Lindsey Parker

“A lack of continuity in medical care. According to the family's evidence, Mrs [name redacted] was seen by 16 different doctors during the course of her last admission. Of these, seven were junior doctors (FY grade).”

“Matron's review identified gaps in basic nursing care vital signs/observations not recorded, potentially affecting the NEWS and inadequate fluid balance chart - completion. Both are critical to patient care and safety, particularly given Mrs [name redacted] serious clinical diagnosis (TEN), against a backdrop of an already life limiting/threatening diagnosis.”

“Failure to adequately recognise the deteriorating patient and to act and/or escalate matters accordingly.”

“During the course of the evidence, Trust staff were unsure as to what qualifications the 'Hospital at Night' site co-ordinators held. They believed that most, if not all, were likely to be Nurses. My concern here is how/why nurses are deemed suitably qualified to manage out of hours medical prioritisation of care.”