_ Mrs: The Begum and

(1) am concerned that on the 3r 2017, a CT Scan indicated the need for fluid drainage to take place under CT guidance. Despite this procedure being deemed necessary; it was not done until the 5th July 2017. The evidence have heard causes me concern that there were insufficient radiologists/ radiological nurses available to carry out the procedure: (2) am also concerned that after the 3r July the need for the drainage to take place was not adequately escalated to Radiology management when indicated he could not undertake the procedure within the timescale requested When the matter was escalated on the 5"h July had to be essentially told to do the procedure and offered an additional professional fee consider that the lack of availability of suitable capacity for undertaking a drainage procedure in the case of someone treated for sepsis and possible bile leak puts patients at risk. (3) am further concerned by the evidence 0 that after took annual leave on the 3r there were no further lists for ERCP procedures until his return on the 11th Whilst there mav have been other surgical consultants available to review Mrs: whilst he was on leave, his evidence was that once a bile leak was confirmed the ERCP should have taken place and this on his account would not have been possible for 6 days after the leak was diagnosed. found that this delay played a part in the development of acute pancreatitis in Mrs. Begum ad am concerned that any other caused by annual leave taken may cause further delays for ERCP' $ for a patient which creates a risk of future deaths_ ActIon SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and believe you The Chief Executive of Tameside General Hospital NHS Trust have the power to take such action: