Harbans Singh
15 Oct 2021 · Coroner Sean McGovern · Warwickshire
The coroner's concerns
1. discharge process system failure
“During the inquest it was accepted there was a system failure regarding the discharge process and I am concerned that such a situation will not re-occur.”
2. thyroid blood test results not flagged or acted upon
“I am concerned that the thyroid blood tests in August 2020 and April 2121 (described as demonstrating significant hypothyroidism) were seemingly not flagged nor acted upon.”
Responses
2021-0345-Response-from-Warwick-Hospital_Published.pdf ↗· Warwick Hospital
Stated action · 25/02/2022
“A draft policy has been created and circulated to the Clinical Steering Group and initial feedback has been incorporated. The draft policy takes into account requesting, reporting, reviewing, acknowledging, actioning and escalation of results and also includes roles and responsibilities and monitoring compliance with the policy.”
Stated action
“The Trust is committed to being environmentally friendly, therefore where possible we use 100% recycled paper. This paper has been made using no harmful chemicals in the manufacturing process.”