Geoffrey Duke

30 May 2019 · Coroner Margaret Jones · Stoke-on-Trent & North Staffordshire

The coroner's concerns

1. pacemaker box change causing undiagnosed infections
“No consideration appears to have been given that the pacemaker box change may have been the source of his undiagnosed infections”
2. lack of referral process for post‑pacemaker surgery patients
“no evidence of a referral process for patients having undergone pacemaker surgery who subsequently become unwell”
3. pacemaker box change
“Mr. [name redacted] underwent pacemaker box change on 15" June 2016”