“There was a lack of available a deal with the two simultaneous sets of emergencies”
Dated 23 Aug 2018, from the coroner for Plymouth, Torbay and South Devon. Sent to 1 organisation or person.
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 18 Oct 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 dated23 Aug 2018
- Deadline18 Oct 2018
- Published on judiciary.uk25 Sep 2018
- Today24 Oct 2026
Watch this report
We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.
Responses from each recipient
| Sent to | Response |
|---|---|
| University Hospitals Plymouth NHS TrustNamed in the report as “Plymouth Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in September 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
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— (1) There was a lack of available a deal with the two simultaneous sets of emergencies. The inquest heard from who accepted this had been a recognised 1 Derriford Park, Derriford Business Park, Plymouth, PL6 5QZ Tel 01752 204636 | Fax weakness for a considerable period of time. | was advised that there were two potential courses of action that could be adopted to overcome this difficulty. First, there could be a second on-call consultant radiologist available to assist the first on-call consultant at times of particularly high demand. Secondly, there could be a facility to open up and run a second CT scanner. This would require the presence of the whole range of staff to include radiographers, porters, et cetera. | was told this was the second time in recent years where there had been simultaneous emergencies that inevitably meant there was a delay in reporting a patient's condition. It seems a decision is required as to whether it is appropriate to allocate additional resource to CT imaging and if so how that additional resource should be deployed in times of unexpected high demand. (2) | was told that the radiology department did not have its own internal major incident policy setting out how to respond to situations like that involving Mrs Cragg. ME informed me that this was a piece of work he was trying to complete but that he would need input and assistance from his consultant colleagues before being able to do so.
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, 2018-0255
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
Something wrong, such as a date or who it was sent to? Report a mistake
Is this report about someone close to you? You can ask us to remove names from our pages.
Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
Ask about this report
AISummaries and questions, with page references. Pro and above.
Sign in to use