Out of hours care scrutinised as inquest begins into deaths of two patients

doi:10.1136/bmj.c286

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Clare Dyer

¹BMJ

A coroner’s inquest into the death of a patient who was given a fatal dose of diamorphine by an agency doctor from Germany on his first shift in the United Kingdom is expected to highlight serious shortcomings in out of hours care provided by GPs.

Daniel Ubani, 66, a Nigerian born doctor practising in Witten, near Dortmund in Germany, had only three hours rest after flying in from Germany and undergoing coaching before beginning his first shift in Cambridgeshire in February 2008.

He was called to the Manea, Cambridgeshire, home of David Gray, 70, who was in pain from kidney stones, and administered 100 mg of diamorphine. Nat Carey, a forensic pathologist, told the inquest: “It is …