Prevention of Future Deaths reports · 2021

Cyril Cheetham

Regulation 28 report to prevent future deaths, reference 2021-0022, written 2 Feb 2021. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report2 Feb 2021
Reference2021-0022
DeceasedCyril Cheetham
CoronerAndrew Bridgman
Coroner areaManchester South
CategoryCommunity health care · Other related deaths
Sourcejudiciary.uk record · original PDF
Responses published2

The report

Text extracted from the PDF text layer. 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:    

1.  Secretary of State for Health and Social Care, Department of Health and Social 
Care, 39 Victoria Street, London SW1H 0EU, in respect of Item One of the 
Matters of Concern.  

2.  The CEO, NHS Stockport Clinical Commissioning Group, 4th Floor, Stopford 
House, Stockport SK1 3XE, in respect of Items One & Two of the Matters of 
Concern.   

1   CORONER  

I am Andrew Bridgman, Assistant Coroner, for the coroner area of South Manchester   

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 01.03.19 an investigation commenced into the death of Cyril Cheetham who died on 
25.02.19.    

The death was reported to the Coroner by the Registrar as the original MCCD listed 
Streptococcal septicaemia at 1a.   
The investigation concluded on 22.12.20.  The conclusion was one of Natural Causes 
The medical cause of death was    
1a) Multiple organ failure   
1b) Streptococcal septicaemia   
1c) Bronchopneumonia   
2) Acute kidney injury  

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 4   CIRCUMSTANCES OF THE DEATH  

At the time of his death Cyril Cheetham was 91 years of age.  He suffered with dementia 
and was resident at a care home where had lived for some 4 years.  Following a fractured 
hip in 2018 Mr Cheetham could not walk, he required assistance getting in and out of 
bed, and assistance with personal chores.  Once in his wheelchair he was able to 
mobilise himself around.   

In the early hours of 20.02.19 Mr Cheetham was noted to have become unwell.  An OOH 
service  was  called  (Mastercall)  who  advised  analgesia  and  to  contact  own  GP  in  the 
morning.  The home contacted own GP practice at about 09.00hrs and were told to call 
Mastercall. This they did and were advised a GP from Mastercall would call that day.  This 
arrangement was changed following a telephone call between Mastercall and own GP.  
The outcome of that conversation was that the own GP would attend the next day.  That 
information was not relayed to the care home, who for the remainder of the day anticipated 
the attendance of a (Mastercall) GP  to assess Mr Cheetham.    

Cyril Cheetham suffered a deterioration in the early evening of 20.02.20.  Mastercall were 
called and the GP who attended arranged for Mr Cheetham to be admitted to hospital, 
arriving at about 23.30hrs on 20.02.19.  The following morning Mr Cheetham  

was placed on an end of life pathway. He died on 25.02.19.  

The  inquest  identified  a  number  of  omissions  in  the  care  of  Cyril  Cheetham  over  the 
course  of  20.02.19  by  those  caring  for  him.    The  most  significant  issue  being  the 
nonattendance of a GP that day following the discussion between Mastercall and the own 
GP, and that the home was not made aware of the change in the plan.   

A GP should have attended that day or obtained further information as to Mr Cheetham’s 
condition prior to making the decision that the matter could wait until the following day.   

Evidence was taken from the receiving hospital as to the likely outcome with an earlier 
admission. The opinion of the consultant was that given Mr Cheetham’s age and other 
conditions his risk of mortality was very high from the outset out of infection and that it was 
only possible that an earlier admission may have given him a better chance.         

2  

  
  
 
 
 
 
  
  
  
  
  
 5   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 central issue in this investigation was the telephone discussion (transcribed) 
between Mastercall and own GP as to who would attend that day.     

Mastercall  had  already  accepted  that  one  of  its  GPs  would  attend  that  day,  following 
clinical triage at about 09.00hrs and advised the care home.    However, later that morning 
Mastercall determined to change that decision because Mr Cheetham’s presentation did 
not fit  the criteria for the  ‘Alternative to Transfer’ (ATT) service provided by Mastercall. 
Primarily that he was not at risk of admission.  In the opinion of the Mastercall clinician it 
was the own GPs responsibility to attend.  That was accepted, eventually, by the own GP 
who determined that a same day visit was not necessary and stated he would attend the 
following day.    

