Prevention of Future Deaths reports · 2014

Barry Dillion

Regulation 28 report to prevent future deaths, reference 2014-0099, written 5 Mar 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report5 Mar 2014
Reference2014-0099
DeceasedBarry Dillion
CoronerMichael Singleton
Coroner areaBlackburn, Hyndburn & Ribble Valley
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedEast Lancashire Healthcare NHS Trust
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS (1) 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 
The Chief Executive Officer 
East Lancashire Healthcare NHS Trust 
Trust Headquarters 
The Royal Blackburn Hospital 
Haslingden Road 
Blackburn   BB2 3HH 

1 

CORONER 

I am Michael Singleton, Senior Coroner for the Coroner area of Blackburn, Hyndburn 
& Ribble Valley. 

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  14  November  2013,  I  commenced  an  investigation  into  the  death  of  Barry 
Joseph Dillon, aged 68.   The investigation concluded at the end of the Inquest on 
the 4th day of March 2014.   The conclusion of the Inquest was that Barry Joseph 
Dillon  had  died  as  a  consequence  of  aspiration  pneumonia  due  to  dementia;  the 
conclusion being that of natural causes. 

4 

CIRCUMSTANCES OF THE DEATH 

Barry Dillon had been detained on Ward 19 at Burnley General Hospital, pursuant to 
Section 6 of the Mental Health Act 1983, and was transferred to the Royal Blackburn 
Hospital following seizures.   Whilst at the Royal Blackburn Hospital he had suffered 
a number of aspiration pneumonias, finally succumbing on 13 November 2013.    

5 

CORONER’S CONCERNS 

During  the  course  of  the  Inquest  the  evidence  revealed  matters  giving  arise  to 
concern.   In my opinion there is a risk that further deaths will occur unless action is 
taken.      In  the  circumstances  it  is  my  duty  to  report  to  you  the  MATTER  OF 
CONCERN is as follows: - 

I received evidence from 
, a Specialist Speech and Language Therapist, 
who  stated  “There  are  currently  insufficient  resources  to  provide  a  comprehensive 
SLT  service  at  the  Royal  Blackburn  Hospital.      The  Royal  College  of  Speech  and 

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Language  Therapists’  guidelines  recommend  a  two  working  day  response  time  to 
referrals for a swallow assessment.   This is not achieved by the SLT service at the 
Royal Blackburn Hospital and there is a risk assessment in place which is currently 
on  the  East  Lancashire  Hospitals  Trust  Corporate  Risk  Register  with  an 
accompanying  business  case  identifying  the  resources  required  to  address  the 
shortfall in provision”. 

Although Mr Dillon had been referred to the Speech and Language Therapy Service 
on  17  October  2013,  no  action  was  taken  until  1  November  2013.      I  believe  that 
whilst  there  remain  insufficient  resources  to  provide  the  service  at  the  Royal 
Blackburn  Hospital  patients  will  continue  to  be  at  risk  of  the  development  of 
aspiration pneumonia which may prove to be fatal. 

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. 

7 

YOUR RESPONSE 

You  are  under  a  duty  to  respond  to  this  report  within  56  days  of  the  date  of  this 
report, namely by 2 May 2014.   I, the Coroner, may extend this 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 and to the following interested 
person, namely: 

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 

5 March 2014              Signed by:  ……………………………………………. 

                                                          H M Senior Coroner for Blackburn, 
                                                                    Hyndburn & Ribble Valley 

2

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