Wayne Milne

1. 1. non-compliance with the LRCP protocol

   “The concerns within the hospital and non-compliance with the LRCP protocol has been addressed by way of an investigation & action plan.”

2. 2. inconsistent emergency call procedures

   “The nurse at the practice told the Inquest, the procedure for practice staff calling 999 (not leaving it to the patient) in the event of a patient with chest pain and other life threatening conditions applied only to reception staff and not to nursing staff. This led to inconsistency and in this case an avoidable delay in summoning urgent medical assistance and needs reviewing/all staff working in/working on behalf of the practice need to be aware of the procedure to be followed, consideration”

3. 3. failure to escalate and summon emergency assistance

   “The nurse within the practice who spoke with [the deceased] on the date of his death on behalf of the practice , did not escalate to a doctor, did not call 999, she did not inform the NOK of her concerns, she did not call back to see if [the deceased] had called for an ambulance/attended hospital and she did not alert the hospital of her suspicions, i.e. differential diagnoses including; PE, cardiac related problem or aortic aneurysm.”

No published response was found on judiciary.uk.