A coroner has issued a warning over a lack of guidance around a bacteria that contaminated a new hospital’s water supply and led to two women dying.
Anne Martinez, 65, and Karen Starling, 54, died a year after undergoing double lung transplants at the Royal Papworth Hospital in Cambridge in 2019.
Both contracted mycobacterium abscessus, likely to have come from the site’s water supply, an inquest heard.
The coroner said there were issues that gave “rise to a risk of future deaths”.
The hospital trust’s chief executive, Eilish Midlane, said it had followed national guidance in place at the time, and when the issue was identified in 2019 it “took immediate action to ensure patient safety”.