Prevention of Future Deaths reports · 2015

Michael George

Regulation 28 report to prevent future deaths, reference 2015-0264, written 9 Jul 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report9 Jul 2015
Reference2015-0264
DeceasedMichael George
CoronerAndrew Harris
Coroner areaLondon Inner (South)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedSouth London and Maudsley NHS Foundation 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.

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

Dr Matthew Patrick, Chief Executive, South London and Maudsley Trust, Bethlem
Royal Hospital, Monks Orchard Road, Beckenham BR3 3BX

CORONER

Tam Dr Andrew Harris, Senior Coroner, London Inner South

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.

i
INQUEST

On 9th December 2011, ! opened an inquest into the death of:
Michael George, who died on 7th December 2011, at 02.40 a.m. in
King’s College Hospital, Case Ref: 03102-2011.

It was concluded before a jury on 12th June 2015.

The court found that the medical cause of death was

1a Multi-organ failure

1b Hyperosmolar hyperglycaemic state, in schizophrenic treated with Olanzapine.

CIRCUMSTANCES OF THE DEATH
The narrative conclusion included these matters in the record:

a) The Maudsley Hospital failed to address the risk of Mr George developing diabetes
from the long tern use of Olanzapine and did not check his urine or blood sugar prior to
06/12/11.

b) At 09.30 on 06/12/11 Mr George complained of being weak, tired, having blurred
vision and making frequent trips to the lavatory and asked to see a doctor. At a case
review meeting held at 11.00 a.m. on 06/11/12 the results of a urine test, which showed
the presence of blood and glucose, a physician was not consulted, leading to an
inadequate care plan....

¢) At 18.30 when the laboratory .. phoned through the blood glucose results... the

precise measurement of 53.7 mm/! was misunderstood by staff, who did not appreciate
that [his] condition was life threatening. As a result.... decisions regarding ..... transfer
to A&E had an insufficient level of urgency. [NB: There was no entry of 53.7 in records]

d) From 18.30 once these glucose results were received, the Maudsley Hospital
attempted to transfer Mr George to A&E. However the time delay between 18.30 and
21.20, when he eventually arrived at A&E had a significant impact on his chances of
survival because it delayed the administration of sufficient levels of fluid to aid his
rehydration.

e) The referral information from the Maudsley did not contain critical information about
Mr George’s background and current condition to enable A&E to appreciate the urgency
of his condition and the difficulty of managing a patient who was refusing treatment.

It should be added that it was reported that for a large part, but not all of his hospital
admission, he had capacity and exercised it to refuse investigations and transfer.

i

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.

Two previous PFD reports on the care of physical illness in mental health wards run by
the Maudsley Hospital had been made by this court:

One (2654-11) was sent in September 2014 concerning a death in October 2011. It
reported the opinion of an expert that there needed to be domiciliary visits by consultant
physicians, as would occur in a District General Hospital.

Another (0883-13) following a death from diabetic ketoacidosis, reported the lack of
mandatory and regular glucose testing whilst on anti-psychotic medication. This was
sent in January 2015 reporting on a death in April 2013.

The MATTERS OF CONCERN are as follows. —
Expert evidence was heard that:

(1) The management spokesperson on the Action Plan at the inquest was unaware that
the Trust had received these two court Regulation 28 reports, suggesting that senior
management attached insufficient importance to them and the issue of physical health
care of mentally ill patients.

(2) Although there was now systematic recording of urine and blood glucose of patients
on antipsychotics on the wards, the audit conducted and presented in court showed a
number of patients who had refused these tests, but not demonstrated whether in
subsequent weeks testing was conducted or whether these same patients, like Mr
George, never had their glucose measured, noting that urine measurement was non
invasive, and had an appropriate care plan to address these risks.

(3) The Trust response to 2654-11 in September 2014 was that a research bid was
being mounted and discussions held with commissioners and Kings College Hospital
(KCH). Progress on this was not provided to the court and there had apparently not
been action to reduce risks of deaths by ensuring there were domiciliary visits from
consultant physicians at KCH (which is across the road from the Maudsley) to mental
health wards, as reported to the Trust in 2014. The need to implement such a service
was again reiterated by a different expert in this inquest. It is inferred from the expert
opinion that failure to do so would mean that patients in SLAM in-patient units would be
more at risk than those mental health patients in a district general hospital.

