Prevention of Future Deaths reports · 2014

Irshad Ali

Regulation 28 report to prevent future deaths, reference 2014-0387, written 29 Aug 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report29 Aug 2014
Reference2014-0387
DeceasedIrshad Ali
CoronerMary Hassell
Coroner areaInner North London
CategoryHospital Death (Clinical Procedures and medical management) 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.

Regulation 28:  Prevention of Future Deaths report 

Irshad ALI (died 07.05.14) 

THIS REPORT IS BEING SENT TO: 

1. 

Medical Director 
Barts Health 
Royal London Hospital 
Whitechapel Road 
London  E1 1BB 

1 

CORONER 

I am:   Coroner ME Hassell 
           Senior Coroner  
           Inner North London 
           St Pancras Coroner’s Court 
           Camley Street 
           London  N1C 4PP 

2 

CORONER’S LEGAL POWERS 

I make this report under the Coroners and Justice Act 2009,  
paragraph 7, Schedule 5, and  
The Coroners (Investigations) Regulations 2013, 
regulations 28 and 29. 

3 

INVESTIGATION and INQUEST 

On  8  May  2014,  I  commenced  an  investigation  into  the  death  of  Irshad 
Ali, aged 79 years. The investigation concluded at the end of the inquest 
on 27 August 2014.  

I made a determination at inquest that death was caused by an accident, 
when  Mr  Ali  fell  in  the  Royal  London  Hospital  in  the  early  hours  of  25 
March 2014 and hit his head, at the time suffering severe liver cirrhosis. 

His medical cause of death was: 

1a  bronchopneumonia 
1b  traumatic intracranial haemorrhage 
2    end stage non alcoholic steatohepatitis cirrhosis  

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 4 

CIRCUMSTANCES OF THE DEATH 

Mr Ali was admitted to hospital on for drainage of ascites.  He was found 
on  the  floor  of  the  ward  at  4am  on  the  morning  of  25  March,  having 
apparently  sustained  an  unwitnessed  fall.    He  left  the  hospital  at  lunch 
time,  under  the  impression  that  he  had  been  discharged.    He  later  re-
presented  to  the  emergency  unit,  and  was  diagnosed  with  a  massive 
head  injury.    In  view  of  his  end  stage  liver  disease,  surgery  was  not 
advised.  He died six weeks later of a consequent chest infection. 

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.  The nursing staff should have checked on Mr Ali every two hours 
through the  night,  but there  was  no  record  of  intentional rounding 
on  24/25  March.    There  was  a  record  of  the  night  before  and  a 
record of the night after, but not the night that Mr Ali fell.  The chart 
appears to have gone missing. 

2.  Though the senior sister looking after Mr Ali on the morning of 25 
March assured me that neurological observations were carried out 
hourly  after  his  fall,  there  was  no  record  of  this.    Again,  the  chart 
appears to have gone missing. 

3.  The consultant in charge of Mr Ali’s care stipulated that his junior 
medical  colleagues  should  perform  neurological  observations 
before Mr Ali could be discharged, yet this did not take place.   

The  sister in  charge  told  me  that  she  asked  the  registrar if  Mr Ali 
was  neurologically  stable  enough  to  be  discharged,  and  she  said 
yes. 

4.  The consultant in charge of Mr Ali’s care also stipulated that Mr Ali 
should  undergo  physiotherapy  assessment  before  he  could  be 
discharged, yet this did not take place.   

The  sister  in  charge  told  me  that  she  knew  about  this  and  she 
knew  that  a  physiotherapist  was  going  to  review  Mr  Ali  that 
afternoon.    However,  she  did  not  pass  this  information  on  to  the 
nurse who looked after Mr Ali during the sister’s lunch break, nor to 
Mr Ali’s family.   

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 The nurse said that she did tell Mr Ali’s family he was not ready for 
discharge, but she gave them the discharge paperwork before she 
went for lunch and so they assumed he could go.   

Both  the  doctor  and  the  nurse  who  gave  evidence  told  me  that 
they  now  think that  discharge  packs  should  not  be  given  out until 
the patient’s discharge is complete. 

5.  Both  the  doctor  and  the  nurse  thought  that  it  would  be  helpful  to 

have a nurse accompany the doctors on their ward rounds. 

6 

ACTION SHOULD BE TAKEN 

In  my  opinion,  action  should  be  taken  to  prevent  future  deaths  and  I 
believe  that  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 27 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. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the following. 

