Elsie Taylor

1. 1. decline of hospital admission

   “The attending paramedic gave evidence at the inquest that on 15/9/20 the deceased had declined a hospital admission against advice due to concerns about Covid-19. This was not recorded in the EPR and the first time the family became aware of this was when a statement was received from the paramedic 2 days before inquest”

2. 2. lack of documentation of advice and consent

   “The EPR did not record that the deceased had been advised to go to hospital nor that she understood any such advice and she was not asked to sign a disclaimer”

3. 3. lack of communication to family about deterioration signs

   “There was no information left by the attending paramedic crew to reflect the decision of the deceased to decline admission or the advice given by paramedics. The family of the deceased were not present during the consultation and as a consequence they did not know what symptoms to look out for which might suggestion a deterioration in the condition of the deceased”

4. 4. absence of consultation outcome documentation

   “There was no note left by the attending paramedic crew detailing the outcome of the consultation”

5. 5. misleading discharge notice implying GP referral instead of hospital admission

   “the discharge notice left by paramedics contained her observations only and the wording suggested she had been referred to her GP as an alternative to a hospital admission”

6. 6. failure to contact GP or family despite known solitary living and medical conditions

   “The deceased lived alone and suffered with COPD and IHD. No attempt was made to contact the GP of the deceased or a family member despite the fact it was known that the deceased lived alone (it was noted in the EPR)”

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