Zona Tebbs
19 Jul 2019 · Coroner Nicola Mundy · South Yorkshire (East)
The coroner's concerns
1. failure to communicate key changes in clinical practice
“Failure to effectively communicate key changes in clinical practice and advice e.g. an amended definition of a tetanus prone wound in the Public Health England email of July 2018 entitled Vaccine Update (attached)”
2. failure to identify key issues in updated medical practice
“A failure generally to identify key issues in any updated in medical practice and communicate those effectively to those healthcare professionals involved in delivering such care”
3. failure to update Green Book Guidance
“Failure to update Green Book Guidance”
Responses
No published response was found on judiciary.uk.