Prevention of Future Deaths reports · 2023

John Hoare

Regulation 28 report to prevent future deaths, reference 2023-0384, written 12 Oct 2023. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report12 Oct 2023
Reference2023-0384
DeceasedJohn Hoare
CoronerCrispin Oliver
Coroner areaWest Yorkshire Western
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.

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: 

1  Low Moor Medical Practice 

1  CORONER 

I am Crispin OLIVER, HM Assistant Coroner for the coroner area of West Yorkshire Western 
Coroner Area 

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 15 April 2020 I commenced an investigation into the death of John HOARE aged 62. 
The investigation concluded at the end of the inquest on 12 October 2023.  The conclusion 
of the inquest was that: 

John Hoare died a natural death occurring while, preventably, detained under the Mental 
Health Act 1983. 

4  CIRCUMSTANCES OF THE DEATH 

John Hoare was born on 03 February 1958. He died at 06.30am on 31 March 2020 at 
Airedale General Hospital. He had a diagnosis of schizoaffective disorder. He had 
admissions at Bradford Royal Infirmary between 15 November and 04 December 2019 and 
14 December and 14 January 2020. He suffered from confusion, cognitive and memory 
problems and lithium toxicity. He was discharged from Bradford Royal Infirmary to Norman 
Lodge Care Home. This resulted in a change of medical practice from Shipley to Low Moor 
Medical Centre. Concurrently his established Community Mental Health Care Coordinator 
changed - he did not have one on discharge from hospital. The new one was allocated on 
24 January and was able to first meet with John on 05 March. John required a number of 
prescribed medications for his condition, including, crucially, lithium citrate.  This was 
clearly referenced in the discharge letter and the Norman House care plan. Lithium was 
dispensed and administered between 15 and 24 January per his prescription. It was not 
supplied with the next 28 days medication. On 20-21 January a decision was made by GPs 
that blood tests were required before the prescription for lithium could resume. These 
confirmed by 04 February that John`s lithium was below therapeutic levels. For the 
purposes of the next prescription period, commencing from 17 February, however, lithium 
was not included. There had been GP oversight of this but there was a failure to recognise 
and act on the omission.  John`s mental health declined critically from 03 march 2023. 
Advanced Nurse Practitioners attended Norman House 2-3 time per week. On 04 March, for 
the first time, an Advanced Nurse Practitioner examined John. She said she would prescribe 
lithium. It was dispensed and administered on 05 March. Therefore John did not receive 
lithium between 24 January and 05 March.  By the time it was resumed his condition was 
so severe that he required to be detained under Section 4 of the Mental Health Act 1983, in 
the early hours of 06 March 2020. He was admitted to the Bracken and then Fern wards of 
Airedale Centre for Mental Health. While admitted, albeit there were no other reported 
cases among staff or residents, he contracted Covid 19. This required his admission to 
Airedale General Hospital on 27 March 2020, where he subsequently died. He remained 

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

 detained under section at the time of his death. James had been in a dependent position 
while at Norman House. Lithium could have resumed no later than 04 February and should 
have resumed no later than 17 February 2020, and it did not. There was a gross failure to 
provide basic medical attention insofar as: there was reference to lithium on the discharge 
summary; Johns's case required specific attention; there was obvious evidence on system 1 
available to be seen; John`s needs as a new patient should have been carefully considered; 
lithium prescribing, dispensing and administration should attract particular care and 
attention; there was an inherent importance in not delaying or interrupting lithium; there 
had been numerous requests and reminders from the care home about the provision of 
lithium; there was a material delay during which nothing was done by the GPs` surgery; 
there was failure to identify that delay; that failure led to the precise consequence that the 
lithium was intended to avoid.  As a result of this gross failure, John required to be detained 
and admitted to Airedale Centre for Mental Health. The omission of the lithium contributed 
to his condition more than other factors. John contracted Covid 19 while admitted at 
Airedale Centre for Mental Health, most likely in the Fern Ward, possibly from a member of 
staff. While it is possible that he was at a greater risk of infection while in the Fern Ward 
than he would have been at Norman House, or any other environment at that time, it 
cannot be so concluded on a balance of probabilities. Therefore it cannot be concluded, on a 
balance of probabilities, that his death from Covid 19 was caused by his being detained 
under section, albeit the detention was preventable. 

