Kenneth Longley
PFD Report
Historic (No Identified Response)
Ref: 2018-0086
No published response · Over 2 years old
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
11 Aug 2018
Over 2 years old — no identified published response
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Coroner's Concerns
May Ir The
_ The letter from Doctor) Ito Mr Longley's GP was sent out on the 7lh August 2017 , nearly 3 months Tollowing the echocardiogram on the 16h May 2017 _ This appears to be a significant delay) (explained in evidence that there had been in obtaining the medical records needed for Ito write the report to the GP but the cause of that delay was not known: It was not clear why the letter was only written on the 2g"h 2017 and then not sent out until the 7lh August 2017 . Mr Longley had severe aortic stenosis. The evidence suggested that cardiac surgery would have been offered to Mr Longley and would have taken place within 3-6 months. In this case, it was not possible to determine whether the outcome would have been different for Mr Longley had the letter been sent out in a timely fashion: The concern is that there is a risk of future death if there is a in sending out similar letters in the future:
_ The letter from Doctor) Ito Mr Longley's GP was sent out on the 7lh August 2017 , nearly 3 months Tollowing the echocardiogram on the 16h May 2017 _ This appears to be a significant delay) (explained in evidence that there had been in obtaining the medical records needed for Ito write the report to the GP but the cause of that delay was not known: It was not clear why the letter was only written on the 2g"h 2017 and then not sent out until the 7lh August 2017 . Mr Longley had severe aortic stenosis. The evidence suggested that cardiac surgery would have been offered to Mr Longley and would have taken place within 3-6 months. In this case, it was not possible to determine whether the outcome would have been different for Mr Longley had the letter been sent out in a timely fashion: The concern is that there is a risk of future death if there is a in sending out similar letters in the future:
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power lo take such action.
Report Sections
Investigation and Inquest
On the 12lh September 2017 an investigation was commenced into the death of Kenneth Longley .Subsequently an inquest was opened on the 1glh September 2017 and concluded on the 15"h February 2018_ The medical cause of death was found t0 be: 1a massive spontaneous upper gastrointestinal haemorrhage 1b. Anticoagulation therapy for myocardial infarction Il Myocardial Infarction, Aortic stenosis
Circumstances of the Death
Mr Longley died on the 9/9/17 . On the 27th April 2017 he suffered a collapse and attended Wythenshawe hospital: He was discharged with an echocardiogram to be undertaken: The echocardiogram was carried out on the 16th 2017 which confirmed severe aortic stenosis:| referred Mr Longley back to his GP in order that the GP might refer Longleyt0 the Cardiology Department at his Iocal hospital: said letter was only signed on the 7lh August 2017 and was received by the GP surgery (who then took no further action) on the 7th August 2017 . A separate Regulation 28 Report has been sent to the GP surgery-The letter was therefore sent out nearly 3 months following the original echocardiogram in May 2017 . In September 2017 Mr Longley suffered a further collapse and was admitted to the Acute Coronary Unit at Tameside Hospital, Mr Longley was found to have acute coronary syndrome as well as severe aortic stenosis: He was given anticoagulation therapy to treat the acute coronary syndrome (as there had been a rupture of the lining of the artery which had caused a partial blockage): Unfortunately, the necessary anticoagulation treatment led to an upper gastrointestinal bleed and Mr Longley's death at Tameside Hospital on the gth September 2017 .
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.