Jack Dulson
PFD Report
Historic (No Identified Response)
Ref: 2014-0365
Coroner's Concerns (AI summary)
The GP practice lacked a system for promptly reviewing abnormal blood test results and initiating patient follow-up, causing critical delays in treatment.
View full coroner's concerns
(1) The GP practice had no system in place to review abnormal blood test results when were received and to then review the patient and provide treatment (2) The abnormal blood tests were only reviewed when the family arranged and insisted on an appointment this was over 24 hours after the tests results were available: the The boy: City City future they
Sent To
- Surgery Chesterton
Response Status
Linked responses
0 of 1
56-Day Deadline
1 Oct 2014
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 12/05/14 commenced an investigation into the death of Jack Dulson aged 9 years: investigation concluded at the end of the inquest on 05/08/14. The conclusion of the inquest was that Jack died from natural causes due to pericarditis:
Circumstances of the Death
Jack had been a previously fit and well young He became lethargic and developed knee pain and a temperature resulting in his parents taking him to Hospital Stoke on Trent on 07/03/14_ He was diagnosed with a viral illness and discharged home_ He appeared to make a recovery until the 25/03/14. At that time he was lethargic and couldn't swallow. He was seen by his GP. A blood test was arranged. This was undertaken on 27/03/14 at City Hospital: The results were available at the GP surgery on 27/03/14. They confirmed a CRP of 169 (very high and indicating infection) and anaemia. The results were not reviewed by juntil the family requested an appointment which took place at 17.50 on 28/03/14. At that time Jack was seriously ill and was admitted as an emergency to Hospital where he was diagnosed with pericarditis causing a pericardial effusion: He was transferred to Birmingham Children's Hospital on 29/03/14. He had insertion of a pericardial drain on 31/03/14. He appeared to be making progress until he suffered a sudden cardiac arrest on 03/04/14. He could not be resuscitated and passed away at 22.45_ The evidence at the inquest confirmed that earlier treatment and diagnosis would not have made a difference to the outcome
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.