Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed medical response due to bleep system failures
The earlier warning
Margaret Sales · 11 Nov 2020 · Jacqueline Lake, Norfolk
“Nurses had difficulty in contacting front line on call medical staff on two occasions.”
judiciary.uk/prevention-of-future-death-reports/margaret-sales
What was promised
Stated action 1 · response to Margaret Sales (11 Nov 2020) · stated timescale: 25 January 2021
“I attach the latest audit on medical records carried out across the Trust's wards. The wards involved were Oxborough and Marham for the admission in question. With medical record completion, action taken is taken on a regular basis and I set out the detail of this process below.”
judiciary.uk/…/2020-0233-Response-from-Queen-Elizabeth-Hospital…
What recurred
- 25 Nov 2022 · Bonnie Webster · Jacqueline Lake · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Margaret Sales · 11 Nov 2020
“Nurses had difficulty in contacting front line on call medical staff on two occasions.”
Later · Bonnie Webster · 25 Nov 2022
“Evidence was heard that staff alerted the paediatric team on foot, rather than using the emergency "bleep" system”
What happened next
No web check of the stated actions has been published for this chain.