Prevention of Future Deaths reports · 2016

Elsie Tindle

Regulation 28 report to prevent future deaths, reference 2016-0098, written 8 Mar 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report8 Mar 2016
Reference2016-0098
DeceasedElsie Tindle
CoronerDerek Winter
Coroner areaSunderland
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedCumbria, Northumberland, Tyne and Wear 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.

Derek Winter DL
Senior Coroner for the City of Sunderland

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: -
The Rt Hon Jeremy Hunt MP
Secretary of State for Health
Department of Health
Richmond House
79 Whitehall
London SWI1A 2NS

CORONER

I am Derek Winter, Senior Coroner for the City of Sunderland.

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.

http:/
http

ww.legislation.gov.uk/uksi/2013/1629/part/7/made

INVESTIGATION and INQUEST

On 14" April 2015 I commenced an Investigation into the death of Elsie Tindle, aged 71
years. The investigation concluded at the end of the Inquest on 3" March 2016. The
conclusion of the Jury Inquest was that she died ‘as a result of a rare complication
following the lawful and necessary administration of ECT’.

CIRCUMSTANCES OF THE DEATH

Elsie Tindle had a complex personal and medical history. Miss Tindle was particularly
close to her sister with whom she had lived.

Miss Tindle had a psychiatric diagnosis of Depressive Disorder of a severe degree with a
suspected underlying cognitive impairment and a learning disability.

On 23" February 2015 Miss Tindle was made subject to section 3 of the Mental Health
Act 1983 (MHA).

Miss Tindle received Electro Convulsive Therapy (ECT) on 27" February 2015, 6"
March 2015 and 9" March 2015.

On 23" February 2015, a paper request for a Second Opinion Appointed Doctor (a
SOAD) was made to the Care Quality Commission (CQC) and then subsequently online
to the CQC, who acknowledged it the following day.

Civic Centre, Burdon Road,Sunderland, SR2 7DN
Tel 0191 5617843 | Fax 01915537803 | DX 60729 Sunderland
www.sunderland.gov.uk/coroner

It appears that no SOAD was ever allocated and that the request was not followed up.
Miss Tindle had 3 sessions of ECT over an 11 day period as it was believed that the s62
MHA criteria had been made out in that it was immediately necessary to save the
patient’s life or prevent a serious deterioration in her condition.

Miss Tindle was removed from the section 3 on 11" March 2015.

Miss Tindle developed focal seizures and status epilepticus, which required her transfer
to the High Dependency Unit of Sunderland Royal Hospital, and she was then
discharged back to the ward at the Hospital on 16" March 2015.

On 19" March 2015 Miss Tindle was made subject to a Deprivation of Liberty
Safeguard.

By 29" March 2015 Miss Tindle appeared to develop aspiration pneumonia and,
although she was treated with antibiotics, her decline continued and she died on 4" April
2015.

Post-Mortem Examination on 14"" April 2015 gave the cause of death for Miss Tindle as:

la Anoxic-Ischaemic Brain Damage
Due to

1b Status Epilepticus

Due to

1c Electro-Convulsive Therapy

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) [heard evidence that the present compliment of SOADs is approximately 105 and
that in 2014/15 they carried out 14,373 visits. 25% of cases with a SOAD led to changes
in a treatment plan and in 3% of cases the SOAD did not approve the plan. The SOAD
safeguard in theory can prevent the inappropriate use of ECT.

(2) For ECT, SOADs attend within 5 days in 82% of cases but I am concerned that in 1:5
cases this does not happen.

(3) Practitioners anticipate delays with the appointment of SOADs and it is common to
use the urgent powers under s62 MHA (it is immediately necessary to save the patient’s
life or prevent a serious deterioration in their condition).

(4) Lam concerned that there is a danger of the use of s62 MHA becoming a default
position and that the numbers of SOADs may be insufficient to deal with matters in a
more timely way.

(5) I was encouraged to hear that each of the agencies had reviewed practices and
procedures, particularly Northumberland Tyne and Wear NHS Foundation Trust, who
were to set up a system for the treating Psychiatrist to chase the CQC in the absence of a

timely appointment of a SOAD.

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.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 5th May 2016. I, 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

I have sent a copy of my report to the Chief Coroner and to the following Interested
Persons: -

e Sunderland City Council and their Solicitors

¢ Northumberland Tyne and Wear NHS Foundation Trust by their Counsel and

Solicitors

e Care Quality Commission

e Official Solicitor

e Sunderland Royal Hospital

I 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.

Dated this 8" day.of March 2016

=
Signature Lt

Senior Coroner for the City of Sunderland

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 Department of Health (PDF)
Bs a Rt Hon Alistair Burt MP

Minister of State for Community and Social Care

Department
of Health
Richmond House

79 Whitehall
Senior Coroner anon
Civic Centre Tel: 020 7210 4850
Burdon Road
Sunderland
SR2 7DN 09 MAY 2016
Qe. Mie Vales i

Thank you for your letter of 8 March 2016, following the inquest into the death of
Elsie Tindle. I was sorry to hear of her death and wish to extend my condolences to
her family.

