it more appropriate for their female colleagues to do them”
5. inadequate processes for reviewing test results
“processes and procedures in place for reviewing test results and ensuring that they appear within the patient's electronic records appears to be inadequate”