Prevention of Future Deaths reports · 2013

Keith Thomas Graham

Regulation 28 report to prevent future deaths, reference 2013-0327, written 4 Dec 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report4 Dec 2013
Reference2013-0327
DeceasedKeith Thomas Graham
CoronerD.Ll. Roberts
Coroner areaNorth and West Cumbria
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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
RE: KEITH THOMAS GRAHAM Deceased
THIS REPORT IS BEING SENT TO:

1. Mrs. Ann Farrar — Chief Executive — North Cumbria University Hospitals —
NHS Trust, The Cumberland Infirmary, Newtown Road, Carlisle, Cumbria.
CA2 7HY

1 | CORONER

| am David Llewelyn Roberts senior coroner, for the coroner area of North and West
Cumbria.

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.

3 | INVESTIGATION and INQUEST

On the 30" May 2012 | commenced an investigation into the death of Keith Thomas
Graham aged 45 years. The investigation concluded at the end of the inquest on the 29"
November 2013. Cause of death — Multiple Injuries. On the 22™ May 2012 the
deceased left a public house in Burgh by Sands on his motor cycle having consumed
three pints of beer. He travelled along the c.2042 road at high speed when he was in
collision with a bullock. He was transported to the Cumberland Infirmary, Carlisle where
he underwent surgery, dying from his injuries on the 28" May. The conclusion of the
inquest was Road Traffic Collision.

4 | CIRCUMSTANCES OF THE DEATH

The deceased was involved in a Road Traffic Collision. He reached the Cumberland
Infirmary, Carlisle at 20.08 hours. He was in a poor condition. It was planned that he be
taken to a CT Scanner which occurred at 21.20 hours. He was suffering from
Hypotension and was taken to Theatre at 21.30 hours. The on call Consultant was not
contacted until 21.15 hours. A chest drain was misplaced and caused damage to the
liver. He underwent a Throacotomy and three Laparotomies in the space of some 5 %
hours. The consensus of medical evidence was that on the balance of probabilities he
would have died of his injuries in any event.

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 set out in 4 above.

| To review the procedures to deal with seriously injured trauma patients on arrival at A &

Ti

E to include the timing of the summons to the on call Clinicians, the contra-indications |

for the use of CT Scanning, and where Surgery is indicated, minimising the time between
presentation and theatre.

6 | ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and | believe you AND/OR
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 30" January 2014 |, 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.

[s

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons — his oe | have also sent it to the Care Quality Commission
who may find it useful or of interest.

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

The Chief Coroner may publish either or both ina 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.

a]

|

4” December 2013

D.LI. Roberts
H.M. Senior Coroner

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