Prevention of Future Deaths reports · 2016

Sidney Alexander

Regulation 28 report to prevent future deaths, reference 2016-0257, written 18 Jul 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report18 Jul 2016
Reference2016-0257
DeceasedSidney Alexander
CoronerPaul Cooper
Coroner areaSouth Lincolnshire
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedUnited Lincolnshire Teaching Hospitals 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.

P S Cooper
Her Majesty's Acting Senior Coroner for South Lincolnshire

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)
NOTE: This form is to be used after an inquest.
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

FS Legal Services Manager, United Lincolnshire Hospitals

NHS Trust, Robey House, Lincoln County Hospital, Greetwell Road,Lincoln,
LN2 5QY

1 | CORONER

lam P.S. Cooper, HM Acting Senior Coroner for the Coroner's area of South
Lincolnshire.

|
2 | CORONER’S LEGAL POWERS iz

| 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 12/06/2015 | commenced an investigation into the death of Sidney Brian Alexander,
age 73. The investigation concluded at the end of the inquest on 01/06/2016. The
conclusion of the inquest was a Narrative Conclusion (attached)

4 | CIRCUMSTANCES OF THE DEATH

Mr Alexander was admitted at 06.30hrs on 19/05/2015 with a background of 1997
cardiac transplant (on immunosuppressants), COPD an colitis. He presented with a few
months history of diarrhoea. Treated medically for Crohn's exacerbation with IV
steroids and then infliximab to no effect. He developed respiratory distress on
03/06/2015. X-Ray showed diffuse right sided infiltrates. CMV positive Treated with
Memperom and Ganciclovir but Mr Alexander died at 2310hrs in the Pilgrim Hospital,
Fishtoft.

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ
Tel: 01522 553374 Fax: 01522 516717
Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

P S Cooper
Her Majesty's Acting Senior Coroner for South Lincolnshire

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. —
4 | Consultant Gastroenterologist gave live evidence, During that
evidence he conceded that he hadn't been able to fully complete a Biopsy
report for Unilabs as there was insufficient room on it. Surely a form can be

expanded or provision made for an addendum?

ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and | believe you and/or

your organisation 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 7" September 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

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

: i ..- Services Manager, United Lincolnshire Hospitals
NHS Trust, Robey House, Lincoln County Hospital, Greetwell Road,Lincoln,
LN2 5QY

1am 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.

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ
Tel: 01522 553374 Fax: 01522 516717
Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

P S Cooper

Her Majesty's Acting Senior Coroner for South Lincolnshire

9 | Date 18™ July 2016

Paul S Cooper.

H M Acting Senior Coroner for South Lincolnshire

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ
Tel: 01522 553374 Fax: 01522 516717
Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

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