Prevention of Future Deaths reports · 2023

Catriona Martin

Regulation 28 report to prevent future deaths, reference 2023-0501, written 4 Dec 2023. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report4 Dec 2023
Reference2023-0501
DeceasedCatriona Martin
CoronerCaroline Saunders
Coroner areaGwent
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.

Regulations 28 and 29 of the Coroners’ (Investigations) Regulations 2013 

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

1 

2 

3 

THIS REPORT IS BEING SENT TO: 

The Chief Executive of Aneurin Bevan University Health Board. 

CORONER 

I am Caroline Saunders, Senior Coroner for the Area of Gwent 

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 19/01/2021, an investigation was opened into the death of Catriona Ellen Martin 

The investigation concluded at the end of the inquest on 23/11/2023. 

The conclusion of the inquest was recorded as a narrative conclusion in the following 
terms:  

Catriona Ellen Martin was admitted to hospital on 05/12/2020 with autoimmune 
encephalitis. The treatment plan was not adhered to because Catriona was not 
provided with adequate nursing care which resulted in a failure to observe her, failure 
to administer medication and caused her to develop dehydration, acute kidney injury 
and uncontrolled seizures. This resulted in Catriona’s death at the Grange University 
Hospital, Llanfrechfa on 25/12/2020. Catriona Ellen Martin died from the effects of 
autoimmune encephalitis contributed to by neglect. 

The medical cause of death was:  

1a) Autoimmune encephalitis 

4 

CIRCUMSTANCES OF THE DEATH 

The circumstances of Catriona’s death are best described  in the narrative conclusion. 
Throughout her admission Catriona required 1:1 nursing care which, apart from a 
short admission to ITU between 08/12/2020 and 15/12/2020, Catriona did not 
receive. The nursing staff relied on Catriona’s mother to ensure that Catriona received 
the fluid and medication she required. Catriona’s mother continuously advised the 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 nursing staff that she was unable to ensure that Catriona was receiving fluid and 
medication, however no assistance was given, and Catriona went into a fatal decline. 

I found that Catriona’s death would have been prevented if 1:1 nursing care had been 
provided. 

5 

CORONER’S CONCERNS 

The MATTERS OF CONCERN are as follows: - 

At the inquest I determined that the level of care that Catriona’s mother was 
expected to provide was unacceptable but was informed that there are no guidelines 
to establish the level of delegation of nursing duties in such circumstances, and the 
requirement of the nursing team to not only continue to supervise care but to support 
and intervene as required. 
ACTION SHOULD BE TAKEN 

6 

In my opinion action should be taken to prevent future deaths and I believe you have 
the power to take such action. 

I should be grateful if the following information be provided to me: 

All guidelines and policies regarding the delegation of nursing responsibilities to 
family members when these are tasks that the family do not normally provide and for 
which they have had no training. Note, this is separate to the care provided in hospital 
by regular community carers or family members who undertake these tasks at home 
and are cognisant of the patient’s normal needs and requirements. 

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this 
report, namely 29/01/2024. I, the Coroner, may extend this period. 

8 

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 necessary. 
COPIES AND PUBLICATION 

I have sent a copy of my report to the Chief Coroner and the following Interested 
Person (s) 

•  The family of Catriona Martin 

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 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 4/12/2023 

Signed: 

Caroline Saunders 
His Majesty’s Senior Coroner for the Area of Gwent.

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 Aneurin Bevan University Health Board (PDF)
Our ref: NP/kh 

29 January 2024 

Caroline Saunders 
Senior Coroner (Gwent) 

Dear Ms Saunders 

Re:  Re;  Aneurin  Bevan  University  Health  Board  response  to  Regulation  28  Report 
received following the inquest touching on the death of Catriona Martin 

Thank you for your letter of 4th  December 2023 and accompanying report, which the Health Board 
received on 5 December 2023 

I am writing to provide you with the Health Board’s response to the Regulation 28 Report to Prevent 
Future Deaths, following the inquest into the death of Catriona Martin 

As requested, the information presented below is intended to describe the actions which have been 
taken/are being taken by Aneurin Bevan University Health Board to mitigate the risk of future deaths. 
You require the Health Board to provide you with the following information: 

All  guidelines  and  policies  regarding  the  delegation  of  nursing  responsibilities  to  family  members 
when these are tasks that the family do not normally provide and for which they have had no training. 
Note, this is separate to the care provided in hospital by regular community carers or family members 
who  undertake  these  tasks  at  home  and  are  cognisant  of  the  patient’s  normal  needs  and 
requirements. 

Firstly,  the  Health  Board  wishes  to  make  clear  that  no  family  member  should  be  requested  to 
undertake tasks or provide  care to patients  if this  is not something they normally provide, wish  to 
continue providing or the patient has not consented to. Care planning and the delivery of care must 
be personalised and assessed on an individual basis and any delegation of care must be considered 
as appropriate, safe and mutually agreed with patients, families and nursing staff. 

In  August  2021,  the  Health  Board  developed  and  then  launched  a  Person-Centred  Enhanced 
Observational  Framework.  The purpose of  the  framework  is to provide  personalised, appropriate, 
consistent  and  high-quality  enhanced  observation/care  for  those  patients  deemed  appropriate  to 
receive such care requirements. The person-centred enhanced observation framework incorporates 
an  individual  management  plan  and  tool  kit  which  assesses  a  patient’s  needs  and  supports  the 
delivery of care to provide safe and dignified patient centred care. 

