William Gray
The coroner's concerns
1. intramuscular adrenaline administration for life-threatening asthma
“Mid & South Essex NHS Foundation Trust”
2. lack of clear guidance on life-threatening asthma criteria and treatment protocols
“Association of Ambulance Chief Executives”
3. omission of intramuscular adrenaline and intravenous adrenaline administration per resuscitation guidelines
“East of England Ambulance NHS Trust investigation did not identify a number of risks and omissions its investigation of this child death”
4. non-mandatory training for professionals managing childhood asthma
“Secretary of State for Health”
5. under-resourced paediatric asthma service for children and young persons
“Essex University Partnerships NHS Foundation Trust”
Responses
2023-0511-Response-from-Association-of-Ambulance-Chief-Executives.pdf ↗· Association of Ambulance Chief Executives
Stated action
“will now review the asthma guideline and make changes if these are deemed to be required”
2023-0511-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
2023-0511-Response-from-East-of-England-Ambulance-Service.pdf ↗· East of England Ambulance Service NHS Trust
2023-0511-Response-from-Essex-Partnership-University-NHS-Foundation-Trust-1.pdf ↗· Essex Partnership University NHS Foundation Trust
2023-0511-Response-from-Essex-Partnership-University-NHS-Foundation-Trust.pdf ↗· Essex Partnership University NHS Foundation Trust
2023-0511-Response-from-Mid-and-South-Essex-NHS-Foundation-Trust.pdf ↗· Mid and South Essex NHS Foundation Trust