Imad Hassan
5 Sept 2016 · Coroner Graeme Hughes · South Wales Central
The coroner's concerns
1. lack of backup plan for PCI
“Inthe event that a patient at Prince Charles Hospital is deemed suitable for PC] there is currently no formal back up plan in place, to enable the PCI to proceed, should UHW in Cardiff or Morriston Hospital in Swansea be unable to accept that patient”
2. delayed PCI leading to death
“In such circumstances, a patient meeting the criteria for PCI is unable to undergo that procedure, increasing the risk of his/her death, until there is such capacity for that patient to be admitted to UHW or Morriston Hospitals for PCI”
3. lack of short term pathway for critical care beds
“As per the evidence off given at inquest, an agreed short term pathway needs to be put in place to access adult critical care beds outside Wales and a bed management pathway put in place”
4. lack of agreed pathway for unconscious STEMI PCI
“There is currently no agreed pathway for an unconscious STEMI patient requiring PCI in tertiary services as there is currently for conscious patients with STEMI”
5. lack of capacity causing deprivation of rescue PCI
“In similar circumstances as pertained on the evening prior to / the morning of Dr [name redacted] death such a patient (as described in 4)) maybe deprived the opportunity of undergoing rescue PCI due to lack of capacity at either UHW in Cardiff or Morriston in Swansea”
Responses
Hassan-Response.pdf ↗· ABMU Health Board
Stated action · later this month
“The attached joint letter represents the agreed interim position between the respective organisations which will be further developed for the next meeting of the Joint Committee later this month.”
Imad-Hassan-Response-2.pdf ↗· ABMU Health Board
Stated action
“We have confirmed with the United Hospitals University Bristol Trust that they will take patients in the event there is insufficient critical care capacity in South Wales.”