A instrumentality pupil who died aft 4 distant GP appointments was apt to person lived if helium had been seen face-to-face, a coroner has ruled.
David Nash died successful November 2020 aft processing mastoiditis successful his ear, which caused an abscess connected his brain.
Mr Nash, 26, spoke to a GP signifier successful Leeds 4 times implicit a 19-day period, but was not seen in-person.
Coroner Abigail Combes said the nonaccomplishment to spot him meant helium underwent country 10 hours aboriginal than it could person been.
She said the nonaccomplishment to put an in-person introspection erstwhile helium complained to an precocious caregiver practitioner of fever, cervix stiffness and night-time headaches successful the days earlier his decease was a "missed opportunity".
Recording a communicative verdict aft an inquest astatine Wakefield Coroner's Court, Ms Coombes said: "On 2 November 2020 determination was a missed accidental to nonstop David to question face-to-face attraction during his GP assignment that morning.
"Had helium been directed to question face-to-face oregon urgent attraction by the GP signifier it is much apt than not that helium would person undergone neurosurgery astir 10 hours earlier than helium really did which, astatine that time, it is much apt than not would person been successful."
Timeline of calls to GP
- 14 October: Mr Nash calls Burley Park Medical Practice implicit concerns astir lumps connected his neck
- 23 October: Calls again and tells an precocious caregiver practitioner astir having a achy and blistery close ear
- 28 October: Tells locum GP helium has humor successful his urine and is diagnosed with a urinary tract infection
- 2 November: Diagnosed with flu-like viral corruption aft telephone speech with different precocious caregiver practitioner
- 2 November: Mr Nash and his spouse marque 5 calls to NHS 111 erstwhile his information deteriorates. Later the aforesaid time helium is taken to St James's Hospital earlier being transferred to Leeds General Infirmary for neurosurgery
- 4 November: Mr Nash dies successful hospital
Dr Bint said helium did not criticise the distant quality of Mr Nash's archetypal 3 consultations successful October by Burley Park Medical Centre.
However, helium said helium thought a face-to-face assignment would person led to the precocious caregiver practitioner, who spoke with Mr Nash, admitting him to hospital.
On Wednesday, neurosurgeon Simon Howarth told the inquest helium thought country 10 hours antecedently would person avoided Mr Nash's death.
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