Prevention of Future Deaths reports · 2016

Alfred Grimshaw

Regulation 28 report to prevent future deaths, reference 2016-0387, written 28 Oct 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report28 Oct 2016
Reference2016-0387
DeceasedAlfred Grimshaw
CoronerMichael Singleton
Coroner areaBlackburn, Hyndham and Ribble Valley
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedEast Lancashire Healthcare NHS 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.

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 BB23HH

CORONER

Iam 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 9"" day of June 2016 I commenced an Investigation into the death of Alfred
Grimshaw aged 93 years. The Investigation concluded at the end of the Inquest
which was heard on the 25'" day of October 2016. The conclusion of the Inquest
was that Alfred Grimshaw had died from Natural Causes contributed to by a fall
followed by surgery.

CIRCUMSTANCES OF THE DEATH

On the 26" May 2016 Alfred Grimshaw had an unwitnessed fall at the residential
care home and was admitted to the Royal Blackburn Hospital. On assessment in
the Emergency Department it was noted that since the accident he had been unable
to mobilise and that because of his dementia it was not possible to take a history
from him. He was admitted onto the acute medical unit but then discharged on the
28" May back to the care home. He was then re-admitted on the 1° June 2016
when x-rays revealed that he had a fractured hip. He underwent surgery but died
from bronchopneumonia on the 6" June 2016.

CORONER’S CONCERNS

During the course of the Inquest the evidence revealed 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 MATTERS OF
CONCERN being as follows: -

1 1044780/2016
Alfred GRIMSHAW (Deceased)

1. O |

n being assessed in the emergency department on the 26" May, despite |
the history of an unwitnessed fall and the fact that he was 93 years of age
and had been subsequently unable to mobilise no x-ray was carried out in :
order to rule out the possibility of a fracture to his hip. t
2. On the 27" May 2016 an x-ray of the abdomen was requested to rule out a

sub-acute intestinal obstruction. Although that was an x-ray of the
abdomen it covered part of the right hip, which disclosed a significant
displaced fracture through the right lesser trochanter that was visible on the
lower limit of the film. Despite the fracture being disclosed on the x-ray,
the report made no reference to it.

3. On the 27" May a request was made for physio and O T review which was
clearly documented, there was however no evidence that physio or O T was
carried out prior to discharge.

4. On the discharge summary that was printed on the 28" May 2016 at 16:21
is a handwritten note “Patient off his legs. Pain ++ right hip and during
movement. Physio advises x-ray to exclude hip fracture prior to any

hysiotherapy.” That handwritten note is not signed or dated.

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 23 December 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.

COPIES and PUBLICATION

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

Tam 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.

28 October 2016 Signed by: we ncbetee Xf eacebeestescensee envenes
MicHael 3 H Singleton

H MSenior Coroner for Blackburn,
Hyndburn & Ribble Valley

Ne

1€44780/2016
Alfred GRIMSHAW (Deceased)

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 East Lancasshire Hospitals NHS Trust (PDF)
East Lancashire Hospitals INHS|

NHS Trust
Enquiries to Trust Headquarters
Telephone No Royal Blackburn Hospital
Ext: 82845 Haslingden Road
Fax: Blackburn
Email Pe BB2 3HH
18 January 2017
PRIVATE AND CONFIDENTIAL

Mr M JH Singleton
Coroner's Office

Blackburn Enterprise Centre
Furthergate

Blackburn

BB1 3HQ

Dear Mr Singleton
Re: Regulation 28 report in relation to the death of Mr Alfred Grimshaw

| am writing in response to your Regulation 28 letter of 28" October 2016 in which
you identify several specific concerns relating to the care of a specific patient. |
apologise for the delay in replying; this is due in part to exceptional clinical workload
and delays in obtaining case notes.

The case involved a failure to diagnose a fracture of the femoral neck during the
initial admission of this patient despite a number of opportunities to do so. This
patient was subsequently re-admitted (four days after discharge) and received the
correct surgical management but unfortunately suffered post-operative complications.
and died.

| will deal with each of your concerns in the order you raise them:

4. The failure to perform an x-ray of the hip given the history and clinical findings.
| have reviewed the Emergency Department notes of this patient and the clinical
picture presented to the Doctor did not suggest a fractured femoral neck as the
patient was moving all limbs and not complaining of specific hip pain. An
alternative diagnosis to explain the reduced mobility was felt to be more
appropriate.

2. The x-ray report of 27" May (abdominal x-ray to exclude intestinal obstruction)
failed to report the evident right hip fracture. The Radiologist who undertook this
report is currently under restricted practice, and subject to a clinical review. | am
unable to comment further on this matter but specific measures have been put in
place to ensure that the risk of further errors is reduced.

384. The processes around communication relating to discharges of complex frail
patients has been significantly strengthened in the past six months with specific
emphasis upon the role of the Multidisciplinary Team. There have also been
developments between primary and secondary care to ensure that discharge
documentation and transfer of information is improved.

Safe Personal Effective CO RERE

| would point out that initial statement stated that the discharge
summary print out that you refer to was printed on 1* June, whereas your letter
suggests 28" May. Having reviewed the case notes if the case that the letter
printed out on 28" May does not contain a handwritten note. Itis the copy printed
on 1* June which does. | have been unable to identify who wrote this note.

As a result of the receipt of this Regulation 28 notice this case has been used as
a learning case for teaching of Junior Doctors and used in feedback meetings to
the Ward Team involved

Yours sincerely

le tobe,

Deputy Medical Director — Quality & Education
Consuitant - Anaesthetics & Critical Care

Safe Personal Effective One

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