Prevention of Future Deaths reports · 2013

Rose Jean Coles

Regulation 28 report to prevent future deaths, reference 2013-0246, written 27 Sep 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report27 Sep 2013
Reference2013-0246
DeceasedRose Jean Coles
CoronerMaria Voisin
Coroner areaAvon
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedBristol NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

John Woolley - Chief Executive

University Hospitals Bristol NHS Foundation Trust
Trust Headquarters

Marlborough Street

Bristol

BS1 3NG

1 | CORONER

iam Maria Voisin, Senior Coroner, for the area of Avon

2 | CORONER’S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.
(HYPERLINKS)

3 | INVESTIGATION and INQUEST

On 23rd November 2012 | commenced an investigation into the death of Rose Jean
COLES, Aged 1 month . The investigation concluded at the end of the inquest on 12"
September 2013. The conclusion of the inquest was

{a Congenital heart disease (operated)

CONCLUSION - Rose Jean Coles died due to natural causes. Her death was
attributed to the effects of complex congenital heart disease which she had
received treatment for.

4 | CIRCUMSTANCES OF THE DEATH

Rose Coles was born prematurely at 34 weeks gestation on 4" October 2012, she had
congenital heart disease and received treatment for this. She died at 09:50 hours on 13"
November 2012 at the Bristol Royal Hospital for Children.

5 | CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern. In
my opinion there is a risk that future deaths will occur unless action is taken. In the
circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —

Evidence was given about the communication between the neonatal intensive care unit
and the cardiac unit. Concerns were raised that the cardiac unit were not suited to caring
for premature babies and that a protocol or checklist or better communication between
NICU and cardiac unit would be helpful to assist the doctors and indeed the nurses in
caring for a premature baby on the cardiac ward.

6 | ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you and your
organisation have the power to take such action.

7 | YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by Friday 22"4 November. I, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out
the timetable for action. Otherwise you must explain why no action is proposed.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons, namely i 2nd to the LOCAL
SAFEGUARDING BOARD (where the deceased was under 18)].

| am also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or summary
form. He may send a copy of this report to any person who he believes may find it useful
or of interest. You may make representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

27" September 2013 [SIGNED BY CORONER]
.

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from University Hospital Bristol (PDF)
University Hospitals Bristol NHS|

NHS Foundation Trust

Trust Headquarters
Marlborough Street

Bristol, BS4 3NU
Tel: 0117 342 3720

Web-site: www.uhbristol.nhs.uk
RW/iyq

25 October 2013

ME Voisin

Her Majesty's Senior Coroner for the Area of Avon
The Coroner's Court

The Courthouse

Old Weston Road

Flax Bourton

BS48 1UL

Dear Mrs Voisin

Regulation 28 Report Ref 00231/20012 and Ref 03754/2012

Further to the recent inquests, into the deaths of Jared McDowall and Rose Coles, please find attached a
composite action plan addressing the matters of concern addressed within the two Regulation 28 Reports
issued to the Trust on the 1st October 2013. The Trust is confident that the actions described, many of
which are already in hand, will address the concerns expressed and mitigate the risk identified of future
deaths attributable to these factors. The action plan will be monitored through the Trust’s governance
procedures to ensure its full implementation.

Please do not hesitate to contact me if you require any further information.

Yours sincerely

(OIA,

Robert Woolley
Chief Executive

AB

Z
as

Op

* University Hospitals Bristol NHS Foundation Trust
0117 923 0000 Minicom 0117 934 9869 www.uhbristol.nhs.uk

2OS/p,
o

toe a 7 >
saan
Our hospitals. cerCSS

ETO? Jaquieced ..TE

‘ayepdn
uoneonpea pue Suluyes ayimpiw jenuue juasind ayy ul JUeJUT WOqmau
p4em je}eujsod jjamun sy3 Jo UoINUsOIaI JOY salnUajedWOD ayI9eds apNjau|

ETOZ JOqUISAON ,,0€

quejul Wog-mau
Sulpaaj AjJood uo Jegns poojg ysanbas 03 Weyd uoleAsasqo Usoqmau azepdy

vtoz Auenuer te

pauinbas
se Sulules} YM ayeulwassip pue sjauueYy? a2ueUsaAo3 azeldosdde ySnosyy
HO uals andes ‘sjuejul WOg Mau YSU Je 104 sauljapiNg [eau alepdpj

