Source · Prevention of Future Deaths

Frances Greenhalgh

Ref: 2017-0221 Date: 12 Sep 2017 Coroner: Alan Walsh Area: Manchester (West) Responses identified: 0 / 1 View PDF

A GP surgery failed to properly record and integrate a crucial treatment plan notification from the RAID Team into the patient's medical records and computer system, leading to a lack of awareness and follow-up.

Date 12 Sep 2017
56-day deadline 7 Nov 2017 est.
Responses identified 0 of 1
Community health care and emergency services related deaths

Coroner's concerns

AI summary
A GP surgery failed to properly record and integrate a crucial treatment plan notification from the RAID Team into the patient's medical records and computer system, leading to a lack of awareness and follow-up.
View full coroner's concerns
In the circumstances it is my statutory to report to you: During the Inquest evidence was heard that: - On the 22nd March 2017 the Surgery received a letter by fax message from the RAID Team in relation to a plan of treatment for the deceased which included actions to be taken by the General Practitioner, On the 4th April 2017, 13 following the notification, the General Practitioner had not the RAID Team notification with the deceased's medical records and there was no record of the notification on the computer systems at The Surgery. who no longer works at The Surgery, was not aware of ay systems at The Surgery in relation to the receipt of notifications from Healthcare Professionals or systems in relation to the recording of notifications and information on a patients record so that the information is available to a General Practitioner on the next appointment with the patient: On the 4th April 2017 was unaware of the notification from the RAID Team and there was no evidence that the deceased had received any communication from the General Practitioner after the 22nd March 2017 in relation to the plan agreed with the RAID Team on that date:

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Report details

Reference
2017-0221
Date of report
12 September 2017
Coroner
Alan Walsh
Coroner area
Manchester (West)

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 7 Nov 2017 (estimated).

Sent to

Heaton Medical Centre

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