Prevention of Future Deaths reports · 2013

Edna Elsie Mary Eden

Regulation 28 report to prevent future deaths, reference 2013-0317, written 27 Nov 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report27 Nov 2013
Reference2013-0317
DeceasedEdna Elsie Mary Eden
CoronerPeter James Bedford
Coroner areaBerkshire
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

ANNEX A 

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: 

Philippa Slinger, Chief Executive of Wexham Park Hospital Trust 

1 

CORONER 

I am Peter James Bedford, Senior Coroner for the coroner area of Berkshire 

2 

CORONER’S LEGAL POWERS 

I 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. 

3 

INVESTIGATION and INQUEST 

On 17th August 2011 I commenced an investigation into the death of Edna Elsie Mary 
Eden, then aged eighty eight years. The investigation concluded at the end of the 
inquest on 20th November 2013. The conclusion of the inquest was a narrative verdict 
returned by the Jury and I attach a copy to this Report.  The medical cause of death was 
Myocardial Infarction due to Coronary Atheroma on a background of 
Bronchopneumonia. 

4 

CIRCUMSTANCES OF THE DEATH 

(1)  Mrs Eden was generally of good health for her age and had been living 

independently.  On Friday 12th August 2011 she complained to her niece that 
she was feeling a bit poorly.  She was seen by a GP and prescribed antibiotics 
for a chest infection but, following a further review the next day, a different GP 
admitted her to your Hospital being described as non-specifically unwell.  The 
letter that accompanied her included the words “some right sided chest pain.” 

(2)  At Wexham Park Hospital, Mrs Eden remained in A&E for five hours under the 
care of nursing staff.  A Doctor appears to have authorised an ECG and blood 
tests without actually seeing the patient.  There was a signature on the ECG 
printout but the identity of the person, presumed to be a Doctor, has not been 
ascertained.  The ECG is described as abnormal but was not escalated to any 
other Clinician.  The blood tests appear not to have been reviewed by any 
Clinician. 

(3)  Having arrived at A&E at 14.34 hours on 12th August 2011, Mrs Eden was 
transferred to the AMU at 19.45 hours.  A nursing observation chart shows 
observations being documented at 15.10, 17.43 and 18.10 hours in A&E and 
20.00 and 21.58 hours in AMU.  There is a reference in the nursing notes of 
observations being done at 23.25 hours but these were not recorded on the 
chart.  The chart included an EDOD score which, as accepted in evidence, was 
wrongly scored at three but should have been scored at four.  This should have 
triggered a Doctor review within thirty minutes but this was not done. 

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 (4)  The nurse responsible for Mrs Eden on AMU documented four attempts to 

contact a Doctor by bleep, all without success or response.  The evidence was 
that Doctors were aware of Mrs Eden needing to be seen but it was a very busy 
weekend for patients and priority was being given to other more urgent patients. 

(5)  The Doctors who made the decision not to prioritise Mrs Eden were not aware of 

the abnormal ECG or blood results. 

(6)  Mrs Eden was not finally seen by a Doctor until 17.00 hours, some fourteen and 

a half hours after her arrival at the Hospital.  Within minutes of being seen, she 
arrested and could not be revived. 

(7)  An independent expert Consultant Cardiologist gave evidence that Mrs Eden’s 
heart was sufficiently diseased that she would have died within hours in any 
event.  However, from the evidence, it was recognised that there were missed 
opportunities to intervene with earlier care that may have prolonged her life for a 
number of hours which would have allowed Mrs Eden and/or her family to say 
goodbye. 

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.  –  

(1)  Mrs Eden was admitted having been prescribed antibiotics by her GP.  She was not 
provided with further antibiotic cover pending being seen by a Doctor and that was 
unduly delayed meaning that she went fourteen and a half hours without her prescribed 
medication. 

(2)  The nursing observation chart suggested infrequent observations for a patient who 
had not yet been clerked by a Doctor.  The EDOD score was wrongly calculated which 
meant an escalation of Doctor review was not carried out. 

(3)  Nursing staff were not able to make contact with Doctors to review Mrs Eden.  When 
this continued, the problem was not escalated to more senior staff. 

(4)  Clinicians were taking decisions over priority of seeing patients based only on a very 
vague description of Mrs Eden’s condition.  Information at handovers appeared very 
limited. 

(5)  Junior staff on a very busy shift appeared reluctant, or ignorant of the procedures, to 
escalate concerns to more senior staff to address a significant backlog that had 
developed. 

(6)  An elderly patient who was admitted with a covering letter describing recent chest 
pain was not seen by a Doctor for a total of fourteen and a half hours. 

6 

ACTION SHOULD BE TAKEN 

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

about an action plan that had been 
At the Inquest, evidence was given by Doctor 
put in place.  However, there were clearly outstanding issues and matters that had still 
not yet been addressed which is why I bring all the issues arising at the Inquest to your 

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 attention. 

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this report, 
namely by 24th January 2014. 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. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner. 

I 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. 

