Prevention of Future Deaths reports · 2014

Vivian Hunt

Regulation 28 report to prevent future deaths, reference 2014-0363, written 6 Aug 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report6 Aug 2014
Reference2014-0363
DeceasedVivian Hunt
CoronerAndrew Barkley
Coroner areaPowys, Bridgend and Glamorgan
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

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.

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:

1. The Chief Executive Cwm Taff Health Board
2. Chief Coroner

1 | CORONER

| am Andrew Roger Barkley, Senior Coroner, for the coroner area of Powys, Bridgend
and Glamorgan Valleys

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 4" April 2014 | commenced an investigation into the death of Vivian Herbert
HUNT aged 84. The investigation concluded at the end of the inquest on 6” August
2014. The conclusion of the inquest was that Mr Hunt had died from the effects of a
subdural haemorrhage following an un-witnessed fall he had in his hospital room on 3"
_| April 2014.

4 | CIRCUMSTANCES OF THE DEATH

Mr HUNT was a patient on the Mental Health ward of the Royal Glamorgan Hospital
when he was found to have fallen in his room in the early hours of the morning of 3
April 2014 sustaining an injury to the side of his face. He had fallen in similar
circumstances the day before. Throughout the day he deteriorated until he became
unresponsive and a subsequent CT scan showed a bleed on his brain from which he
later died the following day.

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) Despite the fall he suffered on 2" April and despite suffering a clear injury to his

face in the fall on 3" April 2014, no neurological observations were made of him
between 5am on 3” April and between 12:30 and 13:15pm that day.

6 | 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.

7 | YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 3" October 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.

8 | COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner 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 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 | 6" August 2014 SIGNED: A. fovsg
a

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 University Health Board (PDF)
, 

I 
f 

Bwrdd lechyd Prifysgol 
Cwm Taf 
University Health Board 

Mr Andrew  Barkley 
HM  Coroner for Cardiff and  the Vale  of Glamorgan 
Aberdare  Police  Station 
Cross  Street 
Aberdare 
CF447EG 
01443 743698 

Dear Mr Barkley, 

Re: 	 Regulation 28 Coroner's Rules 

Vivian Herbert Hunt (died 4th  April  2014) 

01443  744800 

2nd  October 2014 

I  refer  to  your  email  correspondence  sent  on  6th  August  2014,  enclosing  the 
Regulation  28  report,  which  details  the  areas  of  concern 
following  your 
6th
conclusion  of  the  inquest  on 
August  2014  touching  on  the  death  of  Mr 
Vivian  Herbert Hunt on  4th  April  2014. 

Please  be  assured  that  the  Health  Board  has  taken  this  matter  extremely 
seriously  and  has  learnt  lessons  following  investigation  and  the  matters  raised 
at  the  inquest  into  the  circumstances.  Robust  action  has  been  to  taken  to 
minimise the  risk of any recurrence. 

1.  Action taken to plan and monitor improvements 

A corrective Action  Plan  for Improvement was  developed  to ensure  effective 
action;  this is  attached. 

2.  Actions implemented 

I  can  confirm  that  the  actions  have  been  taken  forward  by  the  Mental 
Health  Directorate  with 
to  compliance  with  neurological 
investigations  post  head  injury;  actions  still  in  progress  will  be  monitored 
through  to  completion  by  the  Health  Board's  governance  groups.  The 
progress  made  by  29th  September  2014  is  reflected  in  the  updated  plan  as 
attached. 

regards 

I  sincerely  hope  that  this  information  and  enclosed  Action  Plan  will  reassure 
you  that  the  Health  Board  has  learnt  important  lessons  from  the  investigation 
into the care  provided  to Mr  Hunt and  that effective action  has  now  been  taken 
to prevent future deaths. 

RECEIVED 

 
 $ hi!g  Cwm Tat

WA L ES 

NHS  University Health Board 

Bwrdd  lechyd Prifysgol

I  would  like  to  convey  once  again  my deepest  sympathy  and  sincere  apologies 
to Mr Hunt's family for the failings  identified. 

If you  require  any  additional  information  or clarification  please  do  not hesitate 
to contact me. 

Yours sincerely 
~ P  Mrs AJ  Williams 

)

Chief Executive Officer 

Cwm Taf University Health Board

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