Vanessa Ferkova

1. 1. lack of clinical observations in triage

   “I heard evidence from the CQC that the walk-in centre had been inspected for the first time in the June following [the deceased]'s death. It was judged to have 'triage process whereby patients were assessed so they were seen according to clinical need...' but also that 'Patients arriving at the service were seen generally according to arrival time'”

2. 2. inconsistent commissioning of unscreened patient services

   “I am concerned that there is a difference in the services commissioned between primary and secondary care settings, where the potential population of patients is similar; that being unscreened members of the public, including children”

3. 3. public confusion about service roles

   “I heard evidence that there is a confusion amongst the general public as to the roles of walk-in centres, urgent care centres and GP services attached to Emergency Departments”

4. 4. absence of clinical observation triage in walk-in centres

   “The walk-in centre provider is currently investigating whether it should/could provide a triage service which includes an assessment of clinical observations”

5. 5. national risk of similar failures

   “I am concerned that this is a nationwide issue which warrants consideration by NHS England as the commissioner of primary care services”

No published response was found on judiciary.uk.