Michael Huggon
8 Jul 2024 · Coroner Nicholas Shaw · Cumbria
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. unfinished work left to after hours service
“I was told at the hearing that it is now normal practice for any work unfinished by surgery closing time is left to the after hours service and that GPs no longer "call in on the way home”
2. delayed urgent requests
“Given the above I am concerned that future deaths may occur if urgent requests are not dealt with more promptly”
3. no formal recommendation
“It is not within my authority as a coroner to suggest what action might be taken but I would be happy to discuss this matter informally”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“Given the above I am concerned that future deaths may occur if urgent requests are not dealt with more promptly”
Later report
“[the deceased]'s case was sent electronically to the service, marked for 2 hour attention”
Responses
2024-0375-Response-from-Carlisle-Healthcare.pdf ↗· Carlisle Healthcare
2024-0375-Response-from-Cumbria-Health.pdf ↗· Cumbria Health Limited
Stated action
“We will put on educational sessions to update our clinicians on the mental capacity act, managing challenging scenarios with particular emphasis on how this is documented in a patient record”