Anthony Bernard Mcormick

The matters of concer are as follows_ When the results of the blood tests taken at Macclesfield Hospital on 27 January 2011 were received this should have resulted in an urgent admission to hospital and further investigations undertaken to establish the source of the symptoms: This did not happen and suggests failures in communication and senior clinical review and appreciation of the significance of the presenting symptoms: May He May: His May ` May May biliary May May . from There was a significant failure to appreciate the seriousness of the condition, the need for urgent treatment and associated raised mortality risks upon the receipt of the results of the CT scan on 28 February 2011 showing the presence of multiple liver abscesses and gallstones: These are all factors which it would be reasonable to expect senior clinicians to appreciate and plan care accordingly. Upon receiving advice about the need for a Cholecystectomy after the HPB MDT on 9 March 2011 there was a significant failure to ensure that a timely and appropriate referral was made to specialist Hepato-Biliary surgeon: Requesting the GP to make a formal referral at that stage was inappropriate and caused significant further delay in appropriate treatment His care was being led by a senior and experienced Consultant:
5. Throughout the course of his clinical care at Macclesfield Hospital there was a failure to ensure that he consistently received appropriate antibiotic therapy without avoidable gaps in treatment:
6. The deceased had not been referred in a timely and appropriate manner for the Cholecystectomy following the HPB MDT on 9 March 2011 and was not provided with appropriate antibiotic cover to ensure resolution of his liver abscesses Action should be_taken In my opinion action should be taken to prevent future deaths and believe you andlor your organisation the power to take such action: Your response You are under a duty to respond to this report within 56 of the date of this report, namely by 4th December 2013. |, the coroner; may extend the period. response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed: Copies and publication have sent a copy of my report to the Chief Coroner and to the following Interested Persons: The family of the deceased Pennine Acute Hospitals NHS Trust 3_ Readesmoor Medical Group Practice have days Your have also sent it tol Consultant Hepato Biliary Surgeon who may find it useful or of interest. am also under a duty to send the Chief Coroner a copy of your response_ The Chief Coroner may publish either or both in a complete or redacted or summary form: He may send a copy f this report to any person who he believes may find it useful or of interest_ You may make representations to me, the Coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner: N S Meadows 8th October 2013 H.M; Senior Coroner Manchester area City