Prevention of Future Deaths reports · 2018

Marjorie McMahon

Regulation 28 report to prevent future deaths, reference 2018-0196, written 25 Jun 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report25 Jun 2018
Reference2018-0196
DeceasedMarjorie McMahon
CoronerRachel Galloway
Coroner areaManchester South
CategoryCommunity health care and emergency services related deaths
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.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

Department of Health
NHS England

CORONER
lam Rachel Galloway, Assistant Coroner, for the coroner area of South Manchester.
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 26" March 2018 an inquest was opened into the death of Marjorie McMahon.
The evidence was heard at inquest on the 21" June 2018 and my conclusions were
given on the same date. The conclusion left was:

Natural Causes.
The medical cause of death was:

1a Community acquired pneumonia
ll Dementia

CIRCUMSTANCES OF THE DEATH

On the 3th March 2018 Mrs McMahon was noted to be chesty by a staff member at
Cherry Tree House. Her condition did not cause staff concern until the morning of the
7" March 2018 when attempts were made to contact her GP without success. At 1.30
pm on the 7" March 2018 an ambulance was called after staff contacted “111” for advice
regarding Mrs McMahon's deteriorating condition. Due to heavy demand on the service,
a paramedic was unable to attend until 2.58 pm. The paramedic provided oxygen and
fluid treatment to Mrs McMahon and an ambulance subsequently arrived at 3.30 pm to
convey her to A&E at Stepping Hill Hospital. On arrival at hospital she was assessed
and commenced on intravenous antibiotics. Despite treatment, her condition continued
to decline and she passed away on the 8/3/2018

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. —

Mrs McMahon was correctly categorised as a level 2 priority at 1.30 pm on the 7 March
2018 when the North West Ambulance Service were first contacted in respect of her
deteriorating condition. Despite this, due to high demand on the service and available
resources, she was not attended to for nearly 1 % hours (in respect of the paramedic)
and 2 hours (in respect of attendance of the ambulance). The guideline response time
was confirmed to be 8 minutes.

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 20"" August 2018. |, Rachel Galloway, Assistant 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 namely the family of Mrs McMahon , who may find it useful or of interest

|. 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.

Rachel Galloway
HM Assistant Coroner
25.06.2018

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