Dear Dr Didcock write with respect to the concluded inquest on Douglas and the Regulation 28 report dated 5 February 2016 where concerns been highlighted with respect to arrangements for the management and transfer of patients with gastrointestinal bleeding (GI Bleed) at Bassetlaw Hospital The report was addressed to the Chief Executive of the Doncaster & Bassetlaw Hospitals NHS Foundation Trust and have been tasked with addressing the issues identified in your report: have been assisted in the course of this by Consultant Gastroenterologist and clinical lead for GI bleeding with contributions from Dr Gurgit Singh, Consultant Gastroenterologist, Bassetlaw Hospital and Dr Vinesh Vincent, Consultant Anaesthetist/Intensivist at the same hospital: attach two documents with respect to the concerns highlighted. Document 1 is the standard GI bleed pathway for any patient presenting with a gastro-intestinal bleed to the Doncaster & Bassetlaw Hospitals NHS Foundation Trust: The 2nd document and the one Kay have

which is particularly relevant in this case is the Upper GI Bleed Transfer Policy at Bassetlaw Hospital for those patients who require to be referred to Doncaster for further management of their upper GI bleeding: This policy has been developed after consultation between the anaesthetic and the medical teams All staff will be made aware of this specific transfer policy at Bassetlaw through the Clinical Site Manager and Matron at Bassetlaw: The policy will also be ratified at the next meeting of the Patient Safety Review Group and this will ensure wider dissemination throughout the Trust_ trust that this will provide the assurance you require that appropriate action has been taken following the death of Douglas Kay: The implementation will continue to be monitored by the Emergency Care Group Clinical Governance Team through the Datix incident system: May take this opportunity to invite vou to revert back to me should you feel it necessary to do so.