Prevention of Future Deaths reports · 2019

James Fletcher

Regulation 28 report to prevent future deaths, reference 2019-0146, written 1 May 2019. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report1 May 2019
Reference2019-0146
DeceasedJames Fletcher
CoronerTim Holloway
Coroner areaBlackpool & Fylde
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedBlackpool Teaching Hospitals NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:  

  BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST 

1 

CORONER 

I am Tim Holloway, Assistant Coroner for Blackpool & Fylde 

2 

CORONER’S LEGAL POWERS 

I 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 

3 

INVESTIGATION and INQUEST 

On 02/11/2018 I commenced an investigation into the death of James David FLETCHER (“the Deceased”). 
The investigation concluded at the end of the inquest on 29th April 2019. The conclusion of the inquest as 
to the medical cause of death was:   
1a Peritonitis 
1b Leak of gastric content 
1c Feeding tube insertion (percutaneous endoscopic gastrostomy) 
2 Cerebral palsy 
CIRCUMSTANCES OF THE DEATH 

4 

The Court reached a narrative conclusion as follows: 

James  David  Fletcher  (“James”)  was  admitted  to  Blackpool  Victoria  Hospital,  Whinney  Heys  Road, 
Blackpool  (“the  Hospital”)  on  12th  July  2018  for  a  percutaneous  endoscopic  gastrostomy  (“PEG”)  to  be 
performed.  His  neurological  diagnoses  were  quadriplegic  cerebral  palsy  and  epilepsy.  He  had  other 
complications of his severe disability including chronic dislocation of the right elbow, dislocation of the 
left elbow joint which had required reconstructive surgery, gastro‐oesophageal reflux disease and reflux 
uropathy. He had a learning disability and was unable to communicate verbally. Whereas the surgery was 
uneventful,  having  been  transferred  to  Ward  15b,  a  general  surgical  ward,  his  condition  deteriorated 
post‐operatively.  That  deterioration  was  probably  occasioned  by  a  leak  of  stomach  and  small  bowel 
contents through the wall of the stomach into the peritoneal cavity at the site of the insertion of the PEG 
tube into the stomach due to slow healing of the wound. That, in turn, gave rise to the development of 
chemical peritonitis, a rare but known complication of such surgery, which was established no later than 
the morning of 13th July 2018. The peritonitis caused ileus of the small bowel which led to small bowel 
obstruction  which,  in  turn,  occasioned  repeated  vomiting.  The  vomiting  exacerbated  the  leakage  of 
gastric contents by causing distension of the operative perforation at the site of the insertion of the tube 
into the stomach, thereby, in turn, exacerbating the peritonitis. 
No consideration was given to the possible presence of peritonitis and no imaging capable of positively 
identifying  that  condition  was  undertaken  and  thus  the  peritonitis  went  undetected  prior  to  James’ 
death. 
On  14th  July  2018,  shortly  after  11.08am,  James  died  on  Ward  15b  of  the  Hospital  on  account  of 
peritonitis due to leakage of gastric content. 
The PEG tube continued to be used in the period following the onset of the peritonitis. The use of the 
PEG  tube  was  contraindicated.  It  is  possible  that  this  contributed  more  than  minimally,  negligibly  or 
trivially to his death. 
Whereas  broad  spectrum  antibiotics  were  not  prescribed  until  13th  July  2018  it  is  not  possible  to 
conclude that this contributed more than minimally, negligibly or trivially to his death. 
Whereas there were admitted failures to carry out observations of vital signs in accordance with Trust 
protocol,  to  escalate  James’  condition  and  to  make  clinical  provision  for  him  in  accordance  with  Trust 
protocol  even  when  elevated  Early  Warning  Scores  were  identified  and  whereas  there  was  a  further 
admitted  failure  to  monitor  his  fluid  balance  in  accordance  with  Trust  protocol  it  is  not  possible  to 

 
 
 
 
 
 
 
 
 
 
 
 
 
 conclude that these failures more than minimally, negligibly or trivially contributed to his death. 
CORONER’S CONCERNS 

5 

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) 

I  am  concerned  that,  whilst  there  exist  policies  concerned  with  the  provision  of  care  to  those 
patients with learning disabilities there may be a lack of disseminated guidance and protocols for the 
care  of those patients  who are  unable  to communicate verbally.  It  is of  particular  concern  that,  in 
such cases, measures should be identified by which a method of communication can be established 
and/or appropriate measures should be put in place to compensate for any lack of communication 
verbally, including but not necessarily limited to the use of objective observations. 

