James Cockburn
2 Jul 2024 · Coroner Alison Mutch · Manchester South
This report repeats 2 earlier warnings. See the linked reports.
The coroner's concerns
1. months-long wait for cardiac appointment
“despite the referral being in August 2022 he had to wait months for his appointment due to the demand on cardiac services”
2. shortage of suitably qualified professionals for trans oesophageal echocardiograms
“significant wait times for essential tests such as trans oesophageal echocardiograms to be carried out due to a shortage of suitably quailed professionals”
3. inability to transmit information between separate IT systems
“delays in communication between two different trusts - NCA and MUFT. Their IT systems are completely separate and cannot transmit information into the others patient records easily”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“different health organisations use different digital systems that do not communicate with each other.”
This report
“Their IT systems are completely separate and cannot transmit information into the others patient records easily.”
Closely relatedConfidence 0.85 · high
Earlier report
“The use of different systems and reliance on postal services and lack of a clear, effective electronic system of referrals including transfer of images /notes meant there were delays in assessing patients”
This report
“significant wait times for essential tests such as trans oesophageal echocardiograms to be carried out due to a shortage of suitably quailed professionals”