Prevention of Future Deaths reports · 2017

Gordon Thornhill

Regulation 28 report to prevent future deaths, reference 2017-0359, written 4 Dec 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report4 Dec 2017
Reference2017-0359
DeceasedGordon Thornhill
CoronerNicola Mundy
Coroner areaSouth Yorkshire (East)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedDoncaster and Bassetlaw Teaching Hospitals NHS Foundation 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.

for South Yorkshire (East District)

_—— ——eeeeeSSSSSSSSSSSSSSMMSSsFhFeFeseFseF
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:
Mr Sewa Singh, Medical Director, Doncaster Royal Infirmary

1 CORONER

| am Ms NJ Mundy, Senior Coroner for South Yorkshire (East District)

2 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./Awww.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7

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

3 INVESTIGATION and INQUEST

On 24/04/2017 | commenced an investigation into the death of Gordon Frank Thornhill, 61 years.
The investigation concluded at the end of the inquest on 27 November 2017. The conclusion of
the inquest was natural causes. Gordon Frank Thornhill died on 13 April 2017 when a period of
significantly reduced incapacity led to DVT development and death from pulmonary embolism.

4 CIRCUMSTANCES OF THE DEATH

A 61 year old man who developed abdominal pain at times radiating to his shoulder and lower
back. He had attended at DRI A & E on 4" April 2017 and was discharged on 6" April. He
attended A & E again on 8” April 2017 was seen and discharged. He then collapsed and died at
home on 13” April 2017. | heard evidence from Mr Hossenbux, Consultant in Emergency
Medicine that the VTE risk assessment had not been completed. On subsequently reviewing
notes it appeared it had been partially completed. In any event, | was told that this is a
mandatory assessment which must be undertaken for all admitted patients. The partially
completed VTE risk assessment had the box ticked as Mr Thornhill been at high risk for VTE and
was for thromboprophylaxis but despite this it was over 24 hours before that prophylaxis was
administered.

5 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) Junior doctor's failure to fully complete the mandatory VTE risk assessment.

(2) The Consultant's VTE assessment done the day following admission failed to identify
incomplete/failure to complete VTE risk assessment.

(3) The Consultant carried out his own assessment as a “mental exercise” and did not
document his assessment.

(4) A delay in excess of 24 hours in providing thromboprophylaxis.

a
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 I believe you Mr Sewa Singh,
Medical Director, Doncaster Royal Infirmary 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
the 22 January 2018. |, 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

Lhave sent a co ief Coroner and to the following Interested Persons:
family members.

| 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.

SSS
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 Doncaster and Bassetlaw Teaching Hospitals NHS Trust (PDF)
We ‘
Care “@

i Doncaster and Bassetlaw
Teaching Hospitals

NHS Foundation Trust

Doncaster Royal Infirmary
Armthorpe Road, Doncaster
South Yorkshire DN2 SLT

Medical Director’s Office
Tel: 01302 366666

Fax: 01302 320098
Mr S Singh, Medical Director (644156) os

Mr RJ Cuschieri, Deputy Medical Director — Clinical Standards (642150) Minicom: 01302 553140
Dr R Harris, Deputy Medical Director — Professional Standards (642124 or 75 2275) (only for people who are deaf)
Karen Humphries, Clinical & Professional Standards Co-ordinator (642149)

Jacqueline Ford, Executive PA to Medical Director (644148) www.dbh.nhs.uk

Ref: NJM/jh/52993-2017
8 January 2018

Ms N J Mundy

H M Coroner

Coroner’s Court and Office
Crown Court

College Road

Doncaster

DN1 3HS

Dear Ms Mundy

Re: Gordon Frank THORNHILL (Deceased)

| write in response to the Regulation 28 Report “Prevention of Future Deaths” dated 4 December
2017 sent to the Chief Executive of Doncaster and Bassetlaw Teaching Hospitals NHS Foundation

Trust and for which | thank you.

| note your concerns as follows;

1, Junior doctors failure to complete the mandatory VTE risk assessment

2. The Consultants VTE assessment done the day following admission failed to identify
incomplete/failure to complete VTE risk assessment

3. The Consultant carried out his own assessment as a “mental exercise” and did not
document his assessment

4. A delay in excess of 24 hours in providing thromboprophylaxis

| would respond as follows;

1. The Trust has a policy entitled Venous Thromboembolysm (VTE) — Prevention and
Treatment of VTE in Patients Admitted to Hospital. This policy is available on the intranet
and has been in place since July 2014. It is currently being reviewed to take into

consideration the changes within the organisation but the essence of the prevention policy
will remain intact. The policy clearly identifies the role that individuals have in assessing and
ensuring that patients receive the appropriate prophylaxis. | enclose a copy of the policy.

2. 1am advised by the Director of Education that VTE prophylaxis is addressed at induction and
there is an electronic package approved by Health Education England which trainees have to
complete for their annual review (ARCP). This is monitored through the post graduate
schools on behalf of Health Education England. This should be supplemented by on-site
support and monitoring by consultants. In light of the events that you highlight | have
personally written to all consultants and associate specialists advising them of the
importance of ensuring that VTE assessments are completed and documented on the post-
take ward round and to that end to provide the required support for trainees.

3. | am advised by the VTE Lead for the Trust that the junior staff also receive reminders with
respect to completing the assessments and prescribing the appropriate prophylaxis.

4. The Trust has a system of medicines reconciliation for acute admissions on the medical
assessment unit and the pharmacists are actively involved in ensuring that this process runs
smoothly and also highlighting whether prophylaxis has been prescribed. On this occasion
the prophylaxis was prescribed but due to human error it was prescribed to commence on
the following day. The message of timely prescription has been reinforced.

5. | am advised by the VTE Lead for the Trust that there is currently a quality improvement
project being undertaken on the medical assessment unit to ensure greater compliance with
the medical VTE risk assessment form and to ensure that this is reviewed on the post-take
ward round and where appropriate prophylaxis is actually prescribed and given in a timely
manner.

6. Finally the Trust is in the process of re-launching the “Stop the Clot” campaign which was
successful in the early years in ensuring VTE prophylaxis was appropriately undertaken and in
a timely manner. This will include strategically placed posters in ward areas and the
education centre as well as use of the Trust’s communication systems (Buzz, Risky Business)
to highlight the importance of risk assessment and prescription of prophylaxis. The same
message will be on the Intranet.

| trust that the contents of this letter will reassure you that the Trust takes VTE prophylaxis
most seriously and that processes are in place to ensure that doctors have the appropriate
competence and understanding to assess and prescribe prophylaxis where appropriate.

Please do not hesitate to revert back to me should you feel that there are still any outstanding
issues/

“I Aes

i J. Cuschieri MD. ChM. M. nk
Deputy Medical Director - Clinical Searards

Enc. Trust VTE Policy

Cc

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