Prevention of Future Deaths reports · 2024

Margaret Daly

Regulation 28 report to prevent future deaths, reference 2024-0701, written 28 Oct 2024. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report28 Oct 2024
Reference2024-0701
DeceasedMargaret Daly
CoronerJohn Gittins
Coroner areaNorth Wales (East and Central)
CategoryWales prevention of future deaths reports (2019 onwards) · Hospital 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.

John Adrian Gittins 
Senior Coroner for North Wales (East and Central) 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO:  BCUHB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, 
Gwynedd LL57 2PW.      
CORONER 

1 

I am John Adrian Gittins, Senior Coroner for North Wales (East and Central)                     

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 the 14th of June 2024 I commenced an investigation into the death of Margaret Joy Daly   
(DOB 23.10.32 DOD 10.6.24). The investigation concluded at the end of the inquest on the 24th 
of October 2024.  The cause of death was recorded as being due to 1(a) Traumatic subdural 
haematoma (b) A fall 2. Delirium and the conclusion of the inquest was that the death was due to 
an accident. 

4 

CIRCUMSTANCES OF THE DEATH 

The circumstances of the death are that Mrs Daly had been an in-patient at Wrexham Maelor 
Hospital and as a result of her being assessed as being at significant risk of falling she was on 
an enhanced level of observation. 

On the evening of the 1st of June 2024, Mrs Daly was exhibiting signs of anxiety and agitation 
and a member of nursing staff asked a doctor to review her. As the doctor was too busy to attend 
the ward, the nurse took Mrs Daly’s prescription chart to the doctor on another ward and he 
prescribed a sedative, namely lorazepam which was administered to her at 22.40 that evening 
with a further dose being given at 04.30 the following day. 

Later that morning Mrs Daly had an unwitnessed fall and sustained the injury which resulted in 
her death. The evidence supports a view that it is probable that she fell as a result of the effects 
of the sedation. 

5 

CORONER’S CONCERNS 

During the course of the inquest the evidence revealed the following matter 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 MATTER OF CONCERN is as follows.  – 

The clinician who prescribed a sedative, did so, without reference to any of Mrs Daly’s notes 
other than her prescription chart and as a result was unaware of her enhanced falls risk or any 
other behavioural issues. Whilst I recognise that medication changes may be necessary without 
the doctor being able to review a patient in person, I am concerned that this may occur without 
the doctor having access to and considering her full medical records and risk assessments. 

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN 
Tel 01824 708047    |  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 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 
23rd of December 2024 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 Family of the Deceased and to the Chief Coroner. 

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 

Dated 28th October 2024 

Signature 
Senior Coroner for North Wales (East and Central) 

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN 
Tel 01824 708047    |

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 Bcuhb (PDF)
Bloc 5, Llys Carlton, Parc BusnesLlanelwy, 
Llanelwy, LL17 0JG 

---------------------------------- 

Block 5, Carlton Court, St Asaph Business 
Park, St Asaph, LL17 0JG 

Ein cyf / Our ref:  
Eichcyf / Your ref: 
: 
Gofynnwch am / Ask for: 
E-bost / Email: 
Dyddiad / Date: 20 December 2024 

John Gittins  
HM Senior Coroner 
North Wales (East and Central) 
Coroner's Office 
County Hall 
Wynnstay Road 
Ruthin LL15 1YN  

Dear Mr Gittins,  

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 
Margaret Joy Daly 

I  write  in  response  to  the  Regulation  28  Report  to  Prevent  Future  Deaths  dated  28 
October 2024, issued by yourself to Betsi Cadwaladr University Health Board, following 
the inquest touching upon the death of Mrs Margaret Daly.   

I would like to begin by offering my deepest condolences to the family and friends of Mrs 
Daly. 

In the notice, you highlighted your concerns that the clinician who prescribed a sedative 
did so without reference to any of Mrs Daly’s notes other than her prescription chart, and 
that as a result they were unaware of her enhanced falls risk or any other behavioural 
issues.  

