Prevention of Future Deaths reports · 2022

Colleen Fletcher

Regulation 28 report to prevent future deaths, reference 2022-0308, written 20 Jul 2022. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report20 Jul 2022
Reference2022-0308
DeceasedColleen Fletcher
CoronerFiona Butler
Coroner areaRutland and North Leicestershire
CategoryOther related deaths
Organisation namedLeicestershire Partnership NHS Trust · University Hospitals of Leicester NHS 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: 

Executive  NHS Leicester 
Leicestershire  and Rutland Integrated  Care  Board 

1  CORONER 

I am Miss F  BUTLER,  Her  Majesty's  Assistant  Coroner  for the  coroner  area  of  Rutland  and 
North  Leicestershire. 

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  30  June  2021  I commenced  an  investigation into the  death of  Colleen  Alice FLETCHER 
aged 82.  The  investigation concluded  at  the  end of the  inquest  on  30  June  2022.  The 
conclusion  of the  inquest was natural  causes. 

4  CIRCUMSTANCES OF THE  DEATH 

Colleen Fletcher was diagnosed with Type 2 diabetes in 1999.  She was insulin dependent.  Due 
to  her  underlying  condition  of  Alzheimer’s  disease,  Mrs  Fletcher  was  cared  for  in  a  residential 
care home and her insulin was managed daily by the community nursing team.  On 26 January 
2021, Mrs Fletcher’s blood glucose levels began to rise and continued to do so over the course 
of the next few days, measuring 13.2 mmols on the 27 January and 17.2 mmols on 28 January. 
It did not respond to the prescribed insulin doses which were being administered.  Mrs Fletcher 
was not referred to the GP or the Diabetic Specialist Nurse. On 29 January 2021 Mrs Fletcher’s 
blood glucose level was 29.6 mmols.  She became hyperglycemic and collapsed.  An ambulance 
was called but  Mrs Fletcher went into  a  diabetic coma  before  the Ambulance  arrived  and sadly 
passed away at 10.31  hrs on 29.01.2021 at  the Hinckley Park  Care  Home. 

5  CORONER’S CONCERNS 

During  the  course  of  the  investigation my inquiries  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: 

I  understand  that  patients  who  have  volatile  glucose  levels  have  the  availability  of  pre-issued 
prescriptions for rapid acting  insulin. 

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 Those  patients,  like  Mrs  Fletcher,  whose  glucose  levels  are  relatively  stable  don’t  have  the 
availability of the same prescription.  Should their glucose levels begin to rise they would have 
to  be  referred  to  a  GP,  reviewed  by  that  GP,  possibly  asked  to  monitor  further  and/or  a 
prescription  issued  and  collected  from  the  surgery/chemist,  before  increased  insulin  could  be 
administered.  I  was  told  that  this  could  take  in  excess  of  a  24  hour  period,  during  which  time 
a patient’s glucose levels could continue to rise.  I was told that raised glucose levels in and of 
themselves  would  not  be  considered  an  emergency  for  the  ambulance  service  until  a  patient 
went into a state of hyperglycaemic collapse, which, as in the case of Mrs Fletcher, was a point 
of no  return. 

I understand that discussions are taking place to ensure the availability of fast acting insulin to 
be  prescribed  for  all  patients  who  are  diabetic  (regardless  of  volatility  in  their  blood  glucose 
levels)  and  that  whilst  progress  has  been  made  for  those  whose  readings  are  volatile  there  is 
still  work  to  be  done  to  have  the  standby  provision  of  bolus  injections  available  for  patients 
otherwise  stable,  whose  glucose  levels  could  at  any point  become  unstable  (by contracting  an 
infection  for example). 

I consider  that  this  is an  essential tool for  nurses  on the  front  line  to  have  at  their  disposal  in 
treating  effectively rising  glucose  levels  and  preventing  hyperglycaemia  and  subsequent 
death. 

6  ACTION  SHOULD BE TAKEN 

In my opinion  action  should  be  taken  to prevent  future  deaths  and  I  believe  you  (and/or  your 
organisation)  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 14  September 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  Mrs  Fletcher 
Leicestershire  Partnership Trust 
Hinckley  Park Care  Home 
Care  Quality Commission 

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. 

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 9 

Dated: 20 July  2022 

Miss F Butler 
Her Majesty’s Assistant Coroner for Rutland &  North Leicestershire 

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 Leicester Leicestershire and Rutland (PDF)
From the office of: 

, Chief Nursing Officer and Deputy CEO 

Based At: 
Our Ref: 
Your Ref: 

County Hall, Leicester 

16 September 2022 

Miss F Butler 
Her Majesty’s Assistant Coroner  
of Rutland and North Leicestershire 

Dear Miss Butler, 

Re: Regulation 28 following the death of Colleen Alice FLETCHER 

I  write  on  behalf  of 
  (Chief  Nursing  Officer,  NHS  Leicester,  Leicestershire  and 
Rutland Integrated Care Board) in response to the Regulation 28 Notice issued to the NHS Leicester, 
Leicestershire  and  Rutland  Integrated  Care  Board  (“LLR  ICB”  or  “the  ICB”  hereafter)  following  the 
investigation  into  the  death  of  Colleen  Alice  Fletcher.    The  concerns  highlighted  by  the  Court  are 
summarised as follows: 

Availability and pre-issue of rapid acting (Bolus) insulin for patients whose glucose levels 
are  relatively  stable  but  who  may  experience  unstable  blood  glucose  readings  at  a 
specific  time  for  which  Bolus  insulin  may  be  required  (for  example  if  they  have  an 
infection). 

