Caroline McCall

[98] The evidence in this case suggests that something needs to be done to improve the rate of detection of aortic dissection in expectant mothers. If it has not already done so it respectfully seems to me, that the Greater Glasgow and Clyde Health Board should initiate discussions with the appropriate Medical Authorities, designed to ensure that the issue of improving detection in expectant mothers of this life threatening condition receives appropriate attention.

[99] I draw attention also to the fact that there appeared to be some dubiety as to whether there is now in place a requirement that the on call consultant obstetrician is notified when an obstetric patient is admitted to the High Dependency Unit (see paragraph 54 supra). If no such requirement is in place, it seems to me that the Health Board, if has not already done so, should consider whether such a requirement is necessary.