  HHJ Peter Thornton QC, the Chief Coroner of England & Wales 
 children of Irshad Ali 
 
 
 

 Royal London Hospital 

 Royal London Hospital 

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 
interest.  You  may  make 
representations to me, the Senior Coroner, at the time of your response, 
about  the  release  or  the  publication  of  your  response  by  the  Chief 
Coroner. 

it  useful  or  of 

find 

3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 9 

DATE                                                   SIGNED BY SENIOR CORONER 

29.08.14 

4

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 Barts Health NHS Trust (PDF)
Barts Health INHS|

NHS Trust

Coroner ME Hassell
Senior Coroner Trust Headquarters
Inner North London Executive Offices
St Pancras Coroner’s Court Ground Floor
Camley Street Pathology and Pharmacy Building
London The Royal London Hospital
N1C 4PP 80 Newark Street

London

E1 2ES

17 October 2014

By special delivery

Dear Coroner Hassell
Inquest Touching the Death of Irshad Ali
| write in response to your Regulation 28: Report to Prevent Future Deaths, dated 29 August 2014.

The investigation into your concerns regarding the lack of documentation recording intentional
rounding on the night of 24/25 March 2014, the missing chart recording neurological observations
carried out after his fall, the lack of documentation of the neurological examination carried out by the
consultant's junior colleagues, the lack of a physiotherapy assessment prior to discharge, that this
was not communicated by the nurse-in-charge to her colleague and to the family, the provision of the
discharge pack to the family when he was not yet ready to be discharged, and the evidence that a
nurse accompanying the doctors on their ward rounds would be helpful, has now been concluded.

| am satisfied that this investigation has been sufficiently robust, in that we have scrutinised all
relevant records and interviewed staff to inform our investigation. | write to apprise you of the
conclusions of the investigation.

During the investigation, senior qualified nursing staff contacted the nurse allocated to care for Mr Ali
on the night of 24/15 March 2014, who confirmed that the intentional rounding did také place. The
intentional rounding chart for this night remains missing. Evidence has been adduced that this is
because the medical notes had been filed incorrectly. This will be dealt with by a monthly senior
nursing audit of the integrity of the filing of patients’ notes and spot checks for intentional rounding
compliance and correct filing of medical notes.

The missing neurological observation chart has been located and it confirms that appropriate
neurological observations were carried out after Mr Ali’s fall. This chart had been inadvertently
misfiled.

Senior medical staff have confirmed that the induction for new medical trainees now includes a
section on documentation and management of falls, emaphasising the requirement to document
actions in the medical records.

To ensure that all future referrals (including physiotherapy referrals) made for patients are signed and
dated in the medical notes when actioned, staff have been reminded of the importance of thorough
clinical handover. This will be further highlighted during a twice daily staff safety briefing, and followed
up by spot checks of patient notes to check that verbal referrals are being documented as actioned.

Barts Health INHS|

NHS Trust

To ensure that the Trust falls protocol is being complied with, twice daily safety briefings will be held
to highlight the falls protocol. Nursing staff have been reminded that the nurse in charge of shift has
responsibility for ensuring the correct procedure is followed and documented in the medical notes.
Training for nurses in neurological observations, is being provided by the Critical Care Outreach
Team. Effectiveness will be measured by audit of nurses’ understanding of the falls policy and
documentation in the care plan, their understanding of neurological observations, and competence in
the performance of neurological observations.

It is Trust policy that the copy of the patients’ discharge letter should be given once all facets of the
discharge process are complete. Nurses have been reminded of the policy and the requirement to
update the patient information sheet with the information that the discharge summary should be given
to the patient alongside their discharge medications. To facilitate this, the Trust continues to cultivate
a continued effective relationship with the Trust discharge lounge.

Ward 14F currently has five specialties, all of which carry our doctors ward rounds. To enable a
nursing presence on each of the ward rounds, the senior sister will be given a copy of the consultants’
rota and proposed time of ward rounds, and agreement has been reached that the doctors will not
leave the ward until they have verbally communicated the proposed plan of care for their patients to
the Nurse in charge of the ward, or responsible for that group of patients. This will be reviewed daily
with the feedback provided by the consultants, with a weekly combined nursing and medical review.

We have taken this as an opportunity to review our processes to enhance future care. The outcome
of the investigation will be shared with all Trust medical and nursing staff, to ensure that staff involved
implement the above changes and audit the adequacy and effectiveness of the changes.

Thank you for bringing your concerns to my attention. | trust that you are assured | have taken them
seriously and investigated them appropriately.
Yours faithfully

Medical Director
Barts Health NHS Trust

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