“Park & St Francis Surgeries to review the system used to request X-rays and potentially…”
Dated 26 Jan 2018, from the coroner for Hampshire (Central). Sent to 2 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedReplies were due by 23 Mar 2018.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated26 Jan 2018
- Deadline23 Mar 2018
- Published on judiciary.uk20 Mar 2018
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Hampshire Hospitals NHS Foundation TrustNamed in the report as “Hampshire NHS Trust” | Response publishedPublished on judiciary.uk in March 2018. |
| Park & Francis Surgery | Response publishedPublished on judiciary.uk in March 2018. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
1) Park & St Francis Surgeries to review the system used to request X-rays and potentially other basic tests. I heard evidence that intended to request a repeat X-ray on 1 June but nothing happened untH the physiotherapist queried progress with a different GP in the same surgery. This raises concerns either that the request was not made or if it was made then it was not progressed in a timely fashion. A further request was made on 7 June and took place on 9 June, two days later. 2) Trust to expore potential IT changes to automatically capture an Xray request made by an ED doctor. I heard from , Director of Surgical Services, that many changes have been made to date and some are still ongoing such as planned future audits. He also confirmed that when an acute patient like Mrs Betteridge is discharged from ED back home for coumminty care, the radiology review is the fall back system. Priority is given to ED and GP referrals and the reason there was a delay in this case from 31 May until12 June was that the request for a review was registered as an inpatient referral not an ED referral. Why that happened was not known but clearly Mrs Betteridge was never an inpatient on 31 May.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2018-0026
- Added to Minute Book
- 8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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