Andrew Heys
24 Jan 2025 · Coroner John Pollard · Manchester West
This report repeats 2 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of training on pathways
“she had never been trained by BARDOC, in how to follow their 'pathways'; this meant that she 'closed' the call alter speaking to the patient, rather than returning it to the Ambulance Service as should have happened”
2. incompatible IT systems
“manager of the 111 Helpline agreed that the various IT systems do not "talk to each other"”
Linked reports
Identical hazardConfidence 0.96 · high
Earlier report
“it is not always possible for each healthcare provider to access the notes and records of the patient.”
This report
“the manager of the 111 Helpline agreed that the various IT systems do not "talk to each other".”
Identical hazardConfidence 0.90 · high
Earlier report
“The Inquest heard evidence that incompatible/different IT systems at the District General Hospital and Tertiary Centre made communication and information sharing in relation to patients more difficult.”
This report
“the manager of the 111 Helpline agreed that the various IT systems do not”