In response to the notice, I requested our East team Medical Director, Nursing Director 
and Pharmacy Director to consider your concerns and provide details of their plans to 
make our services as safe as possible, taking into account the learning from the inquest.  

Having considered the learning, a new process is being established by the East Medical 
Director  to  improve  safety  whilst  recognising  medication  changes  may  be  necessary 
without the doctor being able to review a patient in person.  

Doctors will be told to only prescribe without reviewing the patient in person if they have 
the notes brought to them, and nursing staff will be told they must relay the falls risk to 
the doctor at the time of discussing or escalating the patient. If the doctor has any doubts 
about  safe  prescribing  then  they  will  be  told  to  attend  the  patient  at  their  earliest 
opportunity and assess, or they should escalate to another doctor if they can’t get there 
quickly. 

The learning and actions from our East team will also be shared with our teams in central 
and west for wider learning.  

Cyfeiriad Gohebiaeth ar gyfer y Cadeirydd a'r Prif Weithredwr / Correspondence address for Chairman and Chief Executive: 
Swyddfa'r Gweithredwyr / Executives’ Office 
Ysbyty Gwynedd, Penrhosgarnedd 
Bangor, Gwynedd LL57 2PW 

Gwefan: www.pbc.cymru.nhs.uk / Web: www.bcu.wales.nhs.uk 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 The  longer  term,  and  more  sustainable  solution  is  the  development  of  an  integrated 
electronic  health  record  and  I  know  our  Chief  Executive  has  discussed  these 
developments with you.   

In  summary,  the  Health  Board  is  progressing  plans  and  business  cases  regarding  an 
integrated electronic health record system. 

The Health Board has now received formal confirmation from Welsh Government of the 
support for a Mental Health Electronic Health Record System, marking a significant step 
forward in relation to improving patient safety and experience, and the staff experience 
of  coordinating  and  providing  care.  The  Health  Board  will  work  closely  with  Cwm  Taf 
Morgannwg University Health Board on this development as early implementers. 

The wider Electronic Health Record Programme, which will go beyond mental health, is 
now established. The Strategic Outline Case was approved by the Board earlier this year 
and  submitted  to  Welsh  Government  officials.  One  meeting  has  been  held  and  a 
subsequent meeting is being arranged.  

Whilst these solutions are longer term, they represent a significant endeavour  with the 
Health Board taking a key  and leading role in working with other organisations across 
Wales in developing the approach to such a major development.  

The  Health  Board  is  also  working  to  roll  out  an  Electronic Prescribing  and  Medication 
Administration System (ePMA).  

ePMA will replace the current paper based prescribing system across most specialties in 
acute and community services. Doctors, nurses, pharmacists and anyone who prescribes 
or works with medication will be trained to use the new system, which will run on laptops 
and tablets located in wards and other key areas. ePMA will streamline the process and 
make sure staff have access to a range of key information they need in one place. 

This is the Health Board’s largest-ever transformation project and we are committed to 
making  it  a  success.  We  have  taken  a  user-centred  approach  with  a  dedicated  multi-
disciplinary  team  of  nurses,  pharmacists,  doctors,  and  IT  professionals,  plus  Clinical 
Champions and expert trainers to ensure ePMA works  effectively. We aim for the pilot 
sites to go-live in March 2025.  

I hope this letter sets out for you the actions that we are taking to address the concerns 
you raised.  

I would be happy to meet with you and discuss our work to improve patient safety in more 
detail, or provide further information and assurance should that be helpful.  

Once again, I offer my deepest condolences to the family and friends of Mrs Daly for their 
loss. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Yours sincerely 

Cyfarwyddwr Gweithredol Nyrsio a Bydwreigiaeth 
Executive Director of Nursing and Midwifery 

cc  

, Deputy Director for Legal Services

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