Department of Health

Website of the Department of Health

Please note that this website has a UK government access keys system.

You are here:

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001

  • Document type:
    Publication
  • Author:
    Department of Health, Professor Brian Toft
  • Published date:
    19 April 2001
  • Primary audience:
    Professionals
  • Product number:
    23722
  • Gateway reference:
    2001
  • Pages:
    76
  • Copyright holder:
    Crown Copyright

The report details the work of the enquiry into the circumstances surrounding the death of this patient, who received, by intrathecal (spinal) administration, the correct treatment followed by Vincristine which 'should never be administered by the intrathecal route because it is nearly always fatal'.

The environment of the ward and current practice is described followed by the provision and practice of chemotherapy in the day-care unit. A chronology of events is scrutinised and an analysis leads to the conclusions and recommendations. Appendices 1-10 contain relevant documentation. Cites nine references.

Additional links

Ordering publications

Contact details for obtaining hard-copy DH publications.

Help viewing PDFs

Help viewing PDFs

Useful tips to ensure you get the most from PDFs and the free Reader program. Topics covered include accessibility, troubleshooting and searching files.

Additional Links

Access keys