Prevention of Future Deaths reports · 2014

Charles Bradley

Regulation 28 report to prevent future deaths, reference 2014-0118, written 17 Mar 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report17 Mar 2014
Reference2014-0118
DeceasedCharles Bradley
CoronerAndre Rebello
Coroner areaLiverpool
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
THIS REPORT IS BEING SENT TO:

The Chief Executive
Arrowe Park Hospital
Arrowe Park Road
Upton

Wirral

Merseyside

CH49 5PE

1 | CORONER

lam André Rebello, Senior Coroner, for the area of Liverpool

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 5" March 2013 an investigation commenced into the death of Charles Gavin
BRADLEY, Aged 73. The investigation concluded at the end of the inquest on 3rd
March 2014. The conclusion of the inquest was

la Subdural Haematoma

Accidental death

4 | CIRCUMSTANCES OF THE DEATH

On. Thursday 21st February 2013, Charles Gavin Bradley fell in an unwitnessed fall in
the Assessment Unit at Arrowe Park Hospital, at about 18.00, sustaining head injuries
which proved fatal. He had been transferred from Leeds Teaching Hospital to Arrowe
Park Hospital the same day. There had been some confusion in the Primary Care Trust
in Leeds in that no wheelchair was provided for the transfer. When he arrived at Arrowe
Park Hospital, in spite of a communication from the bed manager at Arrowe Park
Hospital delaying his transfer for a day, to 21st February 2013, there was-no bed
available at Arrowe Park Hospital.

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. —

During the investigation and inquest into Mr Bradley's death it was found that the record-
keeping and communications at Arrowe Park Hospital were inadequate, ineffective
making them unsafe. This was evidenced by findings that though Leeds Teaching
Hospital had effective records as to the arrangements for the transfer of Mr Bradley to
Arrowe Park on the 21" February 2013, when Mr Bradley arrived at Arrowe Park they
were not expecting him. This is likely to have caused added worry and stress to his
rehabilitation plan. It is further evidenced by the inadequate recording of his fall on the
ai February 2013. From the evidence it was unclear as to whether it was witnessed or
not, was it in a bathroom and if so why was there mention of a filing cabinet near where
he lay? In other cases the matters reported could result in fatalities. Documentation,
recordkeeping and communications are core basic skills for all who work in healthcare.
Neither the HEALTH aspect nor the CARE aspect of a health care service can be
delivered without these basic skills. It would be helpful to see a cross Trust action plan
with regard to the improving documentation, record-keeping and communication i in the
response to this report

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.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 12th May 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.
COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons

The Chief Executive, Leeds Teaching Hospitals

The Healthcare Ombudsman

| have also sent it to the Coroner’s Society of England and Wales, which 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 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.

desu

André Rebello
Interim Senior Coroner for the
Wirral Coroner Area

Dated: 17" March 2014

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