Prevention of Future Deaths reports · 2016

Christopher Brand

Regulation 28 report to prevent future deaths, reference 2016-0154, written 21 Apr 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report21 Apr 2016
Reference2016-0154
DeceasedChristopher Brand
CoronerPeter Bedford
Coroner areaBerkshire
CategoryHospital Death (Clinical Procedures and medical management) 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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

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Tam Peter James Bedford, Senior Coroner, for the coroner area of Berkshire

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HIS REPORT IS BEING SENT TO:

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| The Director of Primary Care:

roadmoor Hospital, Crowthorne, Berkshire, RG45 JEG

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CORONER’S LEGAL POWERS |

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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

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2613,

3. INVESTIGATION and INQUEST
I conducted an Inquest into the death of Mr Christopher Harold Brand that was |
heard at Reading Town Hall between 11" and 12" April 2016. The conclusion of
| the Inquest was that Mr Brand died from Natural Causes. i
4. | CIRCUMSTANCES OF THE DEATH

Mr Brand was a 53 year old patient of Broadmoor Hospital who returned there in
the early hours of Monday 1“ July at 2013 after undergoing treatment at Frimley
Park Hospital to unsuccessfully remove the arm of a pair of spectacles from his
Urethra. He had discharged himself and was placed in a seclusion room under
eyesight observation. Shortly after his bedroom door was unlocked at 07.15 hours |
he was found to be unresponsive by nursing staff. Resuscitation attempts were |
made but he could not be revived. i

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

ORGNER’S CONCERNS

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During the course of the Inquest, the evidence revealed matters giving rising to
| concern. In my opinion there is a risk that future deaths could occur unless this
_ action is taken. In the circumstances it is my statutory duty to report to you.

|

|

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The MATTERS GF CONCERN are as follows. —

(1) There were periods during the observation of Mr Brand by nursing staff
where the hospital observation policy was not followed correctly. In
particular. one nurse gave evidence that he saw no movement from Mr
Brand after 06.50 hours for some 40-50 minutes. His view of Mr Brand
was obscured by poor lighting in the room, scratches to the observation |
window through which he was observing Mr Brand and by the positon in
which Mr Brand was lying under heavy bedding. He made no effort to
ensure that Mr Brand was safe and well, in line with the policy.

(2) When the door to Mr Brand’s room was unlocked at 07.15 on 1% July
2015, no attempt was made to check that he was alive and well in breach
of the policy at the time. At least a further 10 minutes passed before it
was realised that Mr Brand had not moved and checks revealed him to be |
unresponsive.

(3) Having found Mr Brand to be unresponsive, nursing staff did not
immediately begin CPR. The evidence shows that it was only the 4°
member of staff attending Mr Brand who commenced CPR and there was
a delay while the first staff on the scene called for more senior assistance.

(4) While the failure to follow hospital policy may not have directly impacted
upon the circumstances of Mr Brand’s death, the nature of the breaches are
so fundamental that they could be the difference between life and death of
a patient on future occasions. i

| your organisation has the power to take such action.

7.

In my opinion urgent action should be taken to prevent future deaths and I believe
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YOUR RESPONSE

| You are under a duty to respond to this report within 56 days of the date of this
report, namely by 17 June 2016. I, the Coroner, may extend the period.

f as |
| REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

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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 |

| fp proposed.
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COPIES and PUBLICATION

| Brand.

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I have sent a copy of my report to the Chief Coroner and to the family of Mr |
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| You are 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 ot |
| 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.

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21" von 16

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| | Peter J. Bedford
: Senior Coroner for Berkshire

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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 West London Mental Health NHS Trust (PDF)
West London Mental Health

NHS Trust

Clinical Director

Mr Peter Bedford Broadmoor Hospital
Coroner Crowthorne
Yeomanry House Berks RG45 7EG
131 Castle Hil, a EIST
Reading

RG17TA

Web: www.wimht.ohs.uk

Date: 27" May 2016

Dear Mr Bedford,

Thank you for your letter, dated 224 April 2016, concerning the Inquest into Mr Brand's death and the
Regulation 28 report relating to the same inquest.

You raised several matters of concern and | have attempted to address these below.

1) There were periods during the observation of Mr Brand by nursing staff where the hospital
observation policy was not followed correctly. In particular, one nurse gave evidence that he
saw no movement from Mr Brand after 06.50 hours for some 45-50 minutes. His view of Mr
Brand was obscured by poor lighting in the room, scratches to observation window through
which he was observing Mr Brand and by the position in which Mr Brand was lying under
heavy bedding. He made no effort to ensure that Mr Brand was safe and well, in line with the
policy.

West London Mental Health Trust and Broadmoor Hospital in particular, has undertaken a lot of work
over the past three years to improve the quality of supportive observations. Following the death of Mr
Brand, a Grade 2 serious incident review was completed and made a number of recommendations.
These included a need to remind ward managers of their responsibility to ensure that the fabric of the
ward is maintained appropriately, because of the difficulties identified with the observation window and
that managers review actions of staff for adherence to the observation policy.

With regards to the fabric of the ward, the hospital introduced a monthly check of the observation
windows of all the rooms on each ward. These are on-going. We have documentary records of these
checks and also records of when damage has been identified and reported to our Estates and
Facilities. These reports are completed by staff on the ward and are reviewed by the ward manager.

