Andrew Nichols
27 Oct 2023 · Coroner Nicholas Lane · Worcestershire
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of clarity on VTE risk assessment responsibilities in community organisations
“There seems to be a lack of clarity amongst health and care professionals (certainly those who gave evidence at this inquest) as to whether community organisations receiving patients following discharge from hospital (such as neurorehabilitation centres and care homes) should, as a routine part of their responsibilities, be performing VTE risk assessments”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“I am concerned that the various medical practitioners who attended upon Mrs [name redacted] did not consider continuing prescribing Mrs [name redacted] medication to minimise the risk of VTE after her discharge from hospital on 21st December 2018”
This report
“There seems to be a lack of clarity amongst health and care professionals (certainly those who gave evidence at this inquest) as to whether community organisations receiving patients following discharge from hospital”
Responses
2023-0416-Response-from-National-Institute-for-Health-and-Care-Excellence.pdf ↗· National Institute for Health and Care Excellence
Stated action
“we propose to review the guideline to see if it can be updated to cover the issue of continuing VTE prophylaxis on discharge so that inpatient anticoagulation prescriptions for VTE prophylaxis are converted to ongoing anticoagulation where required”