John Waite

“During the Inquest evidence was heard that: - i. A haemorrhage following the removal of a central venous catheter is a rare, but known, complication of the removal of a central venous catheter and the complication has never been seen by many experienced Renal Physicians, including the 3 Renal Physicians giving evidence at the Inquest. ii. The Central Venous Catheter Insertion Management and Removal Policy for Short Term Catheters in existence within the Salford Royal NHS Foundation Trust at the”

“I request the Secretary of State for Health, the Renal Association, the British Renal Society and the Intensive Care Society to review the policies and protocols in relation to the removal of central venous catheters and to consider the issue of national guidelines relating to the removal of catheters.”

“I request the Salford Royal NHS Foundation Trust to further review the policy and protocols together with the quick reference guide to consider the constant visual observation of a patient for a period of one hour following the removal of a central venous catheter to prevent extensive blood loss and to prevent future deaths.”

“I request the Salford Royal Hospital to review their information technology systems to prevent the changing of author times of notes on the electronic system because the author times can represent an important time in relation to the treatment and care given to a patient and may be relied upon by healthcare professionals who give treatment and care after the time of a note.”