The matter of concern arises from the ATT service provided by Mastercall. The evidence 
was that this service was developed by Mastercall, in the Northwest circa 2013, and has 
since been adopted nationally.    

In  exploring  the  development  and  use  of  ATT  with  the  Medical  Director  of  Mastercall  a 
number of issues arose.   

Issue One   
It is clear that the service was developed to reduce demand on the ambulance service, to 
provide an additional layer of access to medical advice for care homes where it is felt on 
telephone  triage  that  there  is  a  risk  of  admission.   Where  a  risk  of  admission  exists  a 
Mastercall GP  will  attend,  seemingly  on the  basis that the  patient  would likely be seen 
sooner.  If admission is required, then that would be arranged by the attending Mastercalll 
GP.  The  aim  of  ATT  is  to  reduce  the  number  of  unnecessary  calls  to  the  ambulance 
services from care homes.     

The Medical Director of Mastercall advised that the service had been a success with a 
67%  diversion  rate  of  ambulances.    His  evidence  was  that  there  was  a  significant  net 
benefit from the ATT service. He was unable to say what downsides there were or what 
was  the  measurement  for negative  costs.  He  said  he  was  not  aware  of  any  significant 
adverse outcomes.    

The ATT services introduces an additional layer of triage based on a telephone  

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 conversation between a clinician at Mastercall and someone at the care home, who may 
be a carer or a nurse, and may be experienced or inexperienced, rather than that person 
calling  999.    It  is  of  concern  to  me  that  this  additional  layer  may  result  in  a  delay  in 
admission, which for an elderly patient with likely co-morbidities, will affect their prospects.  

It was accepted that there was no audit or research carried out in respect of any deaths 
arising from delay in admission where the ATT service was used.  The net benefit seems 
to have been calculated by reference to resource savings alone.   

I am concerned that the ATT service is being resourced and provided (nationally) without 
any adequate or true audit of its perceived net benefit, and that its use may be costing 
lives, either at all or at an unacceptable level.    

Issue Two  

The inquest highlighted a lack of clarity as to the criteria for the ATT service.    

The  conversation  between  Mastercall  and  the  own  GP  highlighted  the  ‘grey  area’  that 
exists  between  a  routine  (no  risk  of  admission)  attendance  and  a  ‘risk  of  admission’ 
attendance. It is clear from the events that unfolded that Mr Cheetham clearly was at risk 
of admission. In my view the lack of clarity resulted in Mr Cheetham not being seen by a 
GP that afternoon while there was likely no difference in outcome in his case, it is clear 
that this existence of a ‘grey area’ of responsibility might result in future deaths.    

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 
(30th March 2021). 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 namely 
or of interest.  

, Mr Cyril Cheetham’s Son, who may find it useful 

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.  

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 9  

Dated this 2nd day of February 2021  

Andrew Bridgman  
HM Assistant Coroner     

5

Responses

2 responses 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 Dept of Health and Social Care (PDF)
r)
2 From Edward Argar MP

Department Minister of State for Health
of Health & 39 Victoria Steet
Social Care SW1H OEU

Andrew Bridgman

HM Assistant Coroner, Greater Manchester South
Coroner's Court

1 Mount Tabor Street

Stockport

SK1 3AG

Dear ty frdijernu. ’

Thank you for your letter of 2 February 2021 to Matt Hancock about the death of Cyril
Cheetham. | am replying as Minister with responsibility for urgent and emergency care and
| am grateful for the additional time in which to do so.

20% May 2021

First, | would like to express my condolences to the family of Mr Cheetham. I was saddened
to read the circumstances of Mr Cheetham’s death and the omissions in care identified by
your investigation. Clearly, we must take the learnings from Mr Cheetham’s death to ensure
patients continue to receive the very best care from the NHS.

