Christina Smith
4 Apr 2017 · Coroner Tony Williams · Somerset
The coroner's concerns
1. lack of communication about Thoracic Aneurysm
“Areport on Mrs [name redacted] of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs [name redacted] was never told of the existence of the Thoracic Aneurysm. It appears Mrs [name redacted] GP was never told of the existence of the Thoracic Aneurysm.”
2. absence of surveillance for Thoracic Aneurysm
“Only Mrs [name redacted] Aneurysm was placed under surveillance so as to monitor any possible increase in size. Mrs [name redacted] Aneurysm was not placed under surveillance.”
3. communication breakdown about Thoracic Aneurysm
“There appears to have been a breakdown in communication with regard to advising both Mrs [name redacted] and her GP as to the existence of the Thoracic Aneurysm.”
Responses
No published response was found on judiciary.uk.