Prevention of Future Deaths reports · 2018

Ester Wood

Regulation 28 report to prevent future deaths, reference 2018-0176, written 6 Jun 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report6 Jun 2018
Reference2018-0176
DeceasedEster Wood
CoronerDavid Pojur
Coroner areaNorth Wales (East and Central)
CategoryCommunity health care and emergency services related deaths
Organisation namedWelsh Ambulance Services 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.

Mr David Pojur
Assistant Coroner
North Wales (East and Central)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: BCUHB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor,
Gwynedd LL57 2PW, Welsh Ambulance Services NHS Trust, HM Stanley Site, St Asaph,
Denbighshire LL17 ORS,

CORONER

| am David Pojur, Assistant Coroner for North Wales (East and Central)

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.

INVESTIGATION and INQUEST

On the 18th April 2017 this Court commenced an investigation into the death of Ester Jane Wood
(DOB.8.70 DOD 6.4.17) The investigation concluded at the end of the inquest on the 6th June 2018.

The conclusion of the inquest was one of Natural Causes the Cause of Death being recorded as
1(a) Bronchopneumonia, Left Ventricular and Liver Failure (b) Myocardial Infarction Alcoholic Liver
Disease (c) Recurrent Pancreatic Neuroendocrine Tumour

CIRCUMSTANCES OF THE DEATH

Ester Wood was taken from her home address to the Maelor Hospital via ambulance on 03.04.07
and waited from 20.05hrs until 1am in the ambulance where she was stable. On admission and
subsequent examination she was in a very poor clinical condition. Despite best efforts several
organs were failing and she did not respond to medical interventions. The position was futile.

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. —

The issues of ambulance delays/admission to ED/availability of resources/patient flow and the
multifactorial problems associated with cases of this nature have been reported upon by this Court
on several occasions following previous inquests, most recently on 17th May 2017 by Mr Gittins,
Senior Coroner concerning the death of Lilly Baxendall.

Despite the above reports issued to the Health Board and other relevant bodies these problems
continue to the present day and patients’ lives are being placed at risk as a result.

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047 | Fax 01824 708048

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | 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
ist August 2018 I, the Coroner or the Senior 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 Family of the Deceased

| 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.

a

Dated 6th June 201

Signature

David Pojur
Assistant Coroner
North Wales (East aid Central)

ZO

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047 | Fax 01824 708048

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