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recurance

Sylvia Scully

11 Aug 2020 · Coroner Chris Morris · Greater Manchester South

The coroner's concerns

  1. 1. limited remote access to relevant systems and insufficient equipment for urgent out-of-hours radiology reporting

    “The court heard evidence that the Consultant [name redacted] on-call for the Trust and reporting on urgent out-of-hours imaging from home, had more limited remote access to relevant systems than radiologists working for remote reporting companies and had been provided with less equipment than such an individual. Given the importance of effecflve out-of-hours reporting of imaging to emergency I care, t is considered authoritative guidelines as to requi~ite access and recommended equipment could assist”

Responses

2020-0156-Response-from-NHS-Tameside-and-Glossop-Integrated-Care_Redacted.pdf ↗· Tameside and Glossop Integrated Care NHS Foundation Trust

Stated action · as soon as possible

“The Trust have adopted a "SWARM" approach where a serious untoward incident (SUI) is suspected. This SWARM meeting is to take place as soon as possible after the incident has occurred and is based on the concept of "swarm intelligence" where the collective intelligence is greater than that of individuals. It is required to gather and analyse the facts pertaining to the incident and to identify suitable risk control measures. The SWARM response team will report on the key findings, immediate actions”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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