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: 
(brief summary of matters of concern) 

Firstly, it has to be recorded that the GP who gave evidence for  Low Moor Medical Centre 
was a conspicuously honest witness and clearly exceptionally caring. He had been 
devastated by what had occurred in this case. But the fact remains, secondly, that there 
had been a gross failure to provide basic medical attention in relation to lithium prescribing 
and dispensing that resulted in John being sectioned. While a finding, on the balance of 
probabilities, that the detention caused the death was not available, it does remain a 
possibility. 

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 December 07, 2023.  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 

I have also sent it to 

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

 
 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: 12/10/2023 

Crispin OLIVER 
HM Assistant Coroner for 
West Yorkshire Western Coroner Area 

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 Low Moor Medical Practice (PDF)
Low Moor Medical Centre 
29 The Plantations 
Bradford 
BD12 0TH 

Mr Crispin Oliver 
HM Assistant Coroner 
Western Area of West Yorkshire 

Dear Mr Oliver, 

RESPONSE TO CORONER'S REGULATION 28 ORDER 

I  am  writing  to  provide  a  response  to  the  Coroner's  Regulation  28  Order  issued  in 
connection  with the recent  case of Mr John Hoare,  deceased. We acknowledge  and 
appreciate the importance of your inquiry and are committed to cooperating fully. 
Compliance with the Order: We want to assure you that Low Moor Medical Practice is 
fully committed to complying with the Coroner's Regulation 28 Order. We understand 
the  significance  of  the  information  requested  and  the  implications  it  holds  for  the 
prevention of future deaths. 

We have carried out internal review to gather all relevant information pertaining to the 
incident  in  question.  As  explained  in  my  witness  statement,  we  carried  out  our  first 
meeting  about  our  failure  to  issue  Lithium  medication  on  the  5th  of  March  2020,  the 
day  before Mr Hoare required  detention  under the mental health  act.  This  indicates 
that we recognised the severity of the failure to issue lithium medication. We realised 
that we needed to revise our practice.  As Lithium is a shared cared drug, indicating 
that  it  is  a  drug  with  increased  risk  associated  with  it,  the  joint  action  of  both 
secondary  care  and  primary  care 
its  appropriate  and  safe 
administration.  The supervision  of such shared care drugs falls  outside the standard 
GMS  contract  and  is  covered  by  separate  guidelines,  which  can  be  found  here. 
Shared  care  guidelines  - South  West  Yorkshire  Area  Prescribing  Committee 
(SWYAPC)South West Yorkshire Area Prescribing Committee (SWYAPC). 

is  required 

for 

We are actively collaborating with South West Yorkshire Area Prescribing committee, 
Bradford  District  Care  Trust  and  Bradford  District  and  Craven  Health  and  Care 
Partnership,  who  have  taken  on  board  the  concerns  with  regard  to  Lithium 
prescribing  in  general  and  specifically  in  regard  to  patients  transferring  between 
different care providers. 
The new guidance for prescribing Lithium is to be found here.  Final_-Lithium-amber-
guidance-approved-23_03_2023-1-1.pdf  (swyapc.org)  and  is  also  attached  to  this 
response. 
This  issue  took  place  involving  a “Shared  care  Drug”  prescribed  to  a  patient  in  an 
“Intermediate  care  Unit”.  Both  Shared  care  Drugs  and  Intermediate  Care  units  our 
outside  Core  General  Practice  and  are  covered  by  Local  Enhance  Services.  The 
Shared  care  medication  LES  covers  care  in  General  Practice  of  patients  while  they 
are  stable  on  medication.  This  patient  had  been  discharged  from  hospital  after 
admission with Lithium toxicity – by definition – not stable. 

