Prevention of Future Deaths reports · 2014

Aaron Vranas

Regulation 28 report to prevent future deaths, reference 2014-0376, written 11 Aug 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report11 Aug 2014
Reference2014-0376
DeceasedAaron Vranas
CoronerTom Osborne
Coroner areaBedfordshire & Luton
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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

| THIS REPORT IS BEING SENT TO:

MR JOHN ROOKE
CHIEF EXECUTIVE
BEDFORDSHIRE CLINICAL COMMISSIONING GROUP
CAPABILITY HOUSE
WREST PARK
i SILSOE
po BEDFORDSHIRE
MK45 4HR

1 | CORONER

I am Mr Tom OSBORNE, Senior Coroner for the Coroner Area of
| Bedfordshire and Luton. |
|

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.

Hl |
|3 | INVESTIGATION and INQUEST

On the i4t April 2014 I commenced an Investigation into the death of
Aaron Michael VRANAS aged 25 years. The Investigation concluded at
the end of the Inquest on 28t* July 2014 at which I recorded “suicide whilst |
suffering from a mental illness”, the medical cause of death being : |

I (a) Multiple Injuries

4 | CIRCUMSTANCES OF THE DEATH

On the 13 April 2014 Aaron Michael VRANAS fell from a 10% Floor
window at Bury Court, Church Lane, Bedford, when he received fatal
multiple injuries.

“TO

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:

Matters of concern are
| i

1. a me that it would be in the best interests of |
| the patients if the treatment of the psychiatric illness and the
patient's ADHD (Attention Deficit Hyperactivity Disorder) were
dealt with at the same Hospital as it is difficult to manage a patient
when their treatment is carried out in two entirely different

hospitals many miles apart. He went on to say in evidence that he
had argued for that change many times in the past, but to no avail.

| ACTION SHOULD BE TAKEN
i

In my opinion action should be taken to prevent future deaths and I
believe you, as the Chief Executive, 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 6t October 2014; I, 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

| I have sent a copy of my Report to:

the Chief Coroner;

and to the following Interested Person(s):
Sally Morris, Chief Executive, SEPT;

Family

1
i
L

1 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.

|
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.

Dated this 11% day of August 2014

oeccedoccecsovcsectecedees

Tom OSBORNE
Senior Coroner
Bedfordshire & Luton

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 Bedfordshire Clinical Commissioning Group (PDF)
Bedfordshire
Clinical Commissioning Group

Bedfordshire Clinical Commissioning Group
Suite 1, Capability House

Mr Tom Osborne

Wrest Park
Coroner Silsoe
HM Coroner's Office edfordshire MK45 4HR
The Court House — 6
Woburn Street Website: www.bedfordshireccg.nhs.uk
Ampthill ;
Bedfordshire MK45 2HX ZS ee

29 September 2014

Dear Mr Osbourne,

RE: Inquest touching the death of Aaron Michael VRANAS Ryan
Inquest held on 28% July 2014 at Coroners Court Ampthill
Regulation 28 report

Thank you for your letter dated 15"" August 2014 in relation to this very sad case. It
is Bedfordshire Clinical Commissioning Group's intention that people with Attention
Deficit Disorder (ADHD) will be supported through local services.

This is being considered currently, as part of the procurement of mental health
services in Bedfordshire, which is due to be completed by April 2015. In the interim
period, Bedfordshire Clinical Commissioning group will work with South Essex
Partnership Trust on the development of a pathway that clearly outlines the
responsibilities for safe and effective care of people that have a diagnosis of ADHD
and a psychiatric illness and are in receipt of services from local and specialist
services. This will be completed by end of October 2014.

| hope this addresses your concerns in relation to the findings of this case, if you
require any further details | will be happy to provide these for you.

“Yours sincerely

Chief Operating Officer
Bedfordshire Clinical Commissioning Group

r

38 SEP SE

better care, better value, better health

Related reports

Other reports by Tom Osborne

See all →

More reports categorised “Hospital Death (Clinical Procedures and medical management) related deaths”

See all →

Track Hospital Death (Clinical Procedures and medical management) related deaths

See every Prevention of Future Deaths report matching Hospital Death (Clinical Procedures and medical management) related deaths, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.