The ICB hopes that the coroner’s concerns are addressed by the response set out below. 

As a commissioner of healthcare, LLR ICB works in collaboration with primary care service providers 
(including GP Practices), and community and acute providers to continuously look for ways to improve 
provision  of  healthcare for  our  patient  population  across  Leicester,  Leicestershire  and  Rutland.  This 
includes the provision of healthcare for diabetic patients.  

The ICB has established a Leicester, Leicestershire and Rutland wide task and finish group to review 
the existing clinical pathway for management of Hyperglycaemia in Care Homes. This task and finish 
group draws on clinical experts across the system specialising in diabetic care and includes: 

•  Consultant in Endocrinology and metabolic medicine (University Hospitals of Leicester NHS 

Trust) 

•  GPs with a specialist interest in diabetes care and care homes  
•  Lead specialist diabetes nurse - inpatient and community team (University Hospitals of 

Leicester NHS Trust) 

•  Community nursing team (Leicestershire Partnership NHS Trust) 
•  Managerial commissioning leads for diabetes and care homes (NHS Leicester, Leicestershire 

and Rutland Integrated Care Board) 

•  Clinical educator (Leicestershire Partnership NHS Trust) 
•  Eden training team (Leicester Diabetes Centre) 

Room G30, Pen Lloyd Building, County Hall, Glenfield, Leicester, LE3 8TB 
Tel: 0116 295 7572 / 0116 295 3405 
www.leicesterleicestershireandrutland.icb.nhs.uk 

NHS Leicester, Leicestershire and Rutland is the operating name of  
Leicester, Leicestershire and Rutland Integrated Care Board 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 The key aims and objectives of establishing this group includes:   
Start date 

Action 

Completion 
date 

Notes 

1.  To review and improve the existing pathway and 

August 2022  End of 

guidance for the LLR Management of Hyperglycaemia 
in care homes  

2.   To update and circulate the amended pathway and 

associated guidance and ensure the patient pathway is 
available for all staff in an easy-to-follow flow chart.  

3.   To develop a communication plan to embed the 

revised pathway among health care professionals and 
care home staff. This will include providing, 

1st October 
2022 

September 
2022 
15th 
October 
2022 

1st October 2022 - 
15th October 2022 

Next meeting to finalise 
the pathway 29/09/2022 

a.  Clarity to staff in all settings on their 

responsibilities for the management of diabetic 
care 

b.  appropriate training and support for health care 
professionals and care home staff so that they 
are to be able to identify and manage care 
home residents that are experiencing raised 
blood sugars. 

5.  Prioritising availability and administration of rapid 

acting insulin for the patient where it is deemed 
necessary by linking the pathway to our existing Home 
First service for a faster response. Home First is our 
expert rapid response team that are on hand within two 
hours to help keep older people well at home and avoid 
hospital admissions, this will ensure that diabetic care 
home residents who are experiencing an episode of 
unstable glucose will receive administration of insulin 
bolus within 2 hours of a referral. 

4.  Review the existing insulin authorisation form and 

make it mandatory for primary care and hospital 
clinicians to use Insulin authorisation forms to quality 
assure safe prescribing of insulin including 
authorisation for bolus insulin in the community.  

Insulin requests will only be accepted with the 
completion of the revised insulin authorisation forms 
which will include frailty scores and the recommended 
PRN rapid acting insulin dosage guidance depending 
on the patient’s frailty score and continuous blood 
glucose reading. 

August 2022  March 

2023 

1st October 
2022  

15th 
October 
2022 

A series of training via 
roadshows currently in 
progress. Training for 
improving diabetic care in 
care homes had already 
been identified as a 
priority for 2022-23  
Started and in progress. 
Home First have agreed 
to support and will be 
embedded into the 
revised pathway. 

September 
2022 

Mid -
October 
2022 

Started and in progress -  
revised form has agreed 
with Leicestershire 
Partnership Trust. 
Authorisation forms now 
include that every patient 
on insulin will have the 
prescribing of ad-hoc 
rapid acting insulin 
written into their record. 

6.  Supporting the development of a system wide business 

June 2022 

case to access funding to expand the use of 
continuous glucose monitors devices for patients in a 
care home who are living with diabetes. This will assist 
the care home staff with monitoring and management 
of their resident’s glucose levels on a day-to-day basis. 

7.  Further scope any gaps in support / guidance to care 
homes for the effective management of patients with 
diabetes and look to access service development 
funding for a pilot project 

October 
2022 

Business case in 
development for 
submission for system 
review in October 2022 

Aug 2022 

Nov 2022 

Started and in progress. 
Aim for all work relating 
to improving insulin 
management and 
support to care homes to 
be completed by Nov 
2022 

 
 
 
 
 
 
 
 
 
 
 
 
 
 I hope that this information is helpful in responding to the concerns raised. 

Please do not hesitate to contact me or 

 should you need any further assistance. 

Yours sincerely 

Deputy Chief Nursing Officer

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