 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
  
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 We  do  however  accept  that  mistakes  were  made  in  the  practice,  and  I  have  listed 
below measures we have put in place aimed at preventing future recurrence. 

Norman lodge - Change to Temporary Registration. 

We  have  made  the  significant  change  that  patients  admitted  to  Norman  Lodge  will 
only  be  registered  as  Temporary  Residents.  This  keeps  their  home  practice  “in  the 
loop”.  We  made  this  change  1/11/23.  The  original  request  for  medication  went  from 
the care home to the original practice who did not prescribe because the patient was 
no  longer  registered  with  them.  This  is  because  our  previous  practice  was  to  fully 
register patients in Norman Lodge.  This is a significant improvement in continuity of 
care,  enabling  patients  to  remain  with  a  practice  that  is  familiar  with  the  needs  of 
these often complex patients. 

Pick up shared care in New Patients. 

We  had  processes  in  place  to  deal  with  prescribing  reviews for  new  patients  joining 
the  practice,  existing  patients  on shared care drugs,  and prioritising  new admissions 
to  the  intermediate  care  unit.  Unfortunately,  this  case  involved  a  combination  of  all 
three of these and there was a breakdown in the process. This was exacerbated by a 
hiatus  in  mental  health  care  coordinator  provision  (nb  a  different  role  form  the  care 
coordinators  mentioned  below)  as  Mr  Hoare’s  previous  care  coordinator  left  in 
December  2019  and  he  was  not  seen  by  his  new  coordinator  until  March  2020,  by 
which time his mental health had already deteriorated gravely. 

Medications to always issue. 

The Clinical Pharmacists are now aware of which medications (including shared care 
medications) need to be issued without interruption. In this case they were waiting for 
a Lithium level before issuing but this should not have happened. 

Community Advanced Nurse Practitioner for care Home. 

Since  August  2023  we  have  employed  a  full  time  experienced  ANP  (16  years  as  a 
community  Matron).  Previously  we  had  someone  in  post  only  2  days  a  week.  This 
has  allowed  greater  oversight  of  these  patients  in  the  Intermediate  Care  beds.  We 
are  also  discussing  with  the  local  Consultant  Geriatrician  about  involving  their  team 
directly  as  many  of  these  patients  have  been  discharged  from  their  hospital  units  to 
these beds. 

Lithium results. 

I  am  in  discussion  with  our  local  Pathology  laboratory  about  ensuring  that  Lithium 
results come to us as an individual result and not buried in a long list of Biochemistry 
results. This should reduce the risk of any Lithium result being overlooked. 

Ongoing care of patients on shared care drugs. 

I  have  started  a  discussion  with 
,  Medical  director  of  Bradford  district 
care  trust,  regarding  the  practice  of  discharging  some  patients  on  shared  care 
medication  from  the mental  health  team,  so that  they  are  under  the sole  care of  the 
primary  care  team  (General  Practice).  Whilst  not  directly  applicable  in  Mr  Hoare’s 
case,  this  practice  leads  to  increased  risk  in  a  vulnerable  group  of  patients,  and  we 
are aiming to ensure that this practice does not continue. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Distribution of learning points and actions. 

  is  on  the  Local  Medical  committee  and  is 
Our  senior  partner, 
ensuring  that  the  findings  of  Mr  Hoare’s  inquest  are  known  to  other  practices  within 
the Bradford District and Craven health care partnership. 

This  document  will  be  discussed  at  our  regular  practice  meeting  in  order  to  ensure 
that  appropriate  clinicians  are  familiar  with  the  shortcomings  that  occurred  in  this 
case and the actions taken above. 

The  practice  will  ensure that  these  changes  are  audited  on  an  annual basis,  so that 
these measures can be reviewed and modified appropriately. 

I  trust  that  this  document  will  be  accepted  as  a  reasonable  response  to  your 
Regulation 28 order. 

If you need further information, please do not hesitate to contact me at the practice. 

Yours sincerely, 

GP Partner 

Low Moor Medical Practice

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