Martin Ormond
17 Feb 2026 · Coroner Alan Wilson · Blackpool & Fylde
The coroner's concerns
1. decisions made without complete ECG interpretation information
“At the GP surgery, a GP made decisions in the absence of the necessary information - notably two reports submitted by an external company asked to interpret an ECG trace - and it did not seem that there was an effective process in place to ensure GPs are provided with the necessary information”
2. important additional information not reaching GP before decisions
“In the event the external company decides to submit an amended report, there appeared to be no effective process in place to ensure what may be important additional information reaches the relevant GP before important decisions are made regarding patients”