Michael Halfpenny
1 Jun 2017 · Coroner Lydia Brown · Leicester City and Leicestershire South
The coroner's concerns
1. referral sent to radiology instead of vascular screening team
“The referral should have been made directly to the vascular screening team but was made to the radiology department”
2. lack of follow up on refused screening request
“No further action was taken when the screening request was refused”
3. screening request rejected by radiology
“The referral request was marked by the radiology department that screening was "not offered" and the request was refused”
4. no system to direct screening referrals
“The vascular team were unaware of the patient and the request and no system was in place to ensure any screening request would be directed to the correct department”
5. screening committee unaware of missed referral
“The screening committee group set up by UHL were unaware of this matter and therefore had taken no action to ensure referrals were appropriately received and actioned”