Greta Lewis
17 Jun 2025 · Coroner Philip Spinney · Devon, Plymouth and Torbay
This report repeats 3 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of access to thrombectomy for severe stroke patients
“there is a gap in the availability of the time critical and potentially lifesaving thrombectomy emergency procedure to patients that have suffered a severe stroke in the South West”
2. inadequate provision of thrombectomy services
“the provision of the thrombectomy procedure to patients suffering with a stroke in the South West”
Linked reports
Identical hazardConfidence 0.95 · high
Earlier report
“I heard evidence during this inquest that the availability of thrombectomy is currently variable and dependent on geographical location and timing.”
This report
“there is a gap in the availability of the time critical and potentially lifesaving thrombectomy emergency procedure to patients that have suffered a severe stroke in the South West.”
Closely relatedConfidence 0.80 · moderate
Earlier report
“There is no thrombectomy service available 24/7 for RCHT patients.”
This report
“there is a gap in the availability of the time critical and potentially lifesaving thrombectomy emergency procedure to patients that have suffered a severe stroke in the South West”
Closely relatedConfidence 0.90 · high
Earlier report
“Evidence was heard that there is no provision in Lancashire for Thrombectomy Service following a stroke after 5pm and that neighbouring Trusts who provide this service are no longer able to accept patients from Lancashire.”
This report
“The evidence revealed that there is a gap in the availability of the time critical and potentially lifesaving thrombectomy emergency procedure to patients that have suffered a severe stroke in the South West.”