Prevention of Future Deaths reports · 2020

Agnes Sansom

Regulation 28 report to prevent future deaths, reference 2020-0002, written 7 Jan 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report7 Jan 2020
Reference2020-0002
DeceasedAgnes Sansom
CoronerJeremy Chipperfield
Coroner areaCounty Durham and Darlington
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedCounty Durham and Darlington 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: 

1.  Chief Execitive Officer;  and 
2. 

 Head of Nursing; of 

County Durham and Darlington NHS Foundation Trust 

1   CORONER 

I am Jeremy Chipperfield, Senior Coroner for the area of Durham and Darlington 

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. 

3   INVESTIGATION and INQUEST 

On Twentieth August 2019 I commenced an investigation into the death of  

Agnes Gwenllian SANSOM, aged 95 

The investigation concluded at the end of inquest on 6th January, 2020.  The conclusion of the inquest was: 

I a Hospital Acquired Pneumonia 
I b Fractured Neck of Femur (Repaired) 
I c Frailty of Old Age 

II Left Ventricular Systolic Dysfunction, Stroke 

4   CIRCUMSTANCES OF THE DEATH 

The deceased was admitted to University Hospital of North Durham on 15th July 2019. She was known to be 
at risk of falling and of suffering serious injury or death in the event of falling.  

The deceased was obliged to share a zimmer frame with another patient on the ward. 

On 18th July, a physiotherapist assessed the deceased and observed that she (i) was likely to rise from her 
bed and mobilise unaided (contrary to nursing advice); and (ii) required supervision when mobilising. These 
observations were recorded in the deceased’s “Patient Health Record” (a paper document). 

Had the physiotherapist’s observations been known to nursing staff or to the Ward Manager, action should 
have been taken to prevent unaided mobilisation.  

Nursing staff relied only upon the Electronic Patient Record System (EPRS) for information about the 
deceased. The EPRS contained none of the physiotherapist’s observations and no alert as the importance of 
the same. Neither nursing staff nor Ward manager acted to prevent unaided mobilisation. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Unaided mobilisations continued after the physiotherapist’s assessment and during one such incident, on 
20th July, the deceased fell, thereby sustaining the injury which led to her death. 

5   CORONER’S CONCERNS 

The MATTERS OF CONCERN are as follows  

The following circumstances create the risk of other deaths: 

(i) existing patient record systems fail to ensure that important and urgent information is brought, in a 
timely way, to the attention of those who need it; and 

(ii) vulnerable patients are obliged to share walking aids on hospital wards 

6   ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 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 03 March 2020.  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: The family of 
the deceased. 

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    

Jeremy Chipperfield 
Senior Coroner for  
Durham and Darlington  
7.1.20

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 County Durham and Darlington NHS (PDF)
INHS)

County Durham

and Darlington
NHS Foundation Trust

4.0 MAK LUA!

Executive Corridor
Darlington Memorial Hospital
Hollyhurst Road
Darlington,
DL3 6HX
E-mail:

2" March 2020

Mr. J. Chipperfield
H.M. Coroners
PO Box 282
Bishop Auckiand
Co Durham

DL14 4FY

Dear Mr Chipperfield
Re: Agnes Gwenilian Sansom

| am writing in response to Regulation 28 Report To Prevent Future Deaths, which you
issued to County Durham & Darlington NHS Foundation Trust on 6" January 2020. You
raised two matters of concern that create the risk of other deaths and | will respond to each
in turn.

)) Existing patient record systems fail to ensure that important and urgent information is
brought, in a timely way, to the attention of those who need it.

The root cause analysis report has been reviewed and we have concluded that a
misleading choice of words have been used as follows:

“The matron advised that nursing staff primarily utilise Nervecentre (an electronic
patient record) accessed by a hand held device as the main source of information
during a shift rather than the patient's paper health record”.

It is not factual to describe Nervecentre as an electronic patient record. The Trust does
not have an electronic patient record in place. Nervecentre is an electronic observations
system which is also used for some patient risk assessments; including falls risk
assessment and mobility gallery.

Detailed patient care records are multi-disciplinary and in paper format within the Trust.
Both nursing and physiotherapy records, along with medical entries are recorded
contemporaneously within the paper record. in relation to Ms Sansom the
physiotherapist had recorded within the paper record, placed mobility advice above the
bed and handed over this advice verbally to the nursing staff.

On further discussion with the nursing staff they have confirmed that this is the accepted
process, however, have also said that as Nervecentre is a hand held device they will on
occasion refer to the mobility gallery within Nervecentre also.

i

NHS

County Durham

and Darlington
NHS Foundation Trust

To address this issue physiotherapists now record in the mobility gallery in Nervecentre
if they identify change in mobility or change in interventions required. This does not
replace the detailed paper record but ensures that all staff are aware of this whether
accessing paper records or Nervecentre.

“vulnerable patients are obliged to share walking aids on hospital wards”

During traditional working hours walking aids are provided by physiotherapists following
assessment of the patient. We have implemented a buffer stock of walking aids in the
hospitals to ensure there is an adequate supply out of hours. Ideally the buffer stock
should not be used as it is preferable that patients requiring a walking aid have a
physiotherapist assessment first, however, if someone presents who does require a
walking frame out of hours we have ensured that there is a buffer stock availabie for
emergency use.

| hope that you find the actions taken by the Trust to be adequate to address the issues
that you have raised, but please do not hesitate to contact me if you require further
information.

Yours sincerely

Executive Director of Nursing

ce. CEO
ledical Director
sociate Director of Nursing, Patient safety

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