Lady Lola Crouch
21 Feb 2025 · Coroner Sonia Hayes · Essex
The coroner's concerns
1. failure to communicate potential malignancy
“Lady [name redacted] was not informed of the findings of potential malignancy from a CT scan in December 2022. This was not followed up and was then not given as part of the history when Lady [name redacted] attended hospital in February 2023.”
2. delayed medical emergency response
“A Medical Emergency call was not triggered overnight on the surgical ward when elevated NEWS scores required medical review that was escalated but delayed due to doctor staffing levels.”
Responses
2025-0101-Response-from-Mid-South-Essex-NHS-Trust-.pdf ↗· Mid and South Essex NHS Foundation Trust
Stated action
“we have signed up to the 'NHS App' radiology reporting service whereby patients now receive a copy of their own imaging reports to their personal NHS App. The reports include a summary of clinical findings that can be read by patients to improve communication and understanding of their own health record.”