Prevention of Future Deaths reports · 2015

Diana Hughes

Regulation 28 report to prevent future deaths, reference 2015-0195, written 18 May 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report18 May 2015
Reference2015-0195
DeceasedDiana Hughes
CoronerKaty Skerrett
Coroner areaGloucestershire
CategoryCommunity health care and emergency services 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.

SI9TIb TSPIO XbA =| T99S0E ZSPIO PL
LAE HID {1238290} ‘POOMMTE “ANUIAY WNITLO, 44N0;) $,19U0L02) 2.414S.19}S9INO])

‘ysIpjoaue jeoiBuns / OHAA 2u} BIA jeuuosued jeolpew
JaUjo 0} payeoiunwiwos ase eunpasoud jeolbuns & Buunp ,suononujsul |eloeds, MOH (|)
— ‘SMO||O} SB SI NYAONOOD AO YSLLVIN PUL

“noA 0) ode 0} Aynp Aroynjeys Au SI
}! SQOUB}SWUNDIIO OY} U] “UdYE} S} UORIE SSOIUN JNDOO |IM SYFEEP JN}NY JEU} YSU B S! S19Y} uoluido
Aw uj ‘wa9oucd 0} asi BuIAi6 sueyew pajeenas eouepiae oy} senbul ay} JO asiNOD oy 6uung

SNYSONOSD S.YSNOYOD S

sJNOY GG}z ye Wool
Asaaooel ayy ul Aeme passed ays “Awojoledej AoueGiewa ayy jnoyBnosy} |}! Aeoyus paulewier
sey6ny Suy ‘sooiqgue oNoe|Aydoud jo asop ajBuis e 0} pesoddo se ‘juswyes.) sHOIqnUe
paateoas pey sey6nyH si J! (eye) Peroid arey JOU pjnom uoRoeju! peasdsepim Bu} JEU} alqeqoid
$1 }} }@eMoq ay} JO UOOIEJUI PUe LONIAyUI peaJdsapiM Pe|eens YIM ‘JNO paleo Sem Awiojosede}
Aroyerojdxe Aouebewe ue pue ajeet) 0} peuinjel SBM ays "jNo ynd SeM [fed YysBIO eB SuNOY G76]
TV ‘peyesouayep Ajpides uowpucs say uaym Ayenuer ,,6 94} Jo Buluens ay} jun Wee} jeolBins au}
fq maines annesado ysod e aaiaoei Jou pip SEeYBNY SI “Wes} jeo1Bins 8yj JOeE}UOS 0} pa}dwaye
wea} Bulsinu ay “Asenuer ,,6 Su} uo wdoe’Z) wo. elpseoXyoe} pedojansp seyBhnH si
Ajannesedo-jsog vLOz (uenuer 6 24} UO SuNoY ODGO [gun yun AsaBung Aeq 2y)} ul pourewes ays
JOAAMOH “SUNOY Qi JO WINWILIL B JO} pseM JedIBins & 0} pay!wpe aq ays jeu) paysenba, uoabins
sey6ny Su ‘eunpeood aij Buuinp punoy suonesijduuos 0} enp einpsooud usdo ue 0} paHaAuod
sem fuaBins ay, ‘seye] sunoy g¢ Ajayewixosdde jnun paisj}siulupe eeM sonoiqque JeyyNy ON
‘aunpadold au} asojog UeAIB Sem OHOIGNUe oNOe|AYdoud Jo asop ajGuls y “~pLoz Aenuer 8 OU
uo Awioyashogjouo dIdoosoJede| aAtjo9/e Ue JOJ JeEyWdSoY 0} payiwpe sem Ape] pio Jeak go siyL

H1ivVsd SHL IO SADNVLSANDUID v

“UusAlB

SEM UOISNOUOD SAHeeU e pue ‘AWOS}SAD9{OYO 194 HuIMo|jOj Podojsrsp pey YOIUM SITOSE}
Bulsjoj9eu e Aq pasnes eiwaeojdas Jo palp 8uS “G1L0Z/G0/9 eu} UO papnjouc. sem jsenbul
au, ‘seyBny YyNy euelg Jo YJeEp ay} OU! UOHeBYSeAU! UB PEdUaLUWOD | HLOZ/LO/GL OU} UD

LSANONI Pue NOILVSILSSANI €

Speu///HE/GZOL/ELOZ/ISAN/AIN-AOD UOHE|s!
L/YAeIDEIed/G/A|NPSYIS/SZ/G00T/EDAYN YN AOD UOHe|siDS] MMM//:G}Y
“EL0zZ suojejnBay (SuoVeBHSeAu]) SI@UOIOD al} Jo Gz pue gz suoHe|nBas

pue 600Z PY soNSNP pue sidU0IOD aU} Jo ‘g aINpayos ‘7 ydeiBesed JapuN Yodel siy) eyew |

