Overview

• Coroner Oliver Longstaff concluded that hospital’s failure to access Chloe Ellis’s NHS111 online assessment led to a preventable misdiagnosis and death.
• Ellis, 29, died from a pulmonary embolism three days after she was discharged with a viral illness diagnosis despite her online assessment indicating clot risk.
• Inquest findings revealed that her use of the Yasmin contraceptive pill and suspected embolism were recorded online but unseen by A&E clinicians.
• West Yorkshire Integrated Care Board has not yet commissioned NHS111 online assessment access for Mid Yorkshire Teaching NHS Trust and is now reviewing its approach.
• Friends and family are planning a July 2025 walk from Ingleborough to Scarborough to raise £5,000 for Yorkshire Wildlife Trust and Dementia UK in her memory.