Prevention of Future Deaths reports · 2016

Euphemia Aldred

Regulation 28 report to prevent future deaths, reference 2016-0062, written 18 Feb 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report18 Feb 2016
Reference2016-0062
DeceasedEuphemia Aldred
CoronerMichael Singleton
Coroner areaBlackburn, Hyndburn and Ribble Valley
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedEast Lancashire Healthcare 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)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:
The Chief Executive Officer

East Lancashire Healthcare NHS Trust
Trust Headquarters

The Royal Blackburn Hospital
Haslingden Road

Blackburn BB2 3HH

CORONER

I am Michael Singleton, Senior Coroner for the Coroner area of Blackburn, Hyndburn
& Ribble Valley.

CORONER'S LEGAL POWERS

I 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.

INVESTIGATION and INQUEST

On the 10 November 2015 I commenced an Investigation into the death of
Euphemia Lumsden Aldred aged 83 years. The Investigation concluded at the end
of the Inquest which was heard on the 16" February 2016. The conclusion of the
Inquest was that Euphemia Aldred had suffered fractures to her left leg and ankle,
had been treated conservatively in a plaster cast and that following discharge from
hospital she was no longer prescribed low molecular weight heparin and she
developed a pulmonary embolism and died.

CIRCUMSTANCES OF THE DEATH

On the 26 September 2015 Euphemia Aldred fell in the lounge at her home
address and sustained fractures to her left leg and ankle. She was admitted to the
Royal Blackburn Hospital where those fractures were treated conservatively in a
plaster cast. During her stay in hospital she was prescribed low molecular weight
heparin but following discharge was no longer prescribed and subsequently
developed a deep vein thrombosis which led to a pulmonary embolism.

CORONER'S CONCERNS

During the course of the Inquest the evidence revealed that the East Lancashire
Hospitals Trust Policy Document: Venous Thrombo-Embolism (VTE) (non Obstetric)
Part I Prophylaxis, Part II Management of VTE V1.4 October 2015 did not comply
with the NICE Guidance on Venous Thrombo-embolism in Adults: Reducing the Risk
in Hospital: GG92 January 2010.

matters giving arise to concern. In my opinion there is a risk that further deaths

will occur unless action is taken. In the circumstances it is my duty to report to you
the MATTER OF CONCERN is as follows: -

a

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and I believe you
have the power to take such action in terms of reviewing the Trust Policy.

7 YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, namely by 14” April 2016. I, the Coroner, may extend this 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

I have sent a copy of my report to the Chief Coroner and to the following interested
person, namely:

lam 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.

18 February 2016 Signed by:

H M Senior Coroner for Blackburn,
Hyndburn & Ribble Valley

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