SYSMOd 1VW9371 S.YANOYUOD 4

SIYSIZISSONO|D JO} JOUOIOD JOIUSS ‘Waves Ajey we |

YANOYOD | |

‘OL LNAS SONIA SI LYOd3y SIHL

SHiVAd SYNLN4A LNSAAYd OL LYOd3ay 8Z NOLLV1ND3ay

QATYS1IJSIIMO][S) 10F

SI9ZIP TSPIOXeA | I99SOE TSPIO PL
LAE PTD (12}829n0]-D ‘poomuseg NUIAY UINITLIO> “ANOD S,42U040;) d11YS.49}S9INO] Sy

AIYSIAJSSONO|S) JO} IBUOIOD JOIUSS

GLOz ACW Bt PRE

“JQUOIOD J9IUD By Aq esuodsal JNOA Jo UOedI|qGnd au} 40 aseajal

9uy INnoge ‘asuodsa JNOA Jo SUI] BU} Je ‘J@UOIOD aU} ‘ALU O} SUOI}EJUSSeldel aye ABW NOA
‘yseua}UI JO JO [nJasn } puy Aew seaaijaq ay OUM UOSJed AUe 0} Oda siyj Jo Adoo eB pues Aew
3H “WO} AieLULUNS JO pa}Oepal JO S}adWOD e Ul U}Oq JO JaUyIe Ysqnd Aew J9U0IOD JaIUD OU L

“asuodsal InoA jo Adoo e& JaU0109 J8I4YD ay} puss 0} Ajnp e JepuN osye Wwe |

‘Anwey ayy Sunueseide, I) sx0yoyos sowed idooe (1)
‘SuOSI8¢q Pa}SeJo}U| Bulmoyjoj au} 0} pue JOUOIOD JO1Y4D Sy} 0} Woda: AW Jo Adoo & JUSS aney |

NOLLVOINANd Pue SaldOD

“pesodoid si uonse ou Aym ule|dxe sn NOA asiMIau}O “UOHdE JO} ajqe}eLUy
8y} Jno Bunjes ‘uaye} aq 0} pasodoid Jo uaye} UIE Jo sjle}ap Ule}UOD JsNnLW esuodsel INO,

“pouied au} pua}xe Aew ‘Jauosoo ayy ‘| “S¢Loz Aine atl
Aq Ajeweu ‘yoda siyj Jo ayep ay} Jo SAep 9g UIUJIM YOdsJ Siu} Oo} puodse: 0} Ajnp e Jepun aie nod

ASNOdS3uy YNOA

“uogoe Yyons aye} 0}
Jemod ay} aaey NoA aaaljeaq | pue SUJeap e1N\Ny JUSAeId 0} UBYe} Bq Pinoys UORIe UOIUIdo AW U]

NaxV1L 38 GINOHS NOILOV

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 Gloucestershire Hospitals NHS Trust (PDF)
Gloucestershire Hospitals INHS|

NHS Foundation Trust

1 College Lawn
Cheltenham
Gloucestershire
GL53 7AG

e-mail:
13!" July 2015

Ms Katy Skerrett

HM Senior Coroner for Gloucestershire
HM Coroner’s Office

Medico Legal Centre

Saw Mills End

Barnwood

Gloucester GL4 3DJ

Dear Ms Skerrett
Diana Ruth Hughes

| am writing in response to the Regulation 28 report received from you on 22"4 May 2015 in
connection with the inquest into the death of Mrs Hughes.

| have read the report_carefully and have discussed this case with the Trust’s legal

| can confirm that as a result of the Trust’s own internal investigation undertaken before the
inquest, the following actions were identified, and work on these actions in underway:

1. Consideration is being given to amending the WHO/Surgical checklist document to
include an additional instruction to direct staff at the end of the procedure to check
whether ‘special instructions’ for post-operative care have been physically written on
the operation note.

2. Consideration is being given to a review of the Trust documentation policy to establish
that the record of the surgical/operative procedure should be completed on a new
operation note document specifically designed to record that clinical information. In Mrs
Hughes’ case, the operation notes were written onto a medical continuation sheet, in
red pen. This is currently acceptable Trust policy.

3. It is also intended that any new operation note document incorporates a heading to
specifically identify ‘Special Instructions’ for post-operative care

This work is being led by Po Consultant General Surgeon and

Speciality Director for Surgery, who gave evidence at your enquiry. The progress of these
actions will be monitored through the monthly meetings of the Safety Experience and Risk

Group (SERG) chaired by iE Director of Safety.

Chief Executive: Dr Frank Harsent PhD, MBA
www.gloshospitals.nhs.uk

Chair: Professor Clair Chilvers DSc ( J

BETTER FOR YOU

Gloucestershire Hospitals INHS

NHS Foundation Trust

! hope this is the information you require. Please do not hesitate to contact me if | can be of
further assistance.

Yours sincerely

?* Dr Frank Harsent
Chief Executive

BETTER FOR

Related reports

Other reports by Katy Skerrett

See all →

More reports categorised “Community health care and emergency services related deaths”

See all →

Track Community health care and emergency services related deaths

See every Prevention of Future Deaths report matching Community health care and emergency services 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.