Bwrdd Iechyd Prifysgol Aneurin Bevan 
Pencadlys, Ysbyty Sant Cadog 
Ffordd Y Lodj, Caerllion, Casnewydd NP18 3XQ 

Aneurin Bevan University Health Board 
Headquarters, St Cadoc’s Hospital 
Lodge Road, Caerleon, Newport NP18 3XQ 

01633 436 700 

BwrddIechydPrifysgol 

BIPAneurinBevan 

01633 436 700 

AneurinBevanHealthBoard 

AneurinBevanUHB 

Rydym yn croesawu gohebiaeth yn Gymraeg a byddwn yn ymateb yn Gymraeg heb oedi. 
Bwrdd Iechyd Prifysgol Aneurin Bevan yw enw gweithredol Bwrdd Iechyd Lleol Prifysgol Aneurin Bevan. 

We welcome correspondence in Welsh and we will respond in Welsh without delay. 
Aneurin Bevan University Health Board is the operational name of Aneurin Bevan University Local Health Board. 

 
 
 
 
 
 
  
 
  
 
 
 
 
  
   
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
   
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 Supported by the patient centred care team the framework has been rolled out across all acute and 
community  wards  to  ensure  patients  requiring  a  level  of  enhanced  observation  and  supervision, 
either  through  an  increase  in  observation,  cared  for  in  a  cohorted  environment  or  requiring  1:1 
nursing care, are identified and appropriate care and observation initiated. 

The framework includes: 

  A  description  of  the  different  levels  of  enhanced  care,  and  the  enhanced  support  and 

observation required to deliver each level of observation. 
  A detailed personalised management plan which includes: 

−  individual  care  planning  around  environment,  agitation,  pain, 

infection,  nutrition, 

constipation, hydration, medication, sleep and risk of falls. 

  Enhanced  observation  review  documentation  to  determine  whether  enhanced  care 

requirements have changed, whether there is a need to escalate/de-escalate. 
  Behaviour charts which also determine trigger points which may require escalation. 
  Person centred meaningful activity chart 
  Enhanced care staff rotation record 
  Patient centred enhanced observation information leaflet. 

Following the raising of the matters of concern, it is recognised that additional training and education 
is required to ensure staff are clear in their responsibilities in regards appropriate delegation of care 
to  family  members.  This  can  include  patient  care  that  is  not  only  prescribed  through  cognitive 
impairment but is associated with acuity and complexity associated with intervention such as, post 
operative procedures. Education and training will be delivered via Patient Safety and Quality focused 
study sessions, supported by a bespoke programme of work with the Person-Centred Care Team. 
Throughout this work increased emphasis will be placed on appropriate and safe delegation, family 
involvement and utilising the framework not only for those patients with cognitive impairment but for 
those patients with complex medical acuity. 

The  Health  Board  is  currently  in  the  process  of  revising  the  Person-Centred  Enhanced 
Observational  Framework.  The  revised  version  will  include  the  following  requirements  to  be 
documented: 

  A conversation with family members on expected levels of care delivery and involvement. 
  Levels of delegation and the responsibility of the registrant to deliver care and assessment to 

the patient meeting their individual needs in collaboration with family. 

  Documented  evidence  which  demonstrates  that  the  care  plan  has  been  developed  in 

collaboration with patients (if able to do so) and family. 

 

Learning implemented to date and future plans: 

  HealthRoster  SafeCare  is  a  digital  platform  that  has  been  introduced  and  currently  being 
rolled  out  across  the  Health  Board.  SafeCare  gives  nurses  the  visibility  of  staffing  levels 
across  wards  and  departments,  allowing  them  to  maintain  safe  and  compliant  patient  care 
based  on  patient  numbers,  acuity  and  dependency.  It  supports  day-to-day  operational 
changes to the roster in real time, facilitating the redeployment of staff to support enhanced 
care requirements. The system enables a review of daily staffing levels and whether they are 
deemed safe to meet clinical demand. 

SafeCare  provides  the  functionality  to  enter  acuity  and/or  dependency  data  to  inform 
evidence-based  decision  making  on  staffing  requirements  and  workforce.  This  provides  a 
visual  platform  of  establishments,  skill  mix,  patient  demand/acuity  in  real-time  to  ensure 
informed decisions are made and supports acuity-driven staffing level requirements. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   An  ‘Educational  and  Recommendations  After  Significant  Events  (ERASE)  Poster’  to  raise 
awareness and share learning, specific to this case, has been developed and disseminated. 

  This case has been discussed and outcomes shared widely. Delegation of care, documented 
conversations with family members and the importance of clear concise communication with 
families  and  friends  has  been  reinforced  ensuring  clarity  is  gained  in  regards  family 
involvement in patient care. 

I  trust  that  this  information  provides  assurances  in  regards  the  matters  raised.  However,  if  any 
further information or assurance is required, please do not hesitate to contact me. 

Yours sincerely 

Chief Executive 

3

Related reports

Other reports by Caroline Saunders

See all →

More reports categorised “Hospital Death (Clinical Procedures and medical management) related deaths”

See all →

Track Hospital Death (Clinical Procedures and medical management) related deaths

See every Prevention of Future Deaths report matching Hospital Death (Clinical Procedures and medical management) related deaths, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.