Jackson Chadd

24 Mar 2014 · Coroner Karen Henderson · Surrey

The coroner's concerns

1. non-career grade paediatrician with no previous experience
“Lack of effective supervision of a non-career grade paediatrician with no previous experience”
2. consultant supervision of out of hours on-call paediatric trainees
“Lack of consultant supervision of 'out of hours' on-call paediatric trainees”
3. independent consultant assessment of paediatric admissions outside normal working hours
“Lack of independent consultant assessment of paediatric admissions into Frimley Park Hospital outside normal working hours”
4. application of national guidelines for assessment and investigation of fever in children less than one year of age
“Lack of effective application of national guidelines for assessment and investigation of fever in children less than one year of age”
5. failure to acknowledge or act on concerns of a parent
“Failure to acknowledge or act on the concerns of a parent”