Sylvia Daniel

1. 1. lack of clinical assessment within 15 minutes

   “The onus is for the commissioners (the relevant CCG) , rather than the providers (eg Virgin Care), to take (sic) ensure that the appropriate service is being commissioned. We understand that the local commissioners are reviewing the provision of urgent care services in the community. We trust that such a review will include the revised NHS England guidance.”

2. 2. information loss during triage

   “some information provided by Mrs [name redacted] family was not transcribed by the reception team, meaning that it was not available in written form to the clinical team as part of the initial 'paper' triage process”

3. 3. destruction of registration forms

   “an important part of the medical records (the handwritten form completed by patients/families on registration) is destroyed, rather than added to the notes”

4. 4. ignored patient deterioration concerns

   “patients/families are asked to let the reception team know if the patient is deteriorating, or if they are concerned that earlier prompt review is required. I heard evidence that such concerns were raised but no action was taken”

No published response was found on judiciary.uk.