Peter Seale
PFD Report
Historic (No Identified Response)
Ref: 2016-0215
Coroner's Concerns (AI summary)
The absence of national guidance for monitoring patients with pleural plaques leads to inconsistent follow-up, risking delayed diagnosis and treatment.
View full coroner's concerns
During the course %f the inquest the evidence revealed matters giving rise to concern: In my opinion there is a risk that future deaths will occur unless action is taken: In the circumstances it is statutory report to you: my duty to There is noanational guidance in relation to the follow-up and monitoring of patients with pleural plaques. Medical opinion is split on the issue leading to inconsistency of approach: There is a risk that patients will be 'lost to follow-up' in cases Where action could be taken to afford earlylearlier diagnosisltreatment and thus prevent death. lung 1b)
Sent To
- Department of Health and Social Care
- Royal College of Physicians
Response Status
Linked responses
0 of 2
56-Day Deadline
3 Aug 2016
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On the 6th June 2016 commenced an investigation into the death of Peter Seale.
Circumstances of the Death
Mr Seale had an occupational history of asbestos exposure. In 2011 a chest X-ray showed the presence of pleural plaques_ The deceased was not told of this diagnosis at the material time . In 2013 he had further chest X-rays as a result of a persistent cough: Whilst the X-rays did not show aisyhchanges in relation to the pleural plaques, no further tests Were conducted (e.g: CT) despite his history of occupational exposure (to asbestos) and presenting symptoms. In 2015, the deceased re-presented and was diagnosed with terminal cancer. Following post mortem examination the cause of death was: 1a) Bronchopneumonia Bronchogenic adenocarcinoma 1c) Occupational exposure to asbestos The conclusion at inquest was industrial disease_
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe each of you respectively have power to take such action.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.