Kerri Mothersole
28 Feb 2024 · Coroner Catherine Wood · Mid Kent and Medway
The coroner's concerns
1. delayed diagnosis of serious condition
“The two reports from HEM Clinical Ultrasound Ltd on 28 June 2021 and 1 July 2021 and any images associated with the reports were not provided to any of the deceased's treating clinicians”
2. risk of future deaths
“lack of imaging being available meant that issues could be missed and this created a risk to patients, which at its extreme would include a risk of future deaths”
Responses
2024-0122-Response-from-Kent-and-Medway.pdf ↗· Kent and Medway Integrated Care Board
Stated action · 30 April 2024
“The ICB's Contracting Team issued a contract variation (CV) letter on 10 April 2024 to all existing community Any Qualified Providers (AQPs) that provide direct access diagnostic services for patients in the network. All community AQPs will be required to telephone the patients' registered GP within 5 days of any suspicious or incidental clinical findings noted on a diagnostic imaging report that the GP has a responsibility to act upon urgently. All community providers will be required to keep a”