Roy Walklet

“The delay in undertaking the gastroscopy was not causative of Mr [name redacted] death, but I was told that systems and procedures in the Hospital remain as they were at the time of Mr [name redacted] death - i.e. that a stable patient with a gastric bleed who was being cared for in the Accident and Emergency Department could not have a gastroscopy until a bed for them became available in the Hospital.”

“Mr [name redacted] was allocated a bed in the Hospital either late on 7th April 2022 or early on 8th April 2022 and that his care was allocated to a consultant gastroenterologist [REDACTED]. [REDACTED] should have seen Mr [name redacted] during his morning ward round but did not do so. [REDACTED] told me that he was not aware that Mr [name redacted] had been allocated to his list of patients”

“Mr [name redacted] family believe that this error occurred because, whilst Mr [name redacted] had been allocated a bed on the ward, he actually remained in the Accident and Emergency department. As a result, Mr [name redacted] condition and care was not reviewed by the consultant gastroenterologist until later that day. At the time Mr [name redacted] was still suffering from a bleeding duodenal ulcer from which he was to die later the same day”