Recurance · prevention of future deaths reports
Pre-inquest brief
Missed or delayed diagnosis of severe brain injury
The earlier warning
Selina Broadhurst · 17 Feb 2014 · John Pollard, Manchester (South)
“The Emergency Department doctors indicated that they could not get a CT of the head because "the NICE Guidelines do not indicate as being appropriate where there are no obvious neurological signs".”
What was promised
No published response from National Institute for Health and Care Excellence was found for the earlier reports.
What recurred
- 15 Jul 2015 · Karen O'Brien · Roy Palmer · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Selina Broadhurst · 17 Feb 2014
“The Emergency Department doctors indicated that they could not get a CT of the head because "the NICE Guidelines do not indicate as being appropriate where there are no obvious neurological signs".”
Later · Karen O'Brien · 15 Jul 2015
“The NICE guidance is stated to be a recommendation. It must therefore be presumed not to be applied slavishly without careful assessment.”
What happened next
No web check of the stated actions has been published for this chain.