(4) Whilst there had been individual learning and changes in training and note keeping
and recording, it was unclear whether, in the absence of consultant physician advice,
that the serious untoward incident investigation conclusion on urgent transfer would be
heeded. It advised that there should have been immediate action to call an ambulance
to effect transfer, despite lack of consent, when the blood results were known.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe that the
South London & Maudsley NHS Foundation Trust has the power to take such action.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by Wednesday September 2™, 2045. |, the coroner, may extend the period.

a

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.

If you require any further information or assistance about the case, please contact the
case officer,

COPIES and PUBLICATION

(experts who gave opinions in the inquest), Southwark Clinical Commissioning
Group, the Royal College of Psychiatrists, and the Secretary of State for Health.

| 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.

Lha’ 'y report to the following Interested Besson
and sisters). | have also sent a copy t and ii

[DATE] [SIGNED BY CORONER

I fdy dors <

| apologize for the delay in sending this report, which relates 6’ staff illness.

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 South London and Maudsley NHS Trust (PDF)
South London and Maudsley 
NHS Foundation Trust 

NHS 

Medical Director's Office 
Trust Headquarters 
Administration Building 
Maudsley Hospital 
Denmark Hill 
London SE5 8AZ 
Telephone: 020 3228 2415 

Case Ref: (cid:9)

03102-2011 

Vt September 2015 

Dr Andrew Harris 
Senior Coroner 
Southwark County Court 
1 Tennis Street 
London 
SE1 1YD 

Dear Dr Harris 

Re: (cid:9) Michael George, who died on the 7th  December 2011 

I write in response to the Regulation 28 Report to Prevent Future Death in the case of 
Michael George. 

Expert evidence was heard that: 

1) The management spokesperson on the Action Plan at the inquest was unaware the Trust 
had r(ceived these two court Regulation 28 reports, suggesting that senior management 
attached insufficient importance to them and the issue ofphysical health care of mentally 
ill patients. 

2) Although there was now systematic recording of urine and blood glucose of patients on 
anti-psychotics on the wards, the audit conducted and presented in court showed a 
number of patients who had refused these tests, but not demonstrated whether in 
subsequent weeks testing was conducted or whether these same patients, like Mr George, 
never had their glucose measured, noting that urine measurement was non-invasive, and 
had an appropriate care plan to address these risks. 

3) The Trust responses to 2654-11 in September 2014 was that a research bid was being 
mounted and discussions held with commissioners and Kings College Hospital (KCH). 
Progress on this was not provided to the court and there had apparently not been action 
to reduce risks of deaths by ensuring there was domiciliary visits from consultant 
physicians at KCH (which is across the road from the Maudsley) to mental health wards, 
as reported to the Trust in 2014. The need to implement such a service was again 
reiterated by a different expert in this inquest. It is inferred from the expert opinion that 

A.Harris - Sou. CC - M. George - 07.12.11 - 01.09.15 

www.slam.nhs.uk  

Page I  1 

 
 failure to do so would mean that patients in SLAM in-patient units would be more at risk 
that those mental health patients in a district general hospital. 

4) Whilst there had been individual learning and changes in training and note keeping and 
recording, it was unclear whether, in the absence of consultant physician advice, that the 
serious untoward incident investigation conclusion on urgent transfer would be heeded. It 
advised that there should have been immediate action to call an ambulance to effect 
transfer, despite lack of escort, when the blood results were known. 

The Trust has paid particular attention to the physical health care of our patients and those 
with diabetes in particular. There are a number of initiatives which we hope will help prevent 
future deaths from the complication of diabetes on our wards: 

1.  The Trust has established a Physical Health Committee chaired by two consultant 
. The committee has been 
, Consultant Diabetologist in improving the 

psychiatrists, 
working closely with 
management of Diabetes Mellitus on our wards. 

 and 

2. 

e has done work with the Maudsley in the past to help provide a 
framework for the management of non-urgent diabetes as a Maudsley inpatient. She is in 
the process of revising this older protocol. 