9 

27th November 2013 

Peter J. Bedford 
H.M. Senior Coroner for Berkshire 

3

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 Heatherwood Wexham Park Hospital NHS Trust (PDF)
Heatherwood and Wexham Park Hospitals fift-

NHS Foundation Trust

Medical Director's Office
Direct Line Telephone Number: xxx
Fax Number: xxx

Our Ref:  BC/RL/eh/EdenE-25

Wexham Park Hospital
Wexham Street
Slough
Berkshire
SL2 4HL

Your Ref:  PJB Eden Reg 28

Switchboard: 01 753 633000

HAND DELIVERED

20 January 2014

Mr Peter Bedford
HM Coroner Berkshire
Yeomanry House
13'1 Castle Hill
Reading
Berkshire RG1 7TA

Dear Mr Bedford

Re:  Inquest into the death of Edna Elsie Eden -  v -

Response to Requlation 28 Report to Prevent Future Deaths

Thank you for your letter dated 27 November 2013.

Firstly I would like to thank you for bringing to my attention the matters raised in the
Regulation 28 Report to Prevent Future Deaths. I was sorry to learn about the problems that
the late Mrs Eden encountered when admitted to our Trust.

As evidenced in your inquiry and our own internal investigation 
it is clear to me that we failed
to deliver the high standards of care that Mrs Eden was entitled to expect. Whilst I have no
doubt that everyone involved in her case thought they were doing the best for her at the
time, it is clear that mistakes were made and lessons will be learnt.

I have grouped my response under three headings set out below i.e. action taken before
inquest, immediate action taken after the inquest and action to be taken.

Action taken before the inquest

As you know the Trust had already taken some action following its own internal investigation.
You were informed of these during the inquest hearing therefore I will not rehearse them
here again.

However in addition I wanted to specifically point out that a  new Policy i.e. TPP 231
(enclosed) which focuses on the Management of the Deteriorating Adult Patient was
introduced in August 2013. This Policy has introduced a new requirement for ensuring that
the EDOD score calculation is verified by another member of staff to reduce inaccuracies as
was in this case. An audit capturing the number of correctly calculated EDOD scores was
carried out in July 2013 and the results of this audit highlighted very good compliance; with
all standards exceeding the 90% mark and as well as showing that every patient with an
increased EDOD score had the algorithm followed appropriately.

$"1

\.^.d

 - 2 -

Peter Bedford
HM Coroner, Berkshire

Our Ref: BRC/RL/eh/EdenE-25

20 January 2014

ln  addition TPP 231 has strengthened the use of  Situation Background Assessment
Recommendation 
tool used when notifying Doctors
over the phone or in person of a patient for review. The tool ensures important information 
is
conveyed in order to allow the Doctor to paint a  picture of the patient's condition and
prioritise review as necessary.

(SBAR) tool. This is a communication 

lmmediate action taken after the inquest

The new MSS system was introduced in the Emergency Department on 14 January 2014
and has an added function of calculating the EDOD score electronically 
thereby reducing the
possibility of wrong calculations.

All referrals to the Hospital pass through the Emergency Department. On 14 January 2014
the Trust introduced a new Procedure for dealing with referrals to the hospital. Although
some aspects of this new procedure are undenrvay 
the electronic section is expected to go
live in six weeks' time. The electronic system will ensure that instead of using the bleep
system to notify inpatient teams that there is a patient in the Emergency Department or that
there is a  GP referred patient who needs to be reviewed a  message will be sent via
Smaftphone. The Specialist Registrar receives an e-mail alert and then allocates the job
within the team. On receiving the e-mail it will be the inpatient team's goal to see the patient
within one hour of referral thereby ensuring no delays.

This system will eradicated issues previously identified at times with bleeps with regards to
not having an audit trail. This system will also provide assurance to staff that when a
message is sent to the Specialist Registrar it has been received and will therefore be acted
upon.

Action to be taken in the future

The Trust has plans to introduce a 24 hours a day Central Hub system and the timescales
for actions are stated in the enclosed action plan. lt is envisaged the Hub will be located at
Wexham Park Hospital and be equipped with lT systems and run by senior managers who
will be responsible 

for ensuring the following:

o Tracking of all patients throughout their hospital stay;
o Manage all bleeps;
o Manage all GP and inpatient referrals;
o Review the workload of clinicians;
o Obtain formal handover throughout the Trust, 3 times a day;
o Allocate jobs to Doctors;
o Review any uncompleted 
o Redistribute work where a team is overloaded;
o Authorise employment of extra staff depending on workload;
o Escalate to the Duty Manager and On-Call Director as necessary.

tasks and reallocate as necessary;

Some of the work with regards to a Central Hub is already undenrvay 
in that the location has
been identified and at least six senior managers have been recruited so far with more to
follow.

 i 

Peter Bedford
HM Coroner, Berkshire

Our Ref: BRC/RL/eh/EdenE-25

20 January 2014

- 3 -

It is my view that the Central Hub will help reduce the recurrence of the root causes
identified in Mrs Eden's care namely:

o  no doctor review due to lack of appropriate patient tracking system;
o  no response to bleeps as tracking junior doctors caseload monitored centrally;
o  better administration 
inadequate handover;
o 

regarding GP referrals;

I  realise that these changes cannot change what has happened to  Mrs Eden or put
everything right but I hope the plans set out in this letter will reduce the likelihood of a similar

n

ce again thank you for bringing this matter to my attention.

Medical Director

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