Prevention of Future Deaths reports · 2015

Alan Walker

Regulation 28 report to prevent future deaths, written 14 Dec 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 Dec 2015
DeceasedAlan Walker
CoronerJohn Gittins
Coroner areaNorth Wales (East and Central)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

BCUBB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, Gwynedd LL57 2PW

4 CORONER

| am JOHN ADRIAN GITTINS, senior coroner, for the coroner area of North Wales (East
and Central)]

2 | CORONER’S LEGAL POWERS

| 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 24!" of January 2014 | commenced an investigation into the death of Alan Walker
(DOB 11.08.32, DOD 23.01.14), The investigation concluded at the end of the inquest
on the 11th of December 2015 and | recorded a conclusion of Accidental Death

4 | CIRCUMSTANCES OF THE DEATH

(a) The Circumstances of the death are that on the 22" of January 2014 a nasogastric
feeding set was connected to the IV line of the deceased, which resulted in the
intravenous infusion of liquid feed as a consequence of which he died the following day
due to 1(a) Toxic Shock.

(b) During the afternoon of the 22™ the NG tube had become detached from the feeding
set on two occasions in quick succession and had thereafter been taped together,
however these events were not recorded in the nursing notes and therefore other staff
were not made aware that there may be a connectivity issue with this equipment during
handover. Furthermore, staff handovers may not in any event be conducted by way of
reference to the nursing notes.

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

The MATTERS OF CONCERN are as follows :-

That by not recording within the notes the type of issue referred to in paragraph 4 (b)
above and then by not conducting handovers by reference to the nursing notes
there is a risk that potentially significant information is not relayed to staff who come
on duty at a later time.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe your
organisations have the power to take such action.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 8th February 2016 |, 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.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested
Person -EEEEEE Grand-daughter of the Deceased)

| 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.

[DATE] 14° December 2015 [SIGNED BY CORONER]

GAR

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