John Mellor

“systematic failure to ensure that blood tests are conducted, where required, for individuals under specialist, secondary care for renal failure”

“failure to establish a shared care arrangement, or at least to ensure that an organisation was identified in order to undertake blood sampling for drug monitoring”

“responses or updates to referrals, as well as requests for tests in the community, have not been communicated to primary care directly, with the sole reliance on a patient to pass vital documentation on to his primary healthcare provider”