Recurance · prevention of future deaths reports
Pre-inquest brief
Over-reliance on NEWS algorithm and inadequate monitoring of deteriorating ED
The earlier warning
Dave Onawelo · 27 Aug 2024 · Graeme lrvine, East London
“Factors in the Emergency Department including, patient congestion, over-reliance on the NEWS algorithm and a lack of compassion and clinical curiosity contributed the outcome.”
judiciary.uk/…/dave-onawelo-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Dave Onawelo (27 Aug 2024) · stated timescale: none stated
“the trust will be responding to you directly on the steps they are taking locally; this includes action to help improve the awareness and care provided in the emergency department for patients with sickle cell anaemia”
What recurred
- 27 May 2025 · Abdirahman Afrah · Nadia Persaud · Closely related · confidence 0.80 (moderate)
- 16 Jun 2025 · Norma Campbell · Nadia Persaud · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Dave Onawelo · 27 Aug 2024
“Factors in the Emergency Department including, patient congestion, over-reliance on the NEWS algorithm and a lack of compassion and clinical curiosity contributed the outcome.”
Later · Norma Campbell · 16 Jun 2025
“There is no electronic observation system in place within the A&E department of Whipps Cross Hospital (such as Live Note). Patients presenting with high NEWS scores are not therefore automatically brought to the attention of clinical supervisors.”
What happened next
No web check of the stated actions has been published for this chain.