Prevention of Future Deaths reports · 2015

Paul Hardy

Regulation 28 report to prevent future deaths, reference 2015-0041, written 4 Feb 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report4 Feb 2015
Reference2015-0041
DeceasedPaul Hardy
CoronerStephanie Haskey
Coroner areaNottinghamshire
CategoryState Custody related deaths
Organisation namedNottingham University Hospitals NHS Trust
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1. Offender Health Directorate
Nottinghamshire Healthcare NHS Trust
Westminster House
The Wells Road
Nottingham

1 | CORONER

lam Miss Stephanie Haskey, Assistant Coroner, for the Coroner area of
Nottinghamshire

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
The death of Paul Hardy was subject to an Inquest from 3-12 November 2014

4 | CIRCUMSTANCES OF THE DEATH
Paul Hardy was a serving prisoner at HMP Lowdham Grarige, operated by Serco, when
he was confirmed by his local hospital as suffering from urological cancer. Whilst this
was not, in the end, the immediate cause of his death, there were delays and errors in
process whilst he was under the care of Lowdham Grange which caused unnecessary
suffering and distress.

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. That there was a clear failure by Healthcare Staff to act upon instruction given
by a visiting Advanced Nurse Practitioner to obtain and process blood and urine
samples for the investigation of possible urological cancer.

2. There was a failure to act upon a clear recommendation made by the Prison and
Probation Ombudsman’s Clinical Reviewer for facilitating the effective obtaining
of blood samples for INR monitoring.

3. There was a failure to act upon a clear recommendation made by the Clinical
Reviewer that there should be a Significant Event Analysis of the events
surrounding the death of Paul Hardy.

6 | ACTION SHOULD BE TAKEN

in my opinion action should be taken to prevent future deaths and | believe your
organisation has 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 4° February 2015 |, 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 and to the following Interested
Persons:

—_ as — of HMP Lowdham Grange

Nottingham University Hospitals NHS Trust
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 | [DATE] a [SIGNED BY CORONER] ~y

Lt fee Z= FS Stephanie Haskey

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