Prevention of Future Deaths reports · 2017

Barry Hodges

Regulation 28 report to prevent future deaths, reference 2017-0133, written 24 Apr 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report24 Apr 2017
Reference2017-0133
DeceasedBarry Hodges
CoronerSarah Slater
Coroner areaSouth Yorkshire (East)
CategoryCommunity health care and emergency services related deaths
Organisation namedYorkshire Ambulance Service 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.

Mrs Sarah Louise Slater
Assistant Coroner for South Yorkshire (East District)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: Chief Executive
Yorkshire Ambulance Service Nhs Foundation Trust Trust Headquarters, Springhill
Brindley Way, Wakefield 41 Business Park Wakefield WF2 0XQ

CORONER

| am Mrs Sarah Louise Slater, Assistant Coroner for South Yorkshire (East District)

CORONER’S LEGAL POWERS

| 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://www. legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7

http://www. legislation.gov.uk/uksi/2013/1629/part/7/made

INVESTIGATION and INQUEST

On 01/09/2016 | commenced an investigation into the death of Barry Stuart Hodges, 69 . The
investigation concluded at the end of the inquest on 20 April 2017. The conclusion of the inquest
was a narrative conclusion. On the 23rd August 2016, Mr Hodges collapsed at Doncaster Tennis
Club. An ambulance was called and coded Amber with a 19 minute response time but did not
attend until 41 minutes after the initial call was made.

On arrival, the paramedics found Mr Hodges to be in cardiac arrest, he was assessed and
transferred to Doncaster Royal Infirmary where he was pronounced deceased.

It is not possible to ascertain if the outcome would have been different if the ambulance had
arrived sooner, although with a cardiac arrest any delay in treatment leads to a poorer prognosis.

CIRCUMSTANCES OF THE DEATH

Mr Hodges appeared to be a fit 69 year old man who regularly played tennis. On the 23 August
2016 Mr Hodges complained of chest pains and collapsed at the Tennis Club.

An ambulance was called at 19:12 hours and there were two resources available at this time.
These were not allocated due to the incident being uncoded. At 19:14 hours, Mr Hodges was
coded amber with a response time of 19 minutes, but the despatcher did not review the
resources available at the time of coding or within 2 minutes as set down in the protocol. No
resources were allocated but potentially two were available.

The protocol also states that a review of resources should take place every 10 minutes following
coding but this did not occur.

The first review of resources occurred at 19:28 hours when a resource was available but not
allocated, and again at 19:35 hours when a resource was available but again not allocated.

Mr Hodges’ condition deteriorated and a second call was made to Yorkshire Ambulance Service
at 19:46 hours. At 19:47 hours, Mr Hodges was recoded as red and resources were allocated
arriving at the scene at 19:53 hours.

Bystander CPR was taking place when paramedics arrived at 19:53 hours. Mr Hodges was
transferred to Doncaster Royal Infirmary but he was declared deceased a short time after arrival.

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS
Tel 01302 737135 | Fax 01302 736365

The cause of death is:-

1a) Left ventricular failure;
1b) Ischaemic heart disease;
1c) Coronary artery atheroma.

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) Protocols for ambulance dispatch and review of resources were not adhered to and
there appeared to be an absence of any system to “safety net” should an individual
operative not manually refresh and look at the system.

(2) A lack of knowledge/training/understanding of the protocols that 4 resources were
available at different times but none were utilised.

(3) Time scales were breached without further action ie. escalation to Senior Management,
Clinicians or allocation of resources.

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS
Tel 01302 737135 | Fax 01302 736365

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you Chief Executive
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
49" June /2017. |, 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

ve sent a copy of my report to the hief Coroner and to the following Interested Persons ||
re and |

| 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 24 April 2017

Signature
Assistant Coroner for South Yorkshire (East District)

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS
Tel 01302 737135 | Fax 01302 736365

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 South Yorkshire Ambulance Service (PDF)
PRIVATE & CONFIDENTIAL

Mrs S.L Slater

Assistant Coroner for South Yorkshire (East District)
Coroners Court and Office

Crown Court

College Road

Doncaster

DN1 3HS

Date: 9 June 2017

Dear Mrs Slater,

Inquest touching the death of Barry Hodges

Yorkshire Ambulance Service INHS|

NHS Trust

Legal Services Department
Ambulance Headquarters
Springhill

Brindley Way

Wakefield 41 Business Park
Wakefield

WF2 0XQ

Tel: 01924 584 029

E-mail: coroners@yas.nhs.uk
www.yas.nhs.uk

Response to Regulation 28 Report to Prevent Future Deaths dated 24 April

2017

Thank you for your report dated 24 April 2017, issued under paragraph 7,
Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of

the Coroners (Investigations) Regulations 2013.

The purpose of this letter is to provide you with a full response to the concerns
set out in your report, in so far as these are issues which can be addressed by

the Trust at this stage.