The main concerns arising from this case are:

e that the Care Quality Commission’s (CQC) internal target for provision of SOADs
is not met in all circumstances and the impact this has on safeguarding against
inappropriate treatment;

e that there is an insufficient number of Second Opinion Appointed Doctors
(SOADs) to deal with requests for attendance in a timely way;

e that the use of section 62 of the Mental Health Act (MHA) is becoming a default
position.

My officials have liaised with CQC about your concerns.

Firstly, with regard to CQC’s lack of response to the request for a SOAD in this case,
I have been advised by CQC that this was due to an administrative error.

CQC has confirmed that a second opinion request was submitted by Northumberland
Tyne and Wear NHS Foundation Trust and received by CQC. Although the request
was processed, there was a failure to action it any further by transferring it from the
submission system onto the allocation database, which is currently a manual process.

Investigation of this error has led to two possible causes:
e The task completed line was ticked in error.

e There was an error on the submission and the request was misplaced before the
query was resolved and the process completed.

CQC has undertaken a 100% comparison check between the submission database and
the allocation database and has confirmed that this was an isolated incident.
However, they have taken the following actions to mitigate against further error:

e The team have been reminded of the process for recording actions taken against
requests received;

e Daily 100% comparison checks are now carried out by the team leader. Any
requests submitted with queries are entered onto the allocation database with a
status of pending. The team leader keeps checking the progress of pending second
opinion requests until all issues are resolved;

e An electronic solution to enable automatic transfer of request to the allocation
database is in the final stage of roll out. This will reduce the risk of human error in
future.

You are also concerned that CQC do not always meet their internal target for
provision of SOADs. Whilst CQC fully endeavour to meet these targets, there are
several factors that can affect their ability to do so.

Requests for Second Opinions are demand led. CQC has no control over when and
where a request will be required or the level of urgency required for each case. In
addition, as most SOADS are in full or part time employment with provider
organisations, it can be difficult to identify a local, available SOAD who can attend
promptly. As a second treatment of the patient is often carried out within 48 hours of
the request being submitted it makes timely attendance of a SOAD even more
challenging. Missing or inaccurate request information submitted by the provider can
add in further delay.

In addition, providers do not always make appropriate arrangements to enable the
SOAD to attend the ward, interview the patient and have access to the statutory
consultees either in person or at least via telephone, so that a certificate can be issued.
Another problem, although less common, is when a SOAD is unable to access a
ward due to protected times.

To turn to your concern about the available number of SOADs, CQC has an ongoing
recruitment campaign and invites expressions of interest from prospective applicants.
Their recruitment process is supported by HR colleagues and the Lead SOAD.

CQC will continue to recruit more Consultants as SOADS but because the work is so
demand led, a model of continuous availability is not considered feasible. It is also
essential to continue to ensure that the SOAD is independent of the provider and other
parties.

we

Department
of Health

CQC continues to work with the Royal College of Psychiatrists to promote the value
of the SOAD role and its importance to the provision of comprehensive mental
healthcare. They are also considering other ways of promoting the SOAD role
including reviewing the current fee structure and are looking at providing some
aspects of the service in a different way that could free up more SOAD time.

Lastly, I will address your concern that the use of s62 of the MHA is becoming a
default position. S62 of the MHA provides provision to urgently treat a person who
has been detained under the MHA. Sometimes, decisions have to be taken rapidly to
detain and then treat a deteriorating patient and this should be clearly understood by
the s62 provision of the Act.

CQC has raised concerns about the use of s62, (separate from the issue of SOAD
availability), which they highlighted in their MHA Monitoring Annual Report for
2013/14. They are concerned that these measures are being used in situations that are
neither urgent nor emergency. They also perceive that there are occasions when s62
may be used, whether for medication or for ECT, for the purpose of clinical
convenience rather than a situation of immediate necessity.

As a consequence of these concerns the 2015 MHA Code of Practice has been
strengthened to state that hospital managers should monitor both the use of urgent
treatments and exceptions to the certificate requirements, to make sure that they are
not used inappropriately or excessively. CQC also expect providers to make sure that
treatments given on this basis are reviewed regularly. Clinicians must specify review
periods at the point that the urgent or emergency treatment is instigated.

CQC Inspectors and Mental Health Act Reviewers continue to look at compliance
with the MHA Code of Practice during inspections and MHA monitoring visits. In
addition SOADs have been instructed to feedback any issues regarding the use of s62
which they may encounter on their visits, directly to CQC, so that targeted
intervention can be addressed to relevant providers as necessary.

I hope that this reply is helpful and I am grateful to you for bringing the circumstances.
of Ms Tindle’s death to my attention.

Num fencanky
My G2

ALISTAIR BURT

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