A teenage girl died after a shortage of specialist doctors meant she wasn't seen by an appropriate expert.
Katie visited Warrington Hospital multiple times in October before she collapsed at home on October 26. She was taken to hospital again where she had blood tests, CheshireLive reports. Katie's treatment for the coagulopathy was led by an oncology consultant. Ms Ainge said that it should have been led by a haematologist but that a national shortage of specialists in this field meant Alder Hey could not ensure this.
Katie first went to Warrington Hospital on July 1, 2020, complaining of pain and soreness 'in her vaginal area'. She was not sexually active and had no medical history so was diagnosed with a 'suspected labial abscess'. Ms Ainge said in the report: "The associated coagulopathy poses a significant risk of bleeding in APML patients and as such Katie's treatment plan was complex and multifaceted and involved the use of fibrinogen concentrate amongst other blood products, with regular blood testing to monitor the blood levels."
She had decompressive craniectomy surgery and the intracerebral haemorrhage was removed. But Katie did not recover, with scans showing she had no brain activity, and she was deemed 'brain stem dead'. She was extubated and died on July 31. The department admitted that there was 'more to do' on staffing within haematology departments. Mr Quince pointed to Health Education England and NHS England's review of how medical speciality training posts are distributed across the country.
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