In preparing this response, my officials have made enquiries with NHS England and NHS
Improvement (NHSEI).

It may be helpful if | begin by explaining that the planning and commissioning of local health
services in England is the responsibility of clinical commissioning groups (CCGs), which
have the knowledge of their local population healthcare needs and can design services to
meet those needs. This includes out-of-hours services. It is the responsibility of CCGs to
monitor and assure the delivery of services in line with agreed service specifications.

| am advised that the Stockport CCG has provided a response to you explaining the regular
contract monitoring that is in place with Mastercall, the provider of the ‘Alternative to
Transfer (ATT) service, and confirming that no significant concerns have been identified by
the CCG. | am further advised that clear guidance is in place in relation to the patients that
meet the criteria for the service and that calls to the service are triaged by senior clinicians.

Nevertheless, | am pleased to be informed that Mastercall has undertaken to conduct a full
audit of the ATT service to ensure it is delivering high-quality, safe services to patients. In

addition, to provide more immediate assurance, all calls to the ATT service are being
reviewed.

You may wish to note that in March 2020, the NHS published a framework for delivering
enhanced health in care homes’. This set out that people living in care homes should have
equity of access to the urgent and emergency care system as people living in their own
homes. Every care home should be linked to these teams through single points of access
and through sharing care plans and protocols with these teams, including: GP in-hours
services; GP extended access services; GP out-of-hours services; NHS 111; Urgent
Community Response; and, the local ambulance service. The framework is clear that when
hospital admission is indicated, this should be facilitated promptly.

Urgent Community Response teams will respond to people with complex health needs who
have a very urgent care need, including the risk of being hospitalised, and will be able to
access a response from a skilled team of professionals within two hours to provide the care
they need to remain independent. The two-hour standard is expected to be in place across
England by April 2023.

The Enhanced Health in Care Homes requirements have been of vital importance during
the COVID-19 pandemic, supporting the organisation and delivery of a coordinated service
to care home residents, many of whom are at very high risk of a severe negative impact
(directly or indirectly) from COVID-19. -

Gide

EDWARD ARGAR MP
Response from Stockport CCG (PDF)
4th Floor 
Stopford House 
Piccadilly 
Stockport 
SK1  3XE 

www.stockportccg.nhs.uk 

24 March 2021 

Private & Confidential 
Mr Andrew Bridgman 
H M Assistant Coroner 
H M Coroner’s Court 
1 Mottram Street 
Mount Tabor 
Stockport 
SK1 3PA 

Dear Mr Bridgman 

Regulation 28 (PFD) Report -  Mr Cyril Cheetham 

I refer to your above report dated 2 February 2021 in relation to the above and thank 
you for contacting NHS Stockport Clinical Commissioning Group (CCG) in this matter.  
I  would  like  to  begin  by  offering  my  sincere  condolences  to  the  family  of  Mr 
Cheetham. 

You have raised a number of points of concerns which I will address in order:- 

  Lack of Audit re ATT Service 

You express concern that the ATT service is being resourced and provided nationally 
without any adequate or true audit of its perceived net benefit; your concern is that 
its use may be costing lives, either at all, or at an unacceptable level.  

Whilst  I  am  unable  to  comment  on  any  national  evaluation  I  am  able  to  provide 
information and reassurance in relation to local evaluation and monitoring of the ATT 
service in Stockport.   

The ATT was set up to provide a dual role:- 

(1) 

To  allow  Care  Homes  and  ambulance  staff  access  to  a  clinician  as  an 
alternative to transport to the Emergency Department 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 (2) 

To  allow  management  of  conditions  that  are  time  sensitive  but  may  not 
require admission  

The design was to allow access to this resource 24/7. 

The  services  that  Mastercall  provide  for  the  Stockport  population,  including  ATT  are 
monitored  within  a  process  of  regular  quality  review;  these  reviews  are  undertaken 
internally  by  Mastercall  using  their  Clinical  Guardian  system,  the  DATIX  risk 
management  system  and  also  by  a  review  of  complaints,  in  addition  to  regular 
contract  quality  reviews.  To  date  there  have  been  no  significant  concerns  raised 
regarding  the  ATT  service.    Whilst  I  am  assured  that  this  review  process  would 
highlight any patient risk, I am pleased to note that Mastercall are in the process of 
undertaking  a  full  audit  of  the  ATT  service  with  the  aim  of  providing  rigorous 
evidence that the service is safe.  It is anticipated that the outcome of the audit will 
be available within 8 weeks.   