1) Protocols for ambulance dispatch and review of resources were not
adhered to and there appeared to be an absence of any system to
“safety net" should an individual operative not manually refresh and

look at the system.

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There is now a process in place within Emergency Operations Centre (EOC)
whereby a “Call Alert” is highlighted on the Dispatcher’s, Team Leader's and
Duty Manager's computer automated dispatch (CAD) screen. This alert
highlights when an incident has not been allocated. We are also in the
process of identifying the possibility of a system change to identify when a
resource check has not been completed within the target timeframe. The
introduction of these systems enables the direct managers of the Dispatchers
to be made aware of any live incidents that have not been allocated a
resource during the incident.

Also the timeframes for resourcing of incidents for amber category calls has
been reduced to 5 minutes from the original 10 minutes, this new time target
has been communicated to all staff in the EOC. Further awareness on the
importance of reviewing available resources will be emphasized to all staff at
the EOC training away days throughout June and July 2017.

We have also further introduced a systems change to assist the EOC
management teams with identifying details that have not had a resource
allocated within time scales. The system now shows a “minus minute”
indicator on the Dispatcher’s, Team Leader’s and Duty Manager’s CAD
screen which indicates for each incident how many minutes have passed
without a resource being allocated. This enables the Team Leader or Duty
Manager the ability to monitor all incidents to ensure they are compliant with
timescales.

The Trust is in the process of introducing revised colour coding of calls — the
Trust will in the future be changing the amber category to red to ensure
visually these calls are prioritized appropriately. Evidence based previous
experience and working nationally with the Association Ambulance Chief
Executives (AACE) that Red category calls create an increased awareness
against other colours.

We are also reducing the expected time to allocation for amber details (soon
to be Red) from 2 minutes to 30 seconds once coding is confirmed or the
detail is available for dispatch from the waiting stack. This change will assist in
responding to these patients sooner and reduce any delays at the beginning
of the dispatch process. The new process will be discussed, shared and
educated on the EOC training away days with all staff and will also be visible
on all dispatch bays in the updated Dispatch Quick Reference Guide.

A lack of knowledge/training/understanding of the protocols that 4
resources were available at different times but none were utilised.

MINDFUL 3
EMPLOYER *.

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3)

The Trust has intense training away days for all EOC staff set up to take place
throughout the summer months. Part of these training away days will include
reiterating to all EOC staff the core elements of their role, especially around
the fundamental aspects of review, revise and allocate with emphasis on not
delaying allocation to high priority calls.

The attached (Appendix 1) Operational Alert was produced on 24 April this
year to further reiterate to staff the need to allocate the most appropriate
resource available without delay.

EOC staff members have monthly 1:1’s at which the Trust are now able to
produce personal performance information, this enables the manager to
review whether the dispatcher is meeting appropriate targets, this includes
information regarding resourcing of incidents. If it is found there are areas
which require improvement the Trust allocates a team champion to sit with the
staff member to supervise their work until it is felt that the staff member is
performing satisfactorily.

We are also in the process of introducing a Standard Operating Procedure
(SOP) to ensure that Emergency Operations Centre Dispatchers are
delivering consistently good standards of care to the patients of Yorkshire, this
is attached (Appendix 2). This process will facilitate a fair and appropriate
audit of incidents in the live environment to ensure that Dispatchers are
supported in their role and areas of concern are addressed immediately where
possible.

All dispatch staff can be put through a Practice Developer Referral (PDR) for
training and support to make sure relevant competencies meet the standard
required.

Time scales were breached without further action ie. escalation to
Senior Management, Clinicians or allocation of resources.

Performance frameworks have been introduced to audit individual staff
members to improve the quality of the service provided on an individual basis.

As a Trust all category 1, 2 and 3 (Purple, Amber, Yellow) delayed response
incidents are reviewed by the clinical hub and reported on the Trust’s incident
reporting system, Datix, this enables an incident to be declared and
investigated if required. All patient harms are recorded to ensure an

investigation is commenced should this be required.
MINDFUL
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The Trust reviews all purple calls of 10 minutes and above delayed
responses, along with all amber calls of 30 minute and above delayed
responses and all yellow calls of 120 minutes and above delayed responses.
This audit ensures the Trust monitors the reasoning behind delayed
responses and learns lessons from them quickly.

To assist with patient safety in relation to excessive and delayed responses,
staff have been reminded of the reporting process and also reminded of an
amendment to the definitions of delayed responses.

Dispatchers are to follow the Dispatch Escalation and Excessive Timeframes
guidance which can be found on the back page of the Dispatch Quick
Reference Manual and also in the Dispatcher SOP.

| hope the above response is satisfactory, please do not hesitate to contact
me should clarification be required.

Yours faithfully _

Rod Barnes
Chief Executive Officer
Yorkshire Ambulance Service NHS Trust

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