Prevention of Future Deaths reports · 2021

Henry Holcombe

Regulation 28 report to prevent future deaths, reference 2021-0257, written 15 Jul 2021. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report15 Jul 2021
Reference2021-0257
DeceasedHenry Holcombe
CoronerVeronica Hamilton-Deeley
Coroner areaBrighton & Hove
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

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

VERONICA HAMIL TON-DEELEY DL, 
LL.B. 
Her Majesty's Senior Coroner 
for the City of Brighton & Hove 

THE CORONER'S OFFICE 
WOODY ALE, LEWES ROAD 
BRIGHTON 
BN23QB 

1 

2 

3 

4 

5 

CORONERS SOCIETY OF  ENGLAND AND WALES 

ANNEX A 

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS (1) 

NO TE:  This  form is to be used after an inquest. 

THIS REPORT IS  BEING SENT TO: 

1. 
2. 

, CEO of Sussex Partnership Foundation  NHS  Trust 
,  Deputy Chief Nurse 

CORONER 

I am Veronica HAMILTON-DEELEY, Senior Coroner, for the City of Brighton and 
Hove. 

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. 

INVESTIGATION and  INQUEST 

On  11 th  March 2021  I commenced  an  investigation into the death of Henry James 
Holcombe. The  investigation concluded  at the end  of the inquest on12th July 
2021.The conclusion of the inquest was  natural causes. 

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. 

The MATTERS OF CONCERN are as follows:  -
(1)  The ongoing failure of SPFT to require their staff to comply with the Trusts 

therapeutic engagement and  observation policy.  Especially those sections which 
relate to  night times or when patients are believed to be sleeping  (see para 
4.5.5, 4.5.7 and  table 1 -page 5).  Since 27.12.2019 to  5.3.2021  there have 

1 

 
 
 VERONICA HAMILTON-DEELEY DL, 
LL.B. 
Her Majesty's Senior Coroner 
for the City of Brighton & Hove 

THE CORONER'S OFFICE 
WOODYALE, LEWES ROAD 
BRIGHTON 
BN23QB 

6 

7 

been three occasions when patients described as asleep over a series  of 
observations,  have actually been found to have been dead for several  hours. 
Serious Incident reports have promised action  but nothing effective has been 
produced. 

ACTION SHOULD BE TAKEN 

In  my opinion action should be taken to prevent future deaths and  I believe you 
AND your organisation 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 04th  October 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. 

8 

COPIES and  PUBLICATION 

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

1. 
2. 
3.  Secretary of State for Health,  Department of Health 
4. 

 Chief Executive,  NHS England 

,  USH  NHS Trust 

I have also sent it to:-

1. 
2.  Head of patients safety Sussex and  B&H clinical commissioning group 

  Inspector of the CQC 

Who may find  it useful or of interest. 
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 

Date: 

15th  July 2021 

2

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 Sussex Partnership Foundation NHS Trust (PDF)
Ms Penelope Schofield 
HM Senior Coroner  
Acting  Senior  Coroner  for  Brighton  & 
Hove 
Coroner's Office 
Woodvale 
Lewes Road 
Brighton 
BN2 3QB 

Office of the Chief Executive 
Trust Headquarters 
Swandean 
Arundel Road 
Worthing 
West Sussex 
BN13 3EP 

4 October 2021 

Dear Ms Schofield 

We  write  in  response  to  Ms  Hamilton-Deeley's  Regulation  28  Report,  dated  15  July 
2021, following the Inquest into the death of Mr Henry Holcombe. 

We  were  saddened  by  Mr  Holcombe's  death  and  have  extended  our  sincere 
condolences to his family.  

We fully agree with Ms Hamilton-Deeley's concerns regarding the need to ensure that 
observations are appropriately completed, in accordance with the Trust's Therapeutic 
Engagement  and  Observation  Policy  (the  'Policy'),  especially  at  night.      We  are 
strengthening  our  clinical  practices  in  the  light  of  Mr  Holcombe's  death  and  the 
broader learning from Serious Incidents where full adherence to our Policy has been 
identified as a factor. 

The  Trust's  actions,  to  date,  in  relation  to  this  issue,  have  focused  on  staff  training, 
competency and understanding of our Policy. This stipulates that: ‘If a member of staff 
is  not  able  to  observe  the  patient  move  or  breath  they  must  ensure  the  patient  is 
conscious  which  will  require  entering  the  bedroom’  and  staff  competency  and 
understanding of the Policy is assessed through competency checks.  However, it is 
clear  that further,  sustained  action  is  required  to  ensure  that  this  requirement  is  fully 
understood and adhered to by all clinical staff. 

Specifically, in response to the findings of our investigation into Mr Holcombe's death, 
the 
we  have  strengthened  our 

internal  monitoring  arrangements 

to  ensure 

 requirements of the Policy are effectively embedded in clinical practice.  Additionally, 
the training provision has been enhanced - including assessment of agency and bank 
staff - and Policy compliance is now reviewed on a weekly basis by the Ward Manager 
and on a monthly basis by the Matron.  

Also,  although  Ms  Hamilton-Deeley's  concerns  related  particularly  to  safety  at  night, 
we  have  recognised  that  a  systemic  quality  improvement  approach  is  needed  to 
ensure  that  therapeutic  observations  are  of an  appropriate  standard.  As  a  result,  we 
are undertaking a robust programme of therapeutic observation Quality Improvement 
('QI') work.  The aim of this work is to improve the quality of therapeutic observations 
in  terms  of  safety,  effectiveness  and  experience;  specifically,  to  ensure  observations 
are  a  therapeutic,  individualised  and  skilled  intervention  that  is  responsive  to  a 
patient's  needs,  are  least  restrictive,  and  aimed  at  recovery.  This  QI  work  will  give 
specific attention to: 

•  the competencies of individuals' undertaking therapeutic observations;  
•  the need for an individualised approach to care; 
•  proactive  exploration  of  the  patient  experience  and a  focused  review  of  night-

time observations, including seclusion and physical observations.   

Additionally, consideration is being given to the potential use of technological aids to 
support  patient  safety  and  enhanced  physical  observation,  which  includes  an 
electronic system to remotely monitor a patient’s respiration, movement and heart rate 
and flags immediate changes to the patient’s physical presentation.  

The QI work will be completed by 31st December 2021. We anticipate that you would 
want to be updated on the results, so we will write with an update by 1 February 2022. 
In  the  meantime,  if  further  information  of  clarification  would  be  of  assistance  to  you, 
please do not hesitate to contact either one of us. 

Your sincerely 

Chief Executive 

Dr 
Chief Nursing Officer

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