Novia Delima
20 Apr 2018 · Coroner Alison Mutch · Manchester (South)
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. missed triage time targets
“The Trust had adopted the Manchester triage system but due to demand on the ED the time identified through the triage system could not be met”
2. diagnostic challenges for very young babies
“very young babies present significant challenges in diagnosis and early clinical input by a clinician experienced in dealing with young children was important”
3. consultant not called despite delays
“the ED on call consultant arrangements meant that long wait times would not in themselves trigger on call consultants being asked to attend the hospital”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“the ED on call consultant arrangements meant that long wait times would not in themselves trigger on call consultants being asked to attend the hospital.”
Later report
“There appeared to be from the evidence given at the inquest substantial confusion amongst staff as to when a consultant should be called at night.”
Closely relatedConfidence 0.80 · moderate
This report
“the ED on call consultant arrangements meant that long wait times would not in themselves trigger on call consultants being asked to attend the hospital.”
Later report
“The on-call Consultant does not always have access to an emergency vehicle and if called to attend either site would use their own vehicle”
Responses
No published response was found on judiciary.uk.