Prevention of Future Deaths reports · 2022

Sheila Steggles

Regulation 28 report to prevent future deaths, reference 2022-0042, written 10 Feb 2022. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report10 Feb 2022
Reference2022-0042
DeceasedSheila Steggles
CoronerYvonne Blake
Coroner areaNorfolk
CategoryHospital Death (Clinical Procedures and medical management) related deaths · Mental Health related deaths
Organisation namedNorfolk and Suffolk 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 

NOTE:  This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT DEATHS 

THIS REPORT IS BEING SENT TO: 

Chief Executive 
Norfolk & Suffolk NHS Foundation Trust 
Hellesdon Hospital 
Drayton High Road 
Hellesdon 
Norwich 
NR6 5BE 

1  CORONER 

I am Yvonne Blake Area Coroner for the coroner area of Norfolk 

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 15th November 2019 I commenced an investigation into the death of Sheila Elizabeth 
STEGGLES aged 72.  The investigation concluded at the end of the inquest on 4th February 
2022. 

The cause of death was 
1a) Acute Pulmonary Embolus (PE) 
1b) Deep Vein Thrombosis (DVT) 

The conclusion from the jury was 

Natural Causes. There were a number of collective failings and missed opportunities that 
may have contributed to Shelia Steggles’  death. 

1)  There was no written Venous Thrombus Embolism (VTE) assessment for Sheila 

Steggles after July 2019. 

2)  Insufficient consideration was given to Sheila Steggles’  reduced mobility because of 

diagnostic overshadowing. 

3)  The clinical notes failed to highlight Sheila Steggles’  past medical history of Deep 

Vein Thrombosis (DVT) and associated risks. 
4)  There was inadequate DVT training for ward staff. 
5)  Administering a prophylactic dose of heparin may have resulted in a different 

outcome. 

4  CIRCUMSTANCES OF THE DEATH 

Sheila Steggles was admitted twice under section of the Mental Health Act in 2019. She had 
a diagnosis of Bi-polar Affective Disorder and suffered from depression and anxiety together 
with Hypothyroidism and 2 previous DVT’s. She had Chronic Lymphoedema to both legs. 
In October 2019 Sheila Steggles was transferred to a rehabilitation ward to ready her for 
discharge to supported housing prior to going to her home, as it was felt that her 

Regulation 28 – After Inquest
Document Template Updated 30/07/2021 

 presentation and mental health had improved. She was usually independently mobile but 
on 25th and 26th October 2019 she requested a wheelchair and one was brought in from 
home. She used this to push and walk about the ward. By 31st  October 2019 when Sheila 
Steggles complained of feeling unwell her mobility had declined and she was not coming 
out of her room. There was no evidence that she was walking then except briefly when 
seen by a doctor. No specific illness was detected although physical observation and blood 
tests were done, these were all normal. The same doctor saw her on 1st  November 2019 
again nothing specific was found.  On both occasions Shelia Steggles was examined for a 
current DVT but no documented formal assessment of her future risk of DVT was made. 
She had several risk factors, she was over 60, obese and had a past history of DVT. Her 
reducing mobility was not considered a further risk factor even though it put her into the 
very high category because it was thought to be due to her mental health and may 
therefore improve. After the 1st  November 2019 the doctor went on leave and left 
instruction that any further concerns be raised and if needed a doctor would review. Sheila 
Steggles was not reviewed on 2nd  November 2019 and remained on her bed in her room 
and on 3rd  November 2019 another doctor reviewed her, again looking for current DVT but 
finding none and no consideration was given to her future risk given that her mobility was 
greatly reduced. On 4th  November 2019 a doctor was called for general not specific 
concerns and he chose not to examine Shelia Steggles since on the notes her presentation 
had not changed from 3rd  November 2019. On the morning of 5th November Sheila 
Steggles collapsed whilst being moved and suffered a cardiac arrest. Resuscitation was 
prompt and emergency services attended but she died in the ambulance. An expert opinion 
concluded that on the balance of probabilities the DVT was not formed before the 2nd 
November 2019 and that prophylaxis given then would have prevented the DVT and the PE. 

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 could occur unless action is taken. In the 
circumstances, it is my statutory duty to report to you. 

The matters of concern are as follows: 

Irrespective of the reason for a person’s mobility reducing, if it does so and this is a known 
risk factor then notice must be taken of it and appropriate steps taken. 

Medical staff should follow the Trust’s protocols and perform and document a VTE risk 
assessment when the reduction in mobility is reduced (from their baseline) even if it is not 
known if/ how long the reduction will continue. 

All staff should raise concerns and if they have specific ones, document what these are in 
the clinical notes. Clinical notes should contain more detail about the patient since they are 
what is relied upon (with a verbal handover) to inform staff on later shifts. 

If a patient is to be reviewed then a specific plan should be placed on to the care plan so 
that everyone knows what is needed to be done. 

All staff should be aware of a patient’s relevant past medical history. 

Junior staff should consult more senior staff if they are unsure of the effect that anti-
coagulation will have on anti-psychotics or other medication and are thus concerned about 
administering this. 