2)  There  is  a  risk  of  future  deaths  because  both  patient  care  and  the  opportunity  to  learn  valuable 
lessons following a death may be compromised by issues pertaining to the quality of record keeping 
and to the retention of records. 
Whilst it is understood that “NEWS 2” is being introduced and supersedes the early warning score 
system being used at the time of the Deceased’s death and whilst the early warning score system in 
use at the time does not, therefore, form the subject matter of this report: 
a) 

I  am  concerned  that  the  evidence  revealed  that  substantial  periods  of  time  elapsed,  at  times 
measuring  9  or  more  hours,  when  no  entry  was  made  in  the  Deceased’s  History  Sheet, 
notwithstanding the deteriorating nature of the Deceased’s condition. This approach to record 
keeping  carries  the  risk  of  material  information  concerning  the  condition  and  care  of  patients 
not being communicated between medical, nursing and other clinicians; 

3) 

4) 

b)  Complete records were not provided to the Court in accordance with directions given prior to 
the inquest. It was understood from the Trust that complete records were unavailable and yet it 
transpired on the first day of the inquest that further records were available but had not been 
found and produced previously. I am concerned that the system of record keeping gives rise to a 
risk  that  patients’  records  which  are  material  to  their  ongoing  care  will  be  lost  or  otherwise 
inaccessible. 
I  am  concerned  that,  without  records  of  appropriate  quality  being  made  and  retained,  the 
opportunity to learn lessons through the process of internal investigations and, should it arise, 
the Coroner investigation and inquest process will be compromised. 

c) 

I  am  concerned  that  communications  between  medical  staff,  between  nursing  staff  and  between 
medical  and  nursing  staff  should  be  accurate  and  that  it  should  be  ensured  that  they  have  been 
understood.  By  way  of  example, 
in  this  matter,  there  was  either  miscommunication  or 
misunderstanding  of  the  position  concerning  the  taking  of  an  abdominal  x‐ray  and  an  apparent 
miscommunication or misunderstanding of the level of expertise being offered in the interpretation 
of a chest x‐ray. 
I am concerned that there is a lack of knowledge amongst medical and nursing staff who may come 
into  contact  with  and  have  the  responsibility  for  the  care  of  patients  who  have  undergone  PEG 
surgery  about  the  post‐operative  risks  of  such  surgery,  in  particular  the  risk  of  peritonitis,  of  the 
signs  and  symptoms  which  may  give  rise  to  a  differential  diagnosis  of  peritonitis  and  of  measures 
which  would  be  or  may  be  contraindicated  in  the  circumstances  that  complications,  including 
peritonitis  develop.  This  is  illustrated  in  the  present  case  by  an  apparent  lack  of  awareness  that 
peritonitis  may  develop  and  that  the  use  of  the  PEG  tube  in  the  circumstances  concerned  was 
contraindicated and by the omission to place a warning label in the Deceased’s notes as provided for 
by  the  applicable  protocol.  The  fact  that  the  use  of  the  PEG  tube  was  contraindicated  was  not 
identified in the course of the internal serious incident investigation. 

5)  Related  to  4)  above  I  am  concerned  that  the  risk  of  peritonitis  may  have  been  shrouded  by  the 
identified risks of sepsis and of aspiration pneumonia and that the risk of peritonitis also needs to be 
identifiable by those providing care for patients following such surgery. 

6)  The evidence disclosed that certain essential medication had not been retained in close proximity to 
the  Deceased,  where  it  was  required.  I  am  concerned  that,  in  such  circumstances,  essential 
medication  may  be  required  urgently  to  protect  the  life  of  a  patient  and  that  systems  should  be 
robust enough to ensure that it is available in the correct location. 

6 

ACTION SHOULD BE TAKEN 

 
 
 
 
 In my opinion action should be taken to prevent future deaths and I believe you BLACKPOOL TEACHING 
HOSPITALS NHS FOUNDATION TRUST 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 26TH 
June 2019. I, 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 

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

[and to the LOCAL SAFEGUARDING BOARD (where the deceased was under 18)]. 

I have also sent it to the following who may find it useful or of interest: 

  CARE QUALITY COMMISSION 
  NHS ENGLAND 

I 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. 

