Prevention of Future Deaths reports · 2015

Evelyn Kennedy

Regulation 28 report to prevent future deaths, reference 2015-0178, written 7 May 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report7 May 2015
Reference2015-0178
DeceasedEvelyn Kennedy
CoronerVeronica Hamilton-Deeley
Coroner areaBrighton & Hove
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedBrighton and Sussex University Hospitals NHS Trust
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.

VERONICA HAMILTON-DEELEY, LL.B.
Her Majesty’s Senior Coroner
for the City of Brighton & Hove

THE CORONER’S OFFICE
WOODVALE, LEWES ROAD
BRIGHTON

BN2 3QB

Assistant Coroners

CATHARINE PALMER LL.B (HONS) :
KAREN HENDERSON, BSC,BM,MRCPI,FRC..
GILVA D.J.TISSHA W, BA(LAW)HONS

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

CORONERS SOCIETY OF ENGLAND AND WALES
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. Matthew Kershaw, Chief Executive, Brighton & Sussex University Hospitals NHS
Trust, Royal Sussex County Hospital, Eastern Road, Brighton
2. — Chief Nurse, Brighton & Sussex University Hospitals NHS Trust,
Royal Sussex County Hospital, Eastern Road, Brighton
|

CORONER

| am Veronica HAMILTON-DEELEY, Senior Coroner, for the City of Brighton and Hove

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 i
INVESTIGATION and INQUEST

On 7" November 2014 | commenced an investigation into the death of Mrs. Evelyn KENNEDY. The
investigation concluded at the end of the inquest on 21° April 2015 .The conclusion of the Inquest
was: Mrs. KENNEDY died of hospital acquired pneumonia. Her death was probably
accelerated by a short time because of the effects of her 5 day admission to the Acute
Medical Unit at The Royal Sussex County Hospital, Brighton. This admission was
characterised by suboptimal care in almost every respect. During Mrs. KENNEDY’s stay
there were breaches of 5 of the hospital’s own policies which directly affected her. For Mrs.
KENNEDY the Acute Medical Unit was chaotic and not fit for purpose.

| CIRCUMSTANCES OF THE DEATH

Mrs. KENNEDY was a frail 89 year old lady who was living at a Rehabilitation Unit where she had a
number of multifactorial minor injury falls. She came to The Royal Sussex County Hospital by
ambulance on 14.10.2014 and was admitted to the Acute Medical Unit on 15.10.2014. She
remained there until the 20" when a bed was found for her on Bristol Ward,

On arrival at Bristol Ward staff raised a Vulnerable Adult Alert. Mrs. KENNEDY remained on the
ward until her death on 29" October 2014.

VERONICA HAMILTON-DEELEY, LL.B. THE CORONER’S OFFICE
Her Majesty’s Senior Coroner WOODVALE, LEWES ROAD
for the City of Brighton & Hove BRIGHTON

BN2 3QB

Assistant Coroners

CATHARINE PALMER LL.B (HONS)
KAREN HENDERSON, BSC,BM,MRCPI,FRC. .
GILVA D.J.TISSHAW, BA(LA W)HONS

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

CORONER’S CONCERNS |

i
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) Once again my concerns involve the Acute Medical Unit (AMU).

(2) Mrs. KENNEDY was transferred from AMU in a chair, not a trolley.

) Handover was incomplete and unhelpful.

(4) She arrived unkempt.

(5) She had porridge leaking from her mouth; it took 20 mouth sponges to give her adequate mouth
care.

(6) She felt cold and said she was cold.

(7) She had been incontinent of faeces and had not been cleaned for some time.

(8) She had no name wrist band.

(9) In spite of known allergies she had no allergy wrist band.

(10) In spite of falling regularly she had no falls risk wrist band,

(11) She still had an IV cannula in place; this should have been removed after 72 hours.

(12) Her daily catheter care bundle had not been completed for 3 days.

(13) She had no fluid charts for 16", 17", 18", 19" or 20°.

(14) Care plans were not completed for 17", 18", or 19".

(15) Repositioning charts were incomplete or poor for 16", 17'", 48" and 19".

(16) The handling assessment was not completed for 16", 18", 19" or 20".

(17) No food chart was completed for her entire time in AMU.

(18) She had pressure damage to her hips and bottom.

(19) No daily oral assessment was completed for her entire time on AMU.

(20) She was not weighed.

(21) The malnutrition tool was not completed.

(22) Her bowel movements were not recorded.

(24) NEWS scores of 4 to 9 had not been escalated to doctors nor filled in on her drug chart.
PLUS

(25) No personal care over the weekend of 18" and 19".

(26) No senior review over that weekend.

(27) Not written up for her Sertraline, therefore not given

(28) Not written up for any food supplements until 21° October.

(29) She should have been specialled, but wasn't.

Once again AMU has been found to be chaotic and not fit for purpose.

ACTION MUST BE TAKEN

In my opinion action must be taken to prevent future deaths and | believe you AND your organisation
have the power to take such action.

VERONICA HAMILTON-DEELEY, LL.B. THE CORONER’S OFFICE
Her Majesty’s Senior Coroner WOODVALE, LEWES ROAD
for the City of Brighton & Hove BRIGHTON

BN2 3QB

Assistant Coroners

CATHARINE PALMER LL.B (HONS)
KAREN HENDERSON, BSC,BM,MRCPIFRC. .
GILVA D.J.TISSHAW, BA(LAW)HONS

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

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" July 2015. 1, 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
| have sent a copy of my report to the Chief Coroner and to the following Interested Persons

meer AMU Manager, Brighton & Sussex University Hospitals NHS Trust,
inical Commissioning Group

Secretary of State for Health, Department of Health
Simon Stevens — Chief Executive NHS England
National Patient Safety Agency

PY Department of Health

| have also sent it to:-

Doakwn>

a Counsel for Brighton and Hove City Council,
Craven Vale Resource Centre

; ——__ Craven Vale Resource Centre,

a Adult Social Care, Brighton and Hove City Council

PORN

Who may find it useful or of interest.
tam 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.

