Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed on-call consultant response to night emergencies
The earlier warning
Novia Delima · 20 Apr 2018 · Alison Mutch, Manchester (South)
“the ED on call consultant arrangements meant that long wait times would not in themselves trigger on call consultants being asked to attend the hospital.”
judiciary.uk/prevention-of-future-death-reports/novia-delima
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 3 Feb 2020 · Harry Richford · Christopher Sutton-Mattocks · Closely related · confidence 0.80 (moderate)
- 30 Aug 2024 · Felix Hartley · Joanne Andrews · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Harry Richford · 3 Feb 2020
“The current contracts at the East Kent Trust permit consultants to live up to 30 minutes travel time from the hospital.”
Later · Felix Hartley · 30 Aug 2024
“the Trust practice, as opposed to Policy, is that the on-call Consultant cannot be more than 30 minutes from either Brighton or Haywards Heath.”
What happened next
No web check of the stated actions has been published for this chain.