9 

01/05/2019 

Signature__ T R Holloway (signed electronically)_______________________ 
Tim Holloway Assistant Coroner Blackpool & Fylde

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 Blackpool Teaching Hospitals NHS Trust (PDF)
NHS

Blackpool Teaching
Hospitals

NHS Foundation Trust
Trust Headquarters

Blackpool Victoria Hospital
Whinney Heys Road

Blackpool

Lancashire

FY3 8NR

emai lla
19 June 2019

Private & Confidential

Mr T R Holloway

Assistant Coroner Blackpool & Fylde
PO Box 1066

Corporation Street

Blackpool

FY1 1GB

Dear Mr Holloway

Re: Regulation 28 report relating to an inquest into the death of James David Fletcher

| write on behalf of the Trust in response to your Regulation 28 report following your inquest into the death
of James David Fletcher. The Court reached a narrative conclusion and had six matters of concern which
I shall address in turn.

1) There may be a lack of disseminated guidance and protocols for the care of those patients
who are unable to communicate verbally — The Trust has an Accessible Information Standard
Policy allowing for production of information in different languages and formats, including braille.
Our Interpretation and Translation Procedure caters for service users who do not speak English or
who are hard of hearing. The Trust has two further relevant guidelines, one for the care of people
with learning disabilities and the second for the provision of learning disability adapted dementia
screening. The first of these was instituted in May 2016 and is currently being reviewed and
revised. Within our Emergency Department Blackpool residents are flagged on the electronic
patient record if they are known to have learning disabilities thus alerting medical and nursing staff.
These alerts automatically populate the electronic patient tracker for those patients who are
admitted from the Emergency Department to our Acute Medical Unit. The Trust is currently
working with the Data Controller for Fylde and Wyre CCG so that we may introduce a similar flag
for Lancashire residents in our catchment area. Within the Trust we have a lead nurse for learning
disability who is available to all staff for advice on the care of patients with learning disabilities and
we have a programme for Learning Disability Guides who are link members of staff within the
different areas of the Trust. This familiarises them with our current guidelines and sources of
further information.

2) Concern regarding record keeping — Whilst the Trust has made progress with electronic access
to general practice records and partial provision of electronic records within the Emergency
Department we have not as yet implemented an Electronic Document Management System
(EDMS). A business case was approved by the Trust Board in January 2018 but because of more
pressing cost pressures it has not been possible to progress this to date. A revised business case
is in development and due for consideration by Executive Directors by the end of this month.

Chairman: Pearse Butler Chief Executive: Kevin McGee (Interim)
RESEARCH MATTERS AND SAVES LIVES - TODAY'S RESEARCH IS TOMORROW'S CARE

Blackpool Teaching Hospitals is a Centre of Clinical and Research Excellence providing quality up to date care, We are actively involved in undertaking research to
improve treatment of our patients. A member of the healthcare team may discuss current clinical trials with you

£32 disability
G9 confident

EMPLOYER

Blackpool Teaching
Hospitals
NHS Foundation Trust.

3) Accuracy of communication between medical and nursing staff — The Trust recently
introduced a revised early warning score NEWS2 which is a national programme for the recognition
of patients who require assessment. There has been a training programme overseen by the
Interim Director of Quality Improvement and the Deputy Medical Director to ensure that all staff are
aware of this. The above two officers jointly chair the Care of the Acutely Ill Patient workstream
within the Trust and have oversight of the roll-out of the training programme. In addition the Trust
has a SBAR tool to convey important information between clinicians when patients are being
transferred from one area to another area when review of a patient is required.

4) A lack of knowledge about risks of peritonitis in patients who have undergone PEG surgery
- As identified in the Serious Incident (SI) investigation report signed off by the Chief Executive in
December of last year a death after PEG tube insertion is rare and occurs in less than 1% of
procedures and peritonitis too is a rare complication. That notwithstanding, staff should be alert to
the risk of peritonitis in any patient who has undergone abdominal surgery and | have issued a
Red Alert to all staff in the light of this serious incident investigation to remind them of: vigilance in
the post-operative period and of the need to be alert to the possibility of peritonitis; and guidelines
on the care of PEG tubes.

5) Risk of peritonitis may be shrouded by risk of sepsis and aspirational pneumonia — It is a
clinical fact that in patients who are septic it is often difficult to identify the cause of their sepsis.
In Mr Fletcher's case his most likely source was initially thought to be pneumonia. | hope that
actions arising from the Red Alert mentioned in point 4 above will address this concern.

6) Approximate availability of essential medication — The practice in the Trust is that all patients
on admission have their medication reviewed by the admitting doctor and are then seen by a
clinical pharmacist and drugs are prescribed for use within the Trust.

Yours sincerely

Meher.

PROFESSOR MARK O’DONNELL
MEDICAL DIRECTOR

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