Lisa Day
23 Feb 2016 · Coroner ME Hassell · London Inner (North)
The coroner's concerns
1. delayed appropriate medical care
“When Ms [name redacted] friend rang the 111 service on her behalf, the possibility of conveying her to hospital by means other than an ambulance was discussed with her and she declined. However, it was not discussed with her friend who made the call. He would have been much better placed to organise this and, if he had, it would probably have resulted in life saving hospital treatment. The potentially very grave consequences of a vomiting illness in a person with diabetes were not explained to him.”
Responses
Lisa-Day-Response2.pdf ↗· London Ambulance Service NHS Trust
Stated action · 14 March 2016
“the London Ambulance Service NHS Trust (LAS) have agreed a process with NHS 111 whereby clinicians from NHS 111 can alert the LAS Emergency Operations Control about the calls made to NHS 111 where there is a clinical concern. The electronic flagging system was introduced on 14 March 2016 following consultation with NHS 111.”
Lisa-Day-Response.pdf ↗· London Ambulance Service NHS Trust
Stated action · Surge Purple status or above
“All London 111 providers will at times of likely significant delay defined by London Ambulance Service as”
Stated action
“Additional scripting of condition specific additional information specifically in relation to type 1 diabetes has been raised as a result of this concern with the National NHS Pathways team for their consideration and response as a result.”