Mark Simpson

“In my opinion, there is a risk that future deaths could occur unless action is taken. In the circumstances it is my statutory duty to send the report: If a patient contacts the NHS 111 service it is necessary and appropriate for that patient's GP Practice to be informed. [the deceased] contacted the NHS 111 service reporting chest pain for approximately seven hours before being advised to call 999 should the pain become dramatically worse or he feel breathless. His GP Practice was provided with a record of that consultation, but this information was not relayed to a clinician nor was it added to [the deceased]'s medical record at the surgery.”