Teresa Dennett
18 Jan 2017 · Coroner Heidi Connor · Nottinghamshire
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delayed referral for life-saving neurosurgery
“absence of a clear pathway for referral for life-saving neurosurgery”
2. inadequate diagnostic imaging
“regarding diagnostic imaging”
3. lack of stroke physician input for relevant cases
“input from stroke physicians into appropriate cases”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“absence of a clear pathway for referral for life-saving neurosurgery”
Later report
“neurosurgery is not a specified Pathways category, nor is it part of the”
Responses
2017-0026-Response-by-NHS-England.pdf ↗· NHS England
Stated action · 31 March 2018
“The Neurosciences CRG are in the process of reviewing the Neurosurgery Service Specification and will require all services to meet the guidelines issued by the SBNS. This review will be complete by'31 March 2018.”
2017-0026-Response-by-Nottingham-University-Hospitals-NHS-Trust.pdf ↗· Nottingham University Hospitals NHS Trust
Stated action · 29 March 2017
“taken. A new protocol has been written after consultation with the following groups: - NUH Critical Care Consultants - NUH Theatres and Anaesthetic teams - NUH Surgical Divisional and specialty teams (including Neurosurgery and Gastroenterology) - NUH Interventional Radiology - NUH Medical Division and specialty teams (including Stroke team) - Mid Trent Critical Care Network and Clinical Leads. - Medical Directors and Critical care service leads at NUH, Lincoln, Derby and Kings Mill Hospitals. - Sheffield”
2017-0026-Response-by-Sheffield-Teaching-Hosipals-NHS.pdf ↗· Sheffield Teaching Hospitals NHS Foundation Trust