Prevention of Future Deaths reports · 2015

Kathleen Neville

Regulation 28 report to prevent future deaths, reference 2015-0310, written 7 Aug 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report7 Aug 2015
Reference2015-0310
DeceasedKathleen Neville
CoronerChristopher Woolley
Coroner areaCardiff and the Vale of Glamorgan
CategoryHospital Death (Clinical Procedures and medical management) related deaths
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.

REPORT TO PREVENT FUTURE DEATHS

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

1. Mark Drakeford AM, Minister of Health, Welsh Assembly Government
2. Dr Andrew Goodall, Chief Executive, NHS Wales

4 CORONER

tam Christopher John Woolley, Assistant Coroner, for the Coroner area of Cardiff and
the Vale of Glamorgan

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

On 6 March 2014 | commenced an investigation into the death of Kathleen Ludmila
Neville, aged 93. The investigation concluded at the end of the inquest on 30" July
2015. The medical cause of death was: 1A Bilateral Pneumonia and 1B Fractured neck
of femur (operated). | gave a narrative conclusion as follows “Kathleen Ludmila Neville
died from the recognised complications of necessary medical intervention and post-
operative care, following a prolonged hospital stay after accidentally fracturing her hip
and undergoing a left hip hemiarthroplasty.”

4 | CIRCUMSTANCES OF THE DEATH

Kathleen Ludmila Neville was admitted to University Hospital of Wales Cardiff on 28"
November 2013 after an accidental fall at home in which she had fractured the neck of
her femur. The admitting doctor failed to record her regular thyroid medication
(Levothyroxine) on the drug chart and the error was not picked up in the primary
pharmacy review. The University Hospital of Wales did not have a Medication
Reconciliation Policy in place at the time, even though the NICE guidelines from 2007
had recommended such a policy. As a result of this prescription error Kathleen Neville
was not given her thyroid medication for a period of five weeks from admission until 3"
January 2014. | found that the omission of this medication would have contributed to
her lassitude and confusion over the period from 12" December 2013 until 22" January
2014, but that it did not contribute to her eventual death on the 3 March 2014.

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) The absence of a Medication Reconciliation Policy at the University Hospital of
Wales over the relevant period made it much harder for the individual failures of the
admitting doctor and initial pharmacist to be picked up. As a consequence Kathieen
Neville was deprived of her medication for a much longer period than would otherwise

have been the case.

(2) While the Coroner found in this inquest that the omission of Levothyroxine did not
contribute to the eventual outcome, the position would have been far different in the
case of other drugs where omission of medication might well lead directly to death (e.g.
insulin). In such cases the absence of a Medication Reconciliation Policy to assist in
picking up individual failures could well lead to future deaths. The Coroner found that
any system that relies solely on individual human excellence without a supporting policy
is eventually bound to fail through individual human error.

(3) The Cardiff & Vale University Health Board has now introduced a Medication
Reconciliation Policy as recommended by the NICE Guidelines (now updated). The
Coroner was satisfied that this was chiefly because of the death of Kathleen Neville. The
Coroner was satisfied that University Hospital of Wales and the Cardiff & Vale University
Health Board have taken appropriate remedial action.

(4) The Coroner is concerned that there may be other Health Boards across Wales that
have still not adopted a Medication Reconciliation Policy as recommended by NICE.
Future lives may be lost if a Health Board does not have such a policy and similar
prescription errors are made. The Coroner is concerned that all Health Boards across
Wales should learn the lessons of this inquest and have a Medication Reconciliation
Policy in place to prevent future deaths in similar circumstances.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you have 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 2"™ October 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.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons 1. i 2 (I | have also sent a copy to

HE Healthcare Quality Division, Welsh Assembly Government and to the Chief
Executive of Cardiff & Vale University Health Board 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.

7" August 2015 C J Woolley, Assistant Coroner

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