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recurance

Marianne Erika

20 Jul 2023 · Coroner Alison Mutch · Manchester South

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delay in clinical assessment

    “The inquest heard evidence that the very significant delay for Mrs Oldham to be seen by a clinician was due to the demand on Emergency Department Services”
  2. 2. delay in imaging

    “The delay was compounded by the shortage of radiographers and radiologists nationally meaning that even when a decision is taken for a scan it can take some time 9 an hour in this case) for it to take place and then reported on”
  3. 3. patient deterioration

    “In the time that Mrs Oldham was waiting to be seen she deteriorated very significantly meaning that by the time it was understood what the issue was she was very unwell and did not respond to conservative treatment”

Linked reports

Raised again laterGeorge Broadhurst29 May 2024 · 10 months later
Closely relatedConfidence 0.80 · moderate

This report

“The delay was compounded by the shortage of radiographers and radiologists nationally meaning that even when a decision is taken for a scan it can take some time 9 an hour in this case) for it to take place and then reported on”

Later report

“The inquest heard evidence that the delay in reporting of X rays by radiologists is not unique to Tameside but is a national picture caused by a shortage of radiologists and trained reporting radiographers”
Original on judiciary.uk ↗
Full chain: Delay in obtaining timely imaging reports

Responses

2023-0262-Response-from-NHS-England.pdf ↗· NHS England

Stated action · 2023/24

“NHS England recognises the significant pressure on ambulance services since the Covid-19 pandemic, which has seen longer response times across all ambulance call categories than before the pandemic, as well as issues associated with handing over ambulance patients in a timely way including the flow of patients in and out of some NHS Trusts. That is why NHS England are focusing on improving ambulance performance for 2023/24, supported by the Delivery plan for recovering urgent and emergency care”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error