Sidra Aliabase
21 Jan 2026 · Coroner Fiona Wilcox · Inner West London
The coroner's concerns
1. communication breakdown between paediatric cardiology team and other hospital teams
“communications by the on call paediatric cardiology team at GOSH are not as they should be when they communicate between themselves and hospital teams that contact them for advice”
2. absence of early diagnostic planning for long QT in newborns
“systems for making plans for diagnosing long QT in newborns at risk need to be put in place early in pregnancy in case of premature delivery”
3. inappropriate reliance on external advice for neonatal care
“Chelsea and Westminster neonatal doctors should take advice primarily from its in house visiting paediatric cardiology team for babies likely to be in hospital for some time, even if care is later transferred to another hospital service for long term follow up”
4. prescribing errors due to similar drug names
“drop-down menu prescribing is more likely to lead to errors in drug selection for drugs of similar names”