Susan Smalley
26 February 2018Coroner: Katy SkerrettArea: Gloucestershire
Communication failuresSystemic coordination failure between ambulance services, hospital capacity, and social care provision in patient flow management
Response Status
Overdue
Gloucestershire NHS Trust
NHS Trust
Overdue
Report Content
Date of report: 22 November 2017 Ref: 2017-0409 Deceased name: Susan Smalley Coroners name: Katy Skerrett Coroners Area: Gloucestershire Category: Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths This report is being sent to: Gloucestershire NHS Trust; South Western Ambulance Service NHS Trust
Details
- Report Date
- 26 February 2018
- Coroner
- Katy Skerrett
- Coroner Area
- Gloucestershire
- Reference
- 2017-0409
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