Prevention of Future Deaths reports · 2014

Beatrice Gatt

Regulation 28 report to prevent future deaths, reference 2014-0566, written 18 Sep 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report18 Sep 2014
Reference2014-0566
DeceasedBeatrice Gatt
CoronerAnne Pember
Coroner areaNorthampton
CategoryCare Home Health related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28 REPORT ON ACTION TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1. 

 Medical Director,  

Shire Lodge Nursing Home,  
281 Rockingham Road, 
Corby, NN17 2AE 

1 

CORONER 

I am Anne Mary Christine Pember, Senior Coroner for the coroner area of Northampton. 

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. 

3 

INVESTIGATION and INQUEST 

On 30th July 2012 I commenced an investigation into the death of Beatrice Wright Herriot 
Gatt aged 69 years. The investigation concluded at the end of the inquest on 3rd 
September 2014. The conclusion of the inquest was: 

Beatrice Wright Herriot Gatt was a patient at Shire Lodge Nursing Home. Due to 
an error her anti-psychotic clozapine medication was not given on 6th, 7th and 8th May 2012. 

Subsequently her mental state deteriorated and she was transferred to the Welland 

psychiatric unit. There she suffered two falls, fractured her hip and was conveyed to 
Kettering General Hospital for surgery. 

She later returned to the Welland Centre where she was found on 18th July on the 
floor. She was confirmed deceased at Kettering General Hospital later that day. The cause 
of her death was:- 

1 a) Gastrointestinal haemorrhage 
   b) Duodenal ulcer 

It cannot be confirmed that there was a causal connection between the cessation of 
clozapine, her falls (fracture) and subsequent death. 

4 

CIRCUMSTANCES OF THE DEATH 

On the 18th July 2012 the deceased was discovered unresponsive at her home address. 
She was taken to Kettering General Hospital but treatment was unsuccessful and her 
death was confirmed at 06.46 hours. 

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 could 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)  Mrs Gatt was not given her anti-psychotic clozapine medication due to an error 
in the medication not being transferred from 1 Mars sheet to another. There did 
not appear to be any formal training of nursing staff as to how the Mars sheet 

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I 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 13th November 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. 

I acknowledge receipt of an interim report from your Trust received four days before the 
inquest. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner and to the following Interested 
(Wilson Browne Solicitors) for 
Persons:-. 
(Hempsons Solicitors) for NHS Northamptonshire Trust. 
(Keoghs Solicitors) for Shire Lodge Nursing Home. 

(Safeguarding Adults Team Northamptonshire Council)            

Similarly, you are 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. 

9 

[DATE]                                              [SIGNED BY CORONER] 
18th September 2014 

2

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