Source · Prevention of Future Deaths
Peter Seale
Ref: 2016-0215
Date: 8 Jun 2016
Coroner: Lisa Hashmi
Area: Manchester (North)
Responses identified: 0 / 2
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The absence of national guidance for monitoring patients with pleural plaques leads to inconsistent follow-up, risking delayed diagnosis and treatment.
Date
8 Jun 2016
56-day deadline
3 Aug 2016 est.
Responses identified
0 of 2
Coroner's concerns
The absence of national guidance for monitoring patients with pleural plaques leads to inconsistent follow-up, risking delayed diagnosis and treatment.
View full coroner's concerns
During the course %f the inquest the evidence revealed matters giving rise to concern: In my opinion there is a risk that future deaths will occur unless action is taken: In the circumstances it is statutory report to you: my duty to There is noanational guidance in relation to the follow-up and monitoring of patients with pleural plaques. Medical opinion is split on the issue leading to inconsistency of approach: There is a risk that patients will be 'lost to follow-up' in cases Where action could be taken to afford earlylearlier diagnosisltreatment and thus prevent death. lung 1b)
Report sections
Investigation and inquest
On the 6th June 2016 commenced an investigation into the death of Peter Seale.
Circumstances of the death
Mr Seale had an occupational history of asbestos exposure. In 2011 a chest X-ray showed the presence of pleural plaques_ The deceased was not told of this diagnosis at the material time . In 2013 he had further chest X-rays as a result of a persistent cough: Whilst the X-rays did not show aisyhchanges in relation to the pleural plaques, no further tests Were conducted (e.g: CT) despite his history of occupational exposure (to asbestos) and presenting symptoms. In 2015, the deceased re-presented and was diagnosed with terminal cancer. Following post mortem examination the cause of death was: 1a) Bronchopneumonia Bronchogenic adenocarcinoma 1c) Occupational exposure to asbestos The conclusion at inquest was industrial disease_
Action should be taken
In my opinion action should be taken to prevent future deaths and believe each of you respectively have power to take such action.
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Report details
- Reference
- 2016-0215
- Date of report
- 8 June 2016
- Coroner
- Lisa Hashmi
- Coroner area
- Manchester (North)
Responses identified
Responses identified
0 of 2
2 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 3 Aug 2016 (estimated).
Sent to
- Department of Health and Social Care
- Royal College of Physicians