Failure to share information led to woman's death

A coroner’s inquest has concluded a failure to share information between NHS 111 and A&E cost a woman’s life.

(c) Wesley Tingey/Unsplash

(c) Wesley Tingey/Unsplash

Chloe Ellis, 29, died from a fatal blood clot in September 2024 after a suspected pulmonary embolism identified by NHS 111 was not made available to medics at Dewsbury and District Hospital.

Ellis's mother, Jean Walker, said: ‘Chloe did everything right. She sought help and gave accurate information to the NHS 111 call handler. 111 identified a condition that can be fatal if left untreated, yet that information wasn't shared with anyone, not even Chloe.

‘So not only was this assessment not passed on to clinicians at A&E, even Chloe wasn't able to communicate this herself. Had this vital information been shared, she would have received treatment that would have undoubtedly saved her life.'

The family are campaigning for report sharing to become standard practice.

Mark Freeman, deputy chief medical officer at Mid Yorkshire Teaching NHS Trust, said: ‘We send our sincere condolences to Chloe's family and friends and continue to work alongside West Yorkshire ICB as it reviews the issues raised by the coroner.'

A West Yorkshire ICB spokesperson said: ‘We are very sorry to hear about what happened to Chloe, and our sincere condolences go to her loved ones.

‘We have been reviewing the points raised by the coroner, and whilst NHS 111 (online) is not directly commissioned by the ICB, we are working with partners to understand the learning and the current arrangements in order to establish what changes are required in order to prevent similar losses in future.' 

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