Imagine medical care with all the love and kindness you find at the DMV. Betsi Cadwaladr: Woman died after health board lost medical notes - BBC News
She went to her GP, who referred her to a specialist, referred her for X-rays and more. That last bit got lost in the cracks. She died after being taken to the emergency department at her local hospital.
This statement is worrisome.
Senior Coroner Kate Robertson has said she was "not in any way satisfied" that concerns expressed by her in the past have not resulted in any improvements.
If the coroner has made statements in the past, that means that people have died in the past, though the BBC is not going to say there is a pattern of death-due-to-inept clerks in their beloved socialized medicine bureaucracy.
In the report Ms Robertson said there was no evidence of any formal investigation into how the referral was lost, and it was only during the inquest proceedings that the health board became aware of the situation - but even then it failed to launch an investigation.
The coroner said in the report: "Given that no investigation was conducted to understand how the issue may have occurred, there has been no learning, change or improvement to ensure it is not repeated, I have been provided with no assurances in this regard,"
Actually the most surprising thing about this story is that the BBC reports on any problem with the National Health Service in the UK. It is one of the scared cows in the United Kingdom.
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