Prevention of Future Deaths reports · 2021

Anastasia Uglow

Regulation 28 report to prevent future deaths, reference 2021-0216, written 24 May 2021. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report24 May 2021
Reference2021-0216
DeceasedAnastasia Uglow
CoronerMaria Voisin
Coroner areaAvon
CategoryOther related deaths · Child Death (from 2015)
Sourcejudiciary.uk record · original PDF
Responses published1

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.

M. E. Voisin
Her Majesty’s Senior Coroner
Area of Avon

ooth Miay202% |

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: The Secretary of State for Education

1 CORONER

| am M E Voisin Senior Coroner for Area of Avon

2 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.

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 20/05/2020 | commenced an investigation into the death of Anastasia Ekaterina UGLOW. The
investigation concluded at the end of the inquest 14th May 2021. The conclusion of the inquest was ...

Anastasia Uglow died on 19th December 2019 at Mount Sinai Hospital, New York. She was in New York
ona school trip from her home in Bristol. She had been unwell in the days leading up to the trip, but
became worse as the days progressed. She had influenza with pneumonia and group A streptococcus. On
18" December 2019 she participated in the trip in the morning, went shopping in the afternoon and
went on a trip to the Empire State Building in the evening. On 19" December 2019 in the morning she
woke in septic shock; she collapsed in cardiac arrest; the emergency services were called but she died
when she arrived at the hospital.

4 CIRCUMSTANCES OF THE DEATH

Ana had been unwell before her trip with the school but it was when she was on the trip in New York
when she became more unwell. To those around her she had cold/flu like symptoms. It was reported
that she told the teachers on the trip about not feeling well. She had sepsis, deteriorated and collapsed
in her hotel room.

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. —

Website www.avon-coroner.com
The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

In this case it became clear that Ana’s school is already taking the step to include within their first aid
training for staff — sepsis awareness.

This case clearly demonstrates how awful this condition is and how tragic the consequences are if it left
untreated.

My report is therefore written to consider raising sepsis awareness within all schools.

At the conclusion of the inquest | requested that Ana’s school provide any additional information which
may assist with this and they have emailed the following ....

“| wonder if you would be kind enough to pass this email to H M Senior Coroner. It is response
to her request that BGS (Bristo/ Grammar School) assist in relation to her proposed PFD report
to raise awareness of sepsis in schools.

We respectfully submit that the Coroner should write to the Secretary of State for Education
and ask him to draw the attention of the DfE Health and Safety team to her proposed PFD
report. ..

The ability of a healthy teenager to compensate for sepsis symptoms is frightening and BGS is
determined to do all it can to raise awareness of this issue with the aim of preventing any future
tragedies.

Andrew Dimberline has secured the agreement of the Outdoor Education Advisers’ Panel
(OEAP) and the UK Sepsis Trust that they will produce a guidance document on SEPSIS
awareness and add this to the OEAP National Guidance website (https://oeapng.info/) .
He (the Headmaster of BGS) and (BGS staff
first aid trainer) are currently liaising with the UK Sepsis trust. Dr] of the Sepsis Trust
and Dr (J have met recently and discussed the nature of this guidance and have also
suggested that in addition to written guidance they will produce a short video for use in training
School staff and there will be a link to this in the OEAP guidance document.

BGS will fund the production of this guidance by donation to the UK Sepsis Trust and the
ongoing cost of keeping it updated through an annual contribution to the OEAP. The OEAP
guidance document will be produced and available to Schools for the start of the Autumn Term
2021. We are looking to launch the guidance to coincide with World Sepsis day on 12 Sept 2021
in order to gain the maximum publicity. We would hope that the OEAP guidance document will
then be something the DfE and other organisations could then to ‘signpost to’ in their own
advice. DfE Health and safety Guidance for School visits currently signposts to OEAP Guidance in
general — see point 8 in https://www.gov.uk/government/publications/health-and-safety-on-
educational-visits/health-and-safety-on-educational-visits OEAP guidance is also endorsed by
the HSE (see https://oeapng.info/endorsements/)

BGS will promote the guidance document to Independent School organisations — HMC, ISC,
GDST, ISBA. The OEAP will promote the new guidance to all Schools through its twitter and
facebook accounts and the network of advisers to maintained schools and the UK Sepsis Trust
will promote it through a campaign. “

Re §=§— Website www.avon-coroner.com

The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

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 19"

August 2021. 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.

COPIES and PUBLICATION

| have sent a copy of my report to the chief coroner and to the following interested persons — the family,
Bristol Grammar — | and ie to the Local Safeguarding Board

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.

24/05/2021

Signature a C

ME Voisin-Senior Coroner Area of Avon
7

RE — Website www.avon-coroner.com

The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

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 Department for Education (PDF)
Rt Hon Gavin Williamson CBE MP 
Secretary of State 

Sanctuary Buildings  Great Smith Street  Westminster  London  SWlP 3BT 

  www.education.gov.uk/contactus/dfe 

M.E. Voisin 
Her Majesty's Senior Coroner 
Area of Avon 
Coroner's Court 
Old Weston Road 
Flax Bourton, 
Bristol,  8S48 1 UL 

� 

" ,.. 'l3 August 2021 

Thank you for your Regulation 28 report of 20  May 2021  following the conclusion 

of the inquest into the tragic death of Anastasia Uglow, in New York, on 19 

December 2019 while on an educational visit with Bristol Grammar School. 

I was saddened to hear about this tragic case.  You highlight some extremely 

important issues in the report.  I share the concerns you have identified,  and it is 

vital that we take steps to  help prevent future tragedies of this kind occurring. 

I have noted your recommendations, and  I can confirm that my department is 

making  progress in the areas your report highlights. 

As you know the Outdoor Education Advisers' Panel (OEAP)  is working with the 

school and the UK Sepsis Trust to update its national guidance in relation to 

sepsis  awareness.  My department 

intends to update its Health and safety: 

responsibilities and duties for schools to reference the work of the OEAP. 

Outdoor learning and educational visits play an important part in the development 

of our young people and our guidance stresses how important it is that schools 

and colleges undertake a thorough risk assessment when planning such 

activities. 

 
 I hope that the steps we are taking as set out here help to reassure you that we
are not complacent about the risks associated with any educational visit. As you
can see, we continue to work with sector professionals to ensure we can learn
from this tragic incident and that safety is improved for all, while children are still
able to enjoy exciting educational experiences that broaden their horizons.

Thank you for writing on this important matter.

/
Th

Rt Hon Gavin Williamson CBE MP
Secretary of State for Education

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