Guest Chair’s Report

Looking at the lessons from the audit, in many ways there is nothing new; but it does highlight in some measure that the profession may be a victim of its own successes, as rapid transfer to major centres can be vital. Undoubtedly, the cases reported often highlight ineffective communication between regional hospitals and specialist centres. Perhaps more than ever before, given the complex nature of the patients that are being referred, it is imperative that the relevant consultant is involved early in the care of these patients and all relevant information is provided. The same applies to patients who develop new symptoms while hospitalised.

It is important to acknowledge that the cases reported were all complex. In such situations it is important that registrars should not feel uncomfortable in contacting the appropriate consultant. Equally, consultants need to be prepared to see the patient for themselves, as often the registrar may be relatively inexperienced and it becomes an extremely valuable learning experience for the trainee.

It is always important to remember the concept of first do no harm. In examination of the cases it seems that in some instances this concept may have been forgotten, as it was not possible to determine whether the likelihood of success was discussed in detail with the patients and their family members.

Professor Villis Marshall AC