Date: 7" May 2015

Veronica HAMILTON-DEELEY

Senior Coroner Brighton andHove

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 Brighton and Sussex University Hospitals NHS Trust (PDF)
Brighton and Sussex NHS |

Your _e. University Hospitals
Cur Ref: NHS Trust

24 July 2015

Headquarters
The Royal Sussex County Hospital

Miss V Hamilton-Deeley Eastern Road

HM Coroner Brighton
Coroner’s Office, Woodvale BN2 5BE
Lewes Road }

BRIGHTON Te mz
BN2 3QB

Dear Miss Hamilton-Deeley

The Late Evelyn Kennedy, died 29.10.14
NHS No: 434 604 2457

Thank you for your letter of 7 May 2015 setting out your concerns about the
functioning of the Acute Medical Unit. We acknowledge and are sorry that
the Acute Medical Unit was struggling to provide effective care at the time
of Mrs Kennedy’s admission, despite the best efforts of the Trust to address
this, and as |, as Chief Executive, commented at the inquest we deeply
regret the consequences of this for Mrs Kennedy’s care.

The Acute Medical Unit is one of the areas of the Trust that has faced
particular difficulties as the capacity of the hospital remains very
pressurised. The increasing acuity of the patients we treat, spikes in
admissions and at times the number of people medically ready for discharge
but unable to leave the care of the acute hospital for a variety of reasons
has also risen. This has led to challenges in timely identification of suitable
specialist beds for all those who need them, as well as challenges in
ensuring patients awaiting admission are moved promptly from the
Emergency Department, and both these factors have had an adverse effect
on the Acute Medical Unit.

The Trust has been working internally with clinical leaders and closely with
our partners in the community to develop creative and effective ways of
addressing these issues, and at the same time has been endeavoring to
support the staff who are working so hard to provide high quality care on
the Acute Medical Unit for all who need it.

We acknowledge that in spite of recognition of these issues and
considerable efforts over a long period to improve the quality of care
provided in the Acute Medical Unit, the care actually provided for Mrs
Kennedy, and the documentation of that care fell considerably below the
standard we expect for every single patient of this Trust.

With our partner
Seat brighton and susse
* medical school

For that as the accountable officer, | (Chief Executive) have already
apologised personally to Mrs Kennedy’s family as well as publicly.

The Trust introduced a new clinical management structure last autumn, a
very few weeks before Mrs Kennedy’s last admission. The clinical team now
managing the acute medical unit have worked tirelessly to introduce a range
of changes in order to improve the functioning and quality of the Acute
Medical Unit. These incorporate a range of actions relating to the
workforce, education, environment, equipment, patient flow, teamwork
and communications.

When each shift is fully staffed, it is much easier for the staff on duty both
to provide high quality care for each patient and to record this in detail.
Trustwide, there has been considerable progress in the last 12 months in the
recruitment of nursing staff, even though, as you are no doubt aware, there
is a national shortage of skilled nurses and this has made recruitment and
retention more challenging.

Changes, introduced mainly before the inquest into Mrs Kennedy’s sad death
as part of the ongoing programme of improvements, include:

1. increasing permanent staffing levels in the area, including both
increased input from the matron and appointment of an additional
senior nurse to the area as well as introducing a new support
assistant role

2. using different methods to assist in obtaining bank and agency staff
as necessary to fill vacant shifts

3. appointing a practice educator specifically for the Acute Medical Unit
to teach and support staff in the workplace

4. assigning a critical care outreach nurse to work with the Acute
Medical Unit, providing a link with critical care services

5. establishing a working group to address a range of practices and
documentation to ensure sick patients receive timely and appropriate
attention

6. developing specialist areas and associated staffing skills within the
Acute Medical Unit for specific groups of cohorts of patient, including
those who are particularly sick and those who are confused or
suffering dementia

7. improving the signs and layout within the Acute Medical Unit to assist
confused patients with orientation within the unit and help them to
settle better into the environment

8. improving the quality of information and clinical handover provided
for each patient when they are transferred from the Acute Medical
Unit to a specialist ward

9. Increased monitoring of documentation, with real-time feedback
given to the nurses

Extensive and complex work is also being undertaken to

10. Review and condense Acute Medical Unit documentation, making it
multi-disciplinary and more useful in directing the right care for each
patient. The revised paperwork is intended to facilitate joined up
thinking for each patient, to avoid repetition between clinicians,
reduce the paperwork burden and free more nursing time for direct
care. While this process must proceed slowly and very carefully to
ensure that any changes are indeed beneficial for the patients, the
first trial of the revised paperwork has recently taken place. It is
intended that the revised documentation will be suitable for
adaptation to electronic usage once electronic patient records come
into use in the area, although this is not imminent.

11. Participate in the FrailSafe national project, in which the Trust is a
pilot site. This is intended to improve the care of frail patients.

Thank you once again for raising these matters with us. We confirm the
Trust remains committed to a continuing programme to address the
concerns you describe and to monitor the effectiveness of the changes
introduced in resolving these issues.

Yours sincerely

J-

Matthew Kershaw
Chief Executive SaTca Nurse

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