Prevention of Future Deaths reports · 2014

Silvia Taylor

Regulation 28 report to prevent future deaths, reference 2014-0327, written 16 Jul 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report16 Jul 2014
Reference2014-0327
DeceasedSilvia Taylor
CoronerMartin Fleming
Coroner areaSurrey
CategoryCommunity health care and emergency services 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.

IN THE SURREY CORONER’S COURT
IN THE MATTER OF:
__________________________________________________________
The Inquest Touching the Death of Silvia Eileen Taylor
A Regulation 28 Report – Action to Prevent Future Deaths
__________________________________________________________
THIS REPORT IS BEING SENT TO:
Chief Executive – Harmoni South East
Home Support Team Leader ‐ Woking Borough Council
Forestcare – Bracknell Forest Council
1 CORONER
Martin Fleming Assistant Coroner for Surrey
2 CORONER’S LEGAL POWERS
I make this report under the Coroners and Justice Act 2009 paragraph 7,
schedule 5 and regulations 28 and 29 of the Coroners (Investigations)
Regulations 2013.
3 INVESTIGATION and INQUEST
On 14/2/13 I opened the inquest into the death of Silvia Eileen Taylor,
who at the date of her death was 81 years old. The inquest was resumed
and concluded on 14/7/14.
I found that the cause of death to be:
1a – Ischaemic Heart Disease
I concluded with a narrative conclusion as follows:
On 8/2/13, Silvia Eileen Taylor was found to have died at her home
address of ischaemic heart disease. She had earlier activated her
emergency pendant for the attendance of the doctor, although several
subsequent attempts by the doctors to contact her by telephone were
unsuccessful. It is found more likely than not, that earlier medical
intervention would not have affected the outcome.
RT4159 1
4 CIRCUMSTANCES OF THE DEATH
On 7/2/13 at 10.06pm Silvia Eileen Taylor activated her care alarm at her
home address resulting in an immediate response from the Emergency
Response Officer. Mrs Taylor complained of stomach pains and
requested a Thamesdoc. The family was contacted soon after and
informed that a GP was to attend within 25 minutes. Subsequently
Thamesdoc doctors made several unsuccessful attempts to contact Mrs
Taylor by phone at her home address. Upon the arrival of the
Thamesdoc doctor at her home address at 2.30am her lack of response
prompted him to contact the family to request a key to the premises. The
family found upon arrival that they could not enter via the front door
with the key since it had been bolted internally. The GP left to attend an
emergency call after discussing matters with the family. Subsequently
the police were called and entry was forced at 4am when Mrs Taylor was
found to have died on her bed.
5 CORONER’S CONCERNS
During the inquest the following concerns arose: ‐
 Although initial reports from Mrs Taylor gave no concern for the
need for urgent medical attention, unsuccessful attempts to contact
her were not acted upon for several hours.
 The difficulties in establishing telephone contact with Mrs Taylor,
were not conveyed to the family.
I would ask that you consider giving further consideration to the no
speech call procedures in relation to after hours support.
6 ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I
believe that Harmoni, Woking Borough Council and Forestcare has the
power to take such action.
7 YOUR RESPONSE
You are under a duty to respond to this report within 56 days of its date; I
may extend that period on request.
Your response must contain details of action taken or proposed to be
taken, setting out the timetable for such action. Otherwise you must
explain why no action is proposed.
RT4159 2
8 COPIES

 The Chief Coroner
9 Signed: Martin Fleming
DATED this 16‐Jul‐2014
RT4159 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 Care UK (PDF)
Care &

Care UK
Health Care Division

PRIVATE AND CONFIDENTIAL

HM Coroner for Surrey

HM Coroner's Court Hawker House
Station Approach ; .
Woking 5-6 Napier Court
Surrey Reading

GU22 7AP

Berkshire RG1 8BW
25"" September, 2014

www.careuk.com

Dear Sirs,
Mrs Silvia Taylor (deceased) — Regulation 28 report: action to prevent future deaths

We are writing in response to HM Coroner's Regulation 28 report following the Inquest into
the sad death of Mrs. Silvia Taylor on 7'" February, 2013 (copy attached for reference).
Paragraph 5 of the report states:

“During the inquest the following concerns arose:

e Although initial reports from Mrs Taylor gave no concern for the need for urgent
medical attention, unsuccessful attempts to contact her were not acted upon for
several hours.

e The difficulties in establishing telephone contact with Mrs Taylor were not conveyed
to the family.

! would ask that you consider giving further consideration to the no speech call procedures
in relation to after hours support.”

Following receipt of the report we have reviewed and updated the policy as to how our
current services should proceed if we make a telephone call to a patient and there is no
reply (policy attached for reference).

The policy has addressed two points where a patient may need contact from Care UK’s out
of hours GP service:

4. Scenario 1 is where a patient’s phone number has been received by the out of hours
service because the patient needs further assessment over the telephone by a
clinician.

2. Scenario 2 is where the patient's phone number has been received by the out of
hours GP service from the NHS 111 service because the NHS pathways algorithm
has determined that the patient needs an appointment to be seen face to face.

Care UK Clinical Services Limited — Primary Care Division. Registered in England No 3462881
Registered Office: Connaught House, 850 The Crescent, Colchester Business Park, Colchester, Essex CO4 9QB

This policy change has happened in consultation with Care UK’s senior doctors: National
Medical Directors for Practices and for Health in Justice, Medical Director for Primary Care
and the Regional Medical Directors within Primary Care. This policy was ratified at the
Clinical Quality and Governance Committee Meeting for Healthcare on 22" September,
2014.

Yours sincerely,

Medical Director for Primary Care
Care UK

Care UK Clinical Services Limi

Registered Office: Connaught Hot ex CO4 SQB

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