Clifford Crofts
22 Feb 2016 · Coroner Caroline Topping · Surrey
The coroner's concerns
1. care plan not followed
“The Trust's care plan no 94 RIG was not followed”
2. staff unaware of policies
“page 19) recommends that relevant staff members are aware of and understand the policies, guidance and supporting documentation which relate to the care of patients who have undergone enterostomies. I”
3. escalation process unclear
“The SI report recommends that the process by which care is escalated within and between disciplines needs to be reviewed and clarified”
4. CT scan guidance unclear
“guidance relating to CT scanning on the trust intranet should be reviewed to clarify the process for arranging investigations”
5. insufficient weekend staffing
“staffing levels at weekends have increased since 2014, it was not clear that the number of doctors at all levels of seniority available at weekends is sufficient to provide safe care”
Responses
Clifford-CROFTS-Response.pdf ↗· Ashford and St Peter's Hospitals NHS Trust
Stated action · end of 2016/17
“The Trust is committed to the provision of emergency care which does not vary with time of day or day of week, as described in the Keogh Standards. The timescale for compliance with the 10 Keogh Standards is the end of 2016/17 (financial year).”