Stuart Clarke
6 Nov 2019 · Coroner Rachel Galloway · Manchester City
The coroner's concerns
1. delayed referral for valve disease patients
“During the inquest, evidence was heard that: By the time that Mr [name redacted] underwent the TAVI procedure on the 25th June 2019 he had deteriorated and was significantly less well than he had been in the months following his initial presentation to his GP in February 2018. During the course of the inquest, I heard that steps are being taken at local level to ensure more timely intervention in similar cases. However, I was concerned that there remain no national guidelines for referral from primary care”