Peter Hinchliffe

1. 1. inability to conduct private investigations

   “All investigative procedures could not be undertaken privately and transfer to the National Health Service was necessary to complete investigations.”

2. 2. delay in initiating investigations

   “In the private sector there was delay initiating investigative procedures after the consultation on 29th June 2010.”

3. 3. lack of timely follow-up after transfer

   “Although [the deceased] [name redacted] died approximately two weeks after transfer into the NHS system no further progress would have been made until after the MDT meeting in early October some 4 - 5 months after the incident of syncope.”

4. 4. inconsistent investigative timelines

   “Evidence revealed significant differences in the times and routes taken to undertake investigative procedures in cases where there is a differential diagnosis including ARVC.”

5. 5. inconsistent exercise advice

   “The evidence revealed inconsistencies of approach in advice to fit young athletes as to future exercise in what was generally acknowledged to be a 'red flag' situation.”

6. 6. inconsistent national approach to syncope management

   “Whilst there has been greater awareness since 2010 both locally and nationally of the need for timely and appropriate management of syncope in young athletes the approach to the problem does not appear to be consistent nationally and there is a continuing need to emphasise and act on this issue.”

No published response was found on judiciary.uk.