Gail Bailey
23 Jan 2019 · Coroner Paul Smith · Lincolnshire
The coroner's concerns
1. delayed arrival to hospital
“the latest time that Mrs [name redacted] could have arrived at hospital with any realistic prospect of survival was 19.40 hours”
2. lack of pre-alert documentation
“two pre-alert calls were made by the travelling paramedics to Boston Pilgrim Hospital to advise of the serious nature of Mrs [name redacted] condition”
3. staff unpreparedness
“clinicians appeared not to be ready for his wife's arrival”
4. lack of obstetric notification
“no Obstetrician and gynaecologist was forewarned about this patients arrival to the A & E department”
5. communication breakdown
“the apparent breakdown in communication does raise an area of concern in relation to future emergency admissions”
Responses
No published response was found on judiciary.uk.