Prevention of Future Deaths reports · 2015

Margaret Pegnall

Regulation 28 report to prevent future deaths, written 31 Dec 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report31 Dec 2015
DeceasedMargaret Pegnall
CoronerJacqueline Lake
Coroner areaNorfolk
CategoryCommunity health care and emergency services related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

The Practice Manager

Old Catton Medical Practice
55 Lodge Lane

Norwich

NR6 7HQ

1 | CORONER ©

tam JACQUELINE LAKE, senior coroner, for the coroner area of NORFOLK.

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 19 May 2015 I commenced an investigation into the death of MARGARET CAROLE
ANN PEGNALL, AGE 69 YEARS. The investigation concluded at the end of the inquest
on.22 December 2015. The conclusion of the inquest was Medical Cause of Death: 1a)
Multiple Injuries and the Conclusion: Suicide.

4 | CIRCUMSTANCES OF THE DEATH

On 18 May 2015 Mrs Pegnall stepped into the path of a train at Stracey Arms, Norwich.
She turned her back on the train and raised her arms. She was hit by the train and died
as a result of her injuries. .

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:-

(1) Mrs Pegnