Lewis Doyle
24 Jun 2019 · Coroner Andre Rebello · Liverpool
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of communication between hospital and primary care
“When Mr [name redacted] was discharged from the Liverpool Heart and Chest Hospital the GP discharge letter was sent to his GP. Mr [name redacted] was receiving treatment for Acute Coronary Syndrome but also mental health care for a Recurrent Depressive Illness (without Psychosis). Lithium had to be stopped not only because it was at a toxic level but also because of the effect of this and alternate medications on cardiac health. It occurred during the inquest that in similar scenarios better patient care could be”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“The discharge letter from the University Hospitals of Leicester NHS Trust addressed to the primary care team contained inaccuracies. It stated that Mrs [name redacted] had been suffering from aspiration pneumonia when no pneumonia had been identified”
This report
“When Mr [name redacted] was discharged from the Liverpool Heart and Chest Hospital the GP discharge letter was sent to his GP. Mr [name redacted] was receiving treatment for Acute Coronary Syndrome but also mental health care for a Recurrent Depressive Illness”