Prevention of Future Deaths reports · 2018

Rita Giles

Regulation 28 report to prevent future deaths, reference 2018-0224, written 11 Jul 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report11 Jul 2018
Reference2018-0224
DeceasedRita Giles
CoronerVeronica Hamilton-Deeley
Coroner areaBrighton & Hove
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedBrighton and Sussex University Hospitals 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.

VERONICA HAMILTON-DEELEY DL,
LL.B.

Her Majesty’s Senior Coroner

for the City of Brighton & Hove

Assistant Coroners
CATHARINE PALMER LL.B (HONS)

THE CORONER’S OFFICE
WOODVALE, LEWES ROAD
BRIGHTON

BN2 30B

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

KAREN HENDERSON, BSC,BM,MRCPI,FRC. .

__GILVA D.J-TISSHAW, BA(LAW)HONS

CORONERS SOCIETY OF ENGLAND AND WALES
ANNEX A
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

THIS REPORT IS BEING SENT TO:

1. Ms Marianne Griffiths, Chief Executive, Brighton and Sussex University
Hospitals NHS Trust

2. EEE Brighton and Sussex University Hospitals NHS Trust

3. Brighton and Sussex University Hospitals NHS Trust

4. Mr K Singh, Clinical Director, Abdominal Surgery and Medicine, BSUH

CORONER

lam Veronica HAMILTON-DEELEY, Senior Coroner, for the City of Brighton and
Hove

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 13" March 2018 | commenced an investigation into the death of Rita Elizabeth
GILES. The investigation concluded at the end of the inquest on 5 July 2018. The
conclusion of the inquest was NARRATIVE CONCLUSION.

CIRCUMSTANCES OF THE DEATH
See Record of Inquest

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.

VERONICA HAMILTON-DEELEY DL,
LL.B.

Her Majesty’s Senior Coroner

for the City of Brighton & Hove

THE CORONER’S OFFICE
WOODVALE, LEWES ROAD
BRIGHTON

BN2 3QB

Assistant Coroners
CATHARINE PALMER LL.B (HONS)
KAREN HENDERSON, BSC,BM,MRCPI,FRC._.

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

_GILVA D.L.TISSHAW, BA(LAW)HONS oc ne

The MATTERS OF CONCERN are as follows: —

(1) Unnecessary transfers to and from the Princess Royal Hospital with no
supporting paperwork.

(2) The Trust's own Transfer Policy not adhered too in any respect.

(3) Delay in her endoscopic retrograde cholangiopancreatography ERCP until she
was so ill that it needed to be done on the CEPOD list under general
anaesthetic and required ICU support. This lady never recovered from this
procedure and died a few days later.

(4) At Inquest it was explained to me that there are only three people in the Trust
that can carry out ERCP work, they have one list each a week, lists are only on
Mondays, Wednesdays and Fridays. The lists seem to be booked well in
advance so there is little or no resource for the patient who comes in as Miss
Giles did with an urgent requirement.

There was a failure to appreciate that as she was already septic when she
came in the matter was urgent.

From the Inquest it appeared that the Princess Royal Hospital was not the right
place for her to be, there is argument to suggest that she should have been
transferred early to the Royal Sussex County Hospital in Brighton and
presumably if she needed urgent treatment she could have had it. Surely, the
lists are designed to accommodate the patients not the other way round.

6 ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you
AND your organisation have the power to take such action.

7 YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, namely by 28" September, 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.

8 COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons

1. ER sister of Rita GILES

2. Care Quality Commission

VERONICA HAMILTON-DEELEY DL, THE CORONER’S OFFICE
LL.B. WOODVALE, LEWES ROAD
Her Majesty’s Senior Coroner BRIGHTON
for the City of Brighton & Hove BN2 3QB

Assistant Coroners
CATHARINE PALMER LL.B (HONS)
KAREN HENDERSON, BSC,BM,MRCPI,FRC. -

Telephone: Brighton (01273) 292046
Fax: Brighton (01273) 292047

3. Clinical Commissioning Group
4. Secretary of State for Health, Department of Health
5. Simon Stevens, Chief Executive, NHS England

lam 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.
9 Date: 117 July 2018 . ay BY:

Senior Coroner Brighton and Hov

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