YB Owimnt Promoting hope
fol and wellbeing
fuser/Awimbt together

There are escalation procedures should Estates and Facilities not respond to the request to rectify any
damage.

A number of initiatives have been undertaken focussing on observations. Following the death and the
identified problems with observations, our Practice Development Nurse introduced unannounced out
of normal business hours audits of observation practice. We have completed eight such audits since
August 2013, the last being in April 2016. if we have identified any concerns with practice during the
audits, ward managers have been asked io addrass these issues with the staff concerned.

in September 2014, the hospital. introduced a specific. module within. our mandatory—clinical-risk
training regarding engagement and supportive observations. This course must be undertaken every
three years by all clinical staff and currently 92% of staff are compliant with this training.

In 2014, we introduced a Knowledge Skills Assessment (KSA) record on each ward, relating to
enhanced engagement and observations. The ward managers and team leaders complete KSA
records for all ward staff likely to undertake enhanced engagement and observations in their areas.
Staff are expected to read the policy relating to enhanced engagement and observations, to discuss
this with the ward manager or team leader and sign to say they have done so and also the ward
manager/ieam leader has to confirm that they are happy for the member of staff to carry out
observations. A yearly audit is completed and is next due in June 2016.

We have undertaken workshops with the theme of observations, both locally and nationally and from
2074 io 2016 the hospital was involved in a CQUIN regarding the best practice in managing risk using
supportive observations. This was in conjunction with the other two high secure hospitals in England.

2) When the door to Mr Brand’s room was unlocked at 07.15 on 1 July 2015, no attempt was
made fo check that he was alive and well in breach of the policy at the time. At least a further
10 minutes passed before it was realised that Mr Brand had not moved and checks revealed
him to be unresponsive.

The staff on the ward did not comply with the policy with respect to the conclusion of night time
confinement. The nurse in charge was responsible for unlocking Mr Brand's room door at 07.15 and
this did not happen. The staff involved have clearly shown candour and remorse for not complying
with this policy and have been made fully aware of their responsibilities,

There has been no evidence of this practice being more widespread, but we introduced standard
operating procedures for ail nurses in charge of wards, which detail, clearly, expectations and
responsibilities. One of these is that they will be present when each door is opened following the
conclusion of night time confinement and the nurse in charge must see and speak to each patient. A
verbal response must be received (or a deliberate conscious movement, such as a hand wave). This
is to ensure the patient's presence and check their general wellbeing.

3) Having found Mr Brand to be unresponsive, nursing staff did not immediately begin CPR. The
evidence shows that it was only the 4° member of staff attending Mr Brand who commenced
CPR and there was a delay while the first staff on the scene called for more senior assistance.

Page 2 of 4

Following Mr Brand’s death, the basic fe support and automated defibrillator training course was
redesigned. [It now takes place on ward environments where emergencies are recreated to mimic
realistic ward situations, enabling staff to better transfer their skills. It incorporates the in-hospital
resuscitation procedures designed by the Resuscitation Council (UK), which in turn is accredited by
NICE. Each attendee has the opportunity to perform all stages of the sequences of action required to
Support the collapsed patient. in keeping with the inquest findings (and recommendations of the
Resuscitation Council} the requirement for immediate action and subsequent medical and managerial!
leadership of the resuscitation process is emphasised. Positive feedback has been obtained from
course aitendees. For staff expected to complete this course, there is currently 87% compliance.

| have enclosed a copy of a report regarding the training

At the Core Skills Conference on November 24 2015, the Trust received special recognition for this
course for Innovation and quality in training. it further received a certificate for ‘Outstanding
Achievement in Core Skills Compliance’ for statulory and mandatory training of which this course is a
component.

Further action taken by the Trust includes commissioning the Resuscitation Councils Immediate Life
Support Courses at Frimley Park Hospital. This is a knowledge and skilis based course where
medical and nursing staff are taught to recognise and treat the rapidly deteriorating patient.
Accordingly the Trusts objective is fo act before a cardiorespiratory arrest situation as encountered
with Mr Bland.

in May 2015 the Royal College of Physicians published a working party report recommending the
implantation of a National Early Warning Score (NEWS). It recommends its use as a surveillance
system for all patients in hospitals for tracking their clinical condition, alerting the clinical team to any
medical deterioration and triggering a limely clinical response. This is now incorporated into clinical
policy at Broadmoor Hospital, the objective of which is again to identify the rapidly deteriorating patient
prior fo cardiorespiratory arrest.

Finally the hospital is currently undertaking a review of all its emergency admissions to General
Hospitals (usually Frimley Park Hospital). Historically the Trust has and continues to undertake
reviews of any serious incident. It is expected that by analysing all admissions this will further inform
us of the clinical conditions that lead to emergency transfer, areas of good practise and areas of
practise where the hospital may need to take action to improve safer decision making.

| hope that the information provided above addresses the concems raised. if there is any further
information you require please do not hesitate to contact me.
Yours sincerely,

Clinical Director of Broadmoor Hospital and
Consultant Forensic Psychiatrist

Page 3 of 4

Page 4 of 4

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