Lee Armstrong

“The evidence indicates that knowledge that Mr [name redacted] suffered from Addison's Disease would have dramatically altered the response to the call. However, the NHS Pathways system does not ask callers to indicate whether they have any existing conditions. Instead, the onus is placed on patients to identify potentially relevant conditions. However, Mr [name redacted] had indicated that he was confused. I am concerned that expecting a patient to volunteer crucial information about their condition,”

“The evidence indicates that information supplied to 111 online is not shared with NWAS. This may mean that a caller expects that their medical history and condition are known by ambulance call handlers when this is not the case.”

“I note that NWAS call handlers are not provided with access to (even an abridged version) of a patient's medical records. I am concerned that this means that call handlers cannot see relevant details of medical history.”