ETO? AOQUIBAON ,,0€

ETO Joquisseg TE

ETO? Joquiasaq ,.TE

23s Asajimpiw piem jeyeujsod 10} peojyz0m
uo Aemujed YS Je JyWI2ads ajI]Ua2 0} aSuUeYD Jo suoIyedIjdUI Jo MaIAaY

Sa[uas IYsiam YUig Zuo ul yeys AuajlmMpiw Jo UOI}eINpy

Brwaedd|sodAy Jo ysl ye aso} Ayjuap! 0} WeYd ajijuas oyI9ads

dapuas uo sjuejUul W0g-mau Alana JO 1YSIAM YI Jo Suiyoyd ay} Juswajdwy
PIS pueM JeIpsed [Je 0} pajysanbaz yt so1ape

€T0Z 4990390 ,,8Z auoyda|a} 10} Aep sad sanoy pz ajqeyiene aBueyo ul asanu DIN Jey? WulyUOD
“paem deIpsed
ETOZ 4990190 ,,87 0 2}04 Jo UOIENIII9 JejNBas yYsnosy} JueYyNsuos Yul] HDG/NDIN Wuuo0>

hi

psem Jelpsed dujeIpaed oO} Suiures}

eiuaedA|sodAy jo
Sl 32 SjuejU W0g-mau
JO UoNedTWUap! aAcudtuy

3134} aq

0} Ageq 10} aje1udoudde
ff paem oelpues

uo JUejU! aINjeWaid

4O a4ed ajeppoes

€L0Z J8qUIaAON ,,0€ eis a3esdosdde pue sjuejul asnjewaid 10} auljapind Suipaaj apiaoig or
“HUA 9eIpsed pue ADIN
uaamjeg UoredUuNWUWOS
ETOZ JaqUIBAON ,,0€ “SHUN OM} UBEMJaq ASN JO} Jeg AdJsues| DeIPseD pasnjonsjs dojaaaq ore Jeuusoy arouduly
ayedsouty peal pasinbay suonoy | ysanbuy aanra{go

DaITWWOD SIUCWIBAOD [eIIUI|D S,UaUOM :Aq 1YBISIaAG
AuayimpiiA] pue Sulsany Jo peaH ‘pjaypuiyy yeses :49UMO Ue] LOY

Ore pue WMI sHodey Sz uoHe/Ngay — sadinies [EJEUCeN pue Ajiusayeyy 10} Ue|g UOnY

ysniL UOMepuNoY SHN [OIslg Sjeydso}y Aqisuaniul

499010 ,b7Z HO UBIS aAINIaxq —~ jeUIy UOISIaA
ETO 4990390 7. TZ spuawy 1Q- Z uoIsJaA,
ETOT 4990190 OT T UoIslaA,

a}EQ PUL JOIUGD UdIsIaA

ETO? 4990390 —.. TZ
SIUUIBAON [edIUIID 404 JueINsUO> ASo\01ev02\

SadIAlas $,uaWo/ 10} Araympl pue Buisinyy Jo peor
“Aq pasedaid

Spsem ejeusog

Sdnous yeys JUeAa|ad SsOuDe sanssi pue QIN uaamiaq
vlog Aenuer te Wogmau Auayimpiw °g ADIN UowUO2 Jo uoTeonpa uio! Janyap pue dojansg SuUpJOM Julos aAosduu}
Bururesy payeaipap ySnoryy ‘ sueliujeipaed pue sysigojojeuoau
€L0Z Jaquiecaq ..TE 03 HeIs Asayimpiw Aq joo} uoneriuNWWOD Y_gs Jo asn ay} avoid} war

ayessaualy peal pauinbay suonoy | yseanbuj aanpnalqg

Related reports

Other reports by Maria Voisin

See all →

More reports categorised “Hospital Death (Clinical Procedures and medical management) related deaths”

See all →

Track Bristol NHS Foundation Trust

See every Prevention of Future Deaths report matching Bristol NHS Foundation Trust, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.