6  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. 

7  YOUR RESPONSE 

Regulation 28 – After Inquest
Document Template Updated 30/07/2021 

 You are under a duty to respond to this report within 56 days of the date of this report, 
namely by April 04, 2022.  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 

 (family of Sheila Steggles) 

G.T. Stewart –  Solicitors for family 

 –  Counsel for family 

and 

Department of Health 
Care Quality Commission 
HSIB 
Healthwatch Norfolk 

who may find it useful or of interest. 

I am also under a duty to send a copy of your response to the Chief Coroner and all 
interested persons who in my opinion should receive it. 

I may also send a copy of your response to any person who I believe may find it useful or 
of interest. 

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  Dated: 10/02/2022 

Yvonne BLAKE 
Area Coroner for 
Norfolk 

Regulation 28 – After Inquest
Document Template Updated 30/07/2021

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 Hellesdon Hospital (PDF)
NHS
Norfolk and Suffolk

NHS Foundation Trust

Trust Management
Ms Yvonne Blake Helnedon tteepie
Norfolk Coroner's Service

Drayton High Road
County Hal Hellesdon
Martineau Lane Norwich
Norwich NR6 SBE
NR1 2DH

Date: 22 March 2022
Dear Ms Blake

| write in respect of Sheila Steggles who died on 5" November 2019. On 10” February 2022 you issued a
prevention of future deaths notice on the Trust due to concems raised during the inquest which concluded

on 4" February 2022

The matters of concern are as follows

Irrespective of the reason for a person's mobility reducing, if it does so and this is a known risk factor
then notice must be taken of it and appropnate steps taken.

Medical staff should follow the Trust's protocols and perform and document a VTE risk assessment
when the reduction in mobility is reduced (from their baseline) even if it is not known if! how long the
reduction will continue

All staff should raise concerns and if they have specific ones, document what these are in the clinical
notes.

Clinical notes should contain more detail about the patient since they are what is relied upon (with a
verbal handover) to inform staff on later shifts.

if a patient is to be reviewed, then a specific plan should be placed on to the care plan so that everyone
knows what is needed to be done

All staff should be aware of a patient's relevant past medical history.

Junior staff should consult more senior staff if they are unsure of the effect that anticoagulation will
have on anti-psychotics or other medication and are thus concerned about administering this

In responding to these concerns. | would like to take this opportunity to express again the Trust's condolences
to her family regarding the death of Sheila

Actions taken above the recommendations within the internal review are primarily to address the gaps in
junior Doctors understanding and prompts to escalate concerns regarding physical health. To this end the
Medical Director for medical trainees will be updating the Trust induction to include physical health

Norfolk Headquarters Suffolk Headquarters
Hellesdon Hospital, Endeavour House.
Drayton High Road, Norwich NR6 5BE 8 Russell Road, ipswich, (P21 2BX

emergencies alongside the existing information on psychiatric emergencies. This includes being alert to the
potential risk of diagnostic overshadowing. This will be replicated within the local induction and the junior
Doctor handbook. This refresh includes the importance of VTE assessment and prompt action in respect of
administering prophylaxis, as well as clear guidance on when to escalate concerns based on clinical findings.
The Medical Director for junior Doctors will also be liaison with our acute hospital colleagues to reinstate the
joint workshops held prior to the pandemic which shared learning and skills and promoted positive
networking

Handover between junior Doctors and other medical staff will be underpinned by the Situation Background
Assessment Recommendation (SBAR) framework. This will ensure that patient history, emerging concerns
and necessary action including escalation where necessary are known, recorded and acted on. Inpatient
wards across the organisation utilise and upload the SBAR tool into patient records to assist with ward
reviews and handovers. The SBAR document is built upon at each handover, therefore building up a
comprehensive history of the patient.

All agency and bank staff will be offered the "3 Ps" training which covers “Prevent, Promote, Protect” -
observations and assessment, health promotion and screening. This will be available to ail staff from support
worker to ward manager level, the format is a set of e-learning modules accompanied by a workbook. The
physical health team are rolling out “bite size” training across the trust including focus on VTE and
thrombolisation, this training will be face to face. We have set up a working group to work with our flexible
working colleagues to support an education ‘passport’ for health workers which will include; acute and chronic
conditions, NEWS2 (deteriorating patient), managing Insulin and use of protective personal equipment
(infection control measures) amongst other subjects.

The Chief Medical Director will be speaking to regional colleagues about the challenges for a mental health
hospital to manage serious physical health conditions. This is with a view to improving understanding of
relevant expertise and core business leading to improvements in communication and collaborative working

| hope that these actions go some way to assure you how seriously the Trust has taken the findings of this
tragic incident, and our commitment to improve physical health care and outcomes for our patients.

Yours sincerely

Nortotk Headquarters Suffolk Headquarters
Hellesdon Hospital Endeavour House.
Drayton High Road, Norwich NRG 5BE 8 Russell Road, Ipswich, IP21 2BX

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