Else Harvey-Samuel

1. 1. inadequate clinical information in imaging request

   “Doctors requesting radiographs or other imaging investigations (whether out of hours or not) must include sufficient clinical information to explain why the investigation is indicated to avoid the request being rejected, and also to inform the radiologist who reports on the subsequent images what the relevant clinical history was.”

2. 2. lack of documented discussion for out of hours investigations

   “In the event of further need for justification of an out of hours investigation, discussion between senior clinician and senior radiologist should take place and be documented.”

3. 3. insufficiently robust post incident investigation system

   “In any post untoward incident investigation, the system for determining the correct level of post event analysis, and the investigation itself, must be sufficiently robust to establish fully what occurred and to take any statements required as near to the time of the event as possible so as to identify any lessons that need to be learned.”

No published response was found on judiciary.uk.