The  ATT  service  is  designed  as  a  tier  between  GP  and  hospital  services  to  support 
ambulance crews who on review of a patient do not believe that hospital admission is 
required.    By  contacting  this  service  the  crew  have  access  to  medical  input  and 
advice and can often avoid the need to transfer a patient to the hospital.  The service 
also supports care home patients at risk of hospital admission; for the latter cohort of 
patients it is generally accepted that Emergency Department (ED) attendance is often 
very  disruptive  and  so  access  to  the  ATT  service  means  that  attendance  to  the  ED 
can be avoided and care provided in the patient’s home environment. 

The Service Specifications are rigorous with excellent performance by Mastercall and 
communications  provide  clear  guidance  in  relation  to  which  patient  cohorts  are  
suitable for their service and which should be directed to 999.  Calls into the service 
are triaged by a senior clinician and I am therefore confident that any inappropriate 
call  to  the  ATT  service  from  a  care  home  or  ambulance  crew  would  be  promptly 
redirected to 999. 

Your  report  and  comment  in  relation  to  this  issue  has  led  to  a  full  audit  being 
undertaken  which  I  am  confident  will  provide  reassuring  evidence  of  the  benefit  of 
this service.  As referred to above it is anticipated that the audit will be complete by 
mid  May  2021.    In  the  meantime  I  can  confirm  that  Mastercall  have  already 
instigated  a  change  to  their  Clinical  Guardian  system  to  review  all  ATT  calls  to 
provide short term assurance whilst the data is developed for the audit.   

  Criteria for the ATT Service 

Your  report  also  highlights  concern  that  there  is  a  lack  of  clarity  in  relation  to  the 
criteria  for  the  ATT  service  and  specifically  that  there  appeared  to  be  a  ‘grey  area’ 
that  exists  between  a  routine  (no  risk  of  admission)  attendance  and  a  risk  of 
admission attendance.   I agree that from the information presented at inquest in this 
case,  it  is  clear  that  guidance  needed  to  be  re-visited  in  order  to  ensure  that  the 
service  was  accessed  appropriately  and  most  importantly  that  patients  received  the 
right care in the right service at the right time.   

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 This  issue  has  been  addressed  through  a  system  wide  discussion;  essentially  the 
issue  as  described  within  your  report  arose  due  to  a  view  taken  on  ‘at  risk  of 
admission’.  It has therefore been agreed that any visit required following initial ATT 
telephone  assessment  will  be  performed  by  Mastercall.    The  only  exception  to  this 
will  be  in  circumstances  where  a  GP  expresses  a  preference  to  undertake  the  visit 
which  must  happen  on  the  same  day.      This  process  provides  assurance  that  the 
patient will be  seen the  same  day but does  allow the flexibility  of  the  patient’s  own 
GP, who knows the patient best, to remain involved as appropriate.  

I  will  be  working  with  the  Deputy  Medical  Director  at  Mastercall  and  also  with  my 
colleagues within the wider primary care system; and I am  confident that the steps 
we are taking across the system will remove the ‘grey area’ and any associated risk.    

I  am  satisfied  that  lessons  have  been  learnt  as  a  result  of  this  case,  I  am  though 
conscious  that  we  cannot  ‘undo’  what  happened  here  and  I  am  sorry  that  Mr 
Cheetham’s  referral  into  ATT  was  not  managed  as  well  as  it  should  have  been.    I 
hope that his family will be comforted to know that steps have been taken to ensure 
that other patients do not find themselves in similar circumstances. 

I  hope  the  above  information  is  helpful  to  you  but  if  you  do  need  any  further 
information then please contact me.  

Yours sincerely 

Medical Director

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