3.  The MEWs (Modified Early Warning scores, soon to change to NEWS, National Early 
Warning scores) have been rolled out and are improving the ability of mental health 
nurses to pick up deteriorating patients. 

4. 

, 
Consultant Diabetologist, Kings College Hospital (KCH) last year to produce the 
attached protocol for the management of hyperglycaemia on our wards. (Appendix I) 

, Core Trainee 3 (CT3), SLaM linked with 

5.  In relation to the previous recommendation of Inreach medicine into the system, the 
Trust collaborated with KCH to put in a bid for a Medical Liaison Team to consult on 
the medical management of our inpatients. After repeated revisions, this was turned 
down. This was unfortunate as we had clearly demonstrated the need as evidenced in 
Appendix II, where we show that over 10% of our admissions are medically unstable 
enough to require a night in a general hospital as part of their SLAM inpatient stay. 
However, to my knowledge, no Mental Health Trusts have Inreach medical care on 
their general psychiatry wards, although many forensic units have GPs who visit (in 
keeping with the long length of stay). We plan tp continue to lobby for resources to 
establish such a service. 

6.  We have linked with KCH to continue to improve access to care and demonstrated in a 
pilot study how this affects length of stay in the acute hospital - an indirect indicator of 
medical need. (Appendix III) I also attach the pathway for rapid access to medical care 
from the Maudsley site. (Appendix IV) 

 and 

7.  This is a keen area of interest for the Trust to develop, nationally as well as locally. Dr 
an from the Trust are members of a National 
Confidential Enquiry into Patient Outcome and Death group (NCEPOD) looking at the 
care of people with significant mental illness in the acute hospital. This derives from the 
Trust work with Kings, in that the chair and proposer of the topic is 
, 
Acute Medical Consultant in KCH, whom we have worked with closely on this 
problem. 

AHarris— Sou. CC —M. George— 07.12.11 - 01.09.15 

www.slam.nhs.uk  

Page 12 

 8. The lack of appreciation of the urgency of the high glucose is important, but not 
surprising, given the minimal medical exposure in current nursing training. We believe 
there is a need for more general nursing as part of the RN'[N course, that would be 
potentially very constructive. 

9. The psychosis physical Health Strategy (Appendix V) does suggest monthly full blood 
fasting blood glucose (FBG) or random blood glucose (RBG) plus glycolated 
haemoglobin HBA1c for the first 3 months on clozapine and olanzapine and we are in 
the process of develop protocols for this. This is a local target and not in the 2014 NICE 
guidelines. (Appendix VI) 

10. CQUINS (commissioning for quality and innovation) have optimised the requesting of 
tests on the wards but the management of patients refusing tests is very difficult. It is 
possible to take glucose under restraint under the MHA. The MCA may be used but, 
restraint for bloods is technically difficult and if someone has a treatment responsive 
illness, in the absence of an acute deterioration, people often wait for their mental health 
to settle and try again once, they regain capacity. If someone is refusing bloods, it is rare 
for them to agree to urine testing - urine is usually more difficult to get than blood. 
However with respect to sugar, a BM Stix under restraint is feasible - though not 
pleasant. 

11. The Trust is considering adding the Glasgow Anti-psychotic Side-effects Scale (GASS) 
to our electronic patient record. We have also adapted the use of the GASS for use with 
clozapine (which we have shown to have a high rate of diabetes). This looks specifically 
for symptoms suggestive of rising blood glucose. (Appendix VII) 

12. SLaM is investing a considerable amount of effort to this area and is liaising widely to 
generate solutions, which we disseminate locally and internationally. (Appendix VIII) 

13. We are as an organisation hugely aware of the need for joint approaches to solve these 
problems. With this in mind, our CEO, Dr Mathew Patrick, has set up a working group 
as part of the London Strategic Clinical Network, which he co-chairs, to promote the 
generation of cross-system solutions. 

I hope this letter and its attachments are a testament to the issues which were raised and our 
continued efforts to improving our services. 

Kind regar 

Medical Dir 

Enc. 

A.Harris - Sou. CC —M. George— 07.12.11 - 01.09.15 

www.slam.nhs.uk  

 13

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