Prevention of Future Deaths reports · 2016

Peter Seale

Regulation 28 report to prevent future deaths, reference 2016-0215, written 8 Jun 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report8 Jun 2016
Reference2016-0215
DeceasedPeter Seale
CoronerLisa Hashmi
Coroner areaManchester North
CategoryOther 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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

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

1. Department of Health, London

2. Royal College of Physicians, London

CORONER

!am Ms L Hashmi, Area Coroner for the Coroner area of Manchester North.

CORONER’S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroner's and Justice Act 2009 and Regulations 28
and 29 of the Coroners (investigations) Regulations 2013

INVESTIGATION and INQUEST
On the 6" June 2016 | commenced an investigation into the death of Peter Seale.

CIRCUMSTANCES OF DEATH

Mr Seale had an occupational history of asbestos exposure. In 2011 a chest x-ray showed the
presence of pleural plaques. The deceased was not told of this diagnosis at the material time. In
2013 he had further chest x-rays as a result of a persistent cough. Whilst the x-rays did not show
any changes in relation to the pleural plaques, no further tests were conducted (e.g. CT) despite
his history of occupational exposure (to asbestos) and presenting symptoms.

In 2015, the deceased re-presented and was diagnosed with terminal lung cancer.
Following post mortem examination the cause of death was:

1a) Bronchopneumonia

1b) Bronchogenic adenocarcinoma

1c) Occupational exposure to asbestos

The conclusion at inquest was industrial disease.

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. There is no national guidance in relation to the follow-up and monitoring of patients with pleural
plaques. Medical opinion is split on the issue leading to inconsistency of approach. There is a risk
that patients will be ‘lost to follow-up’ in cases where action could be taken to afford early/earlier
diagnosis/treatment and thus prevent death.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe each of you respectively
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 the 3 August
2016. |, 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 namely:-
¢ The deceased's family

e Pennine Acute Hospitais NHS Trust

| 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 compiete or redacted or summary from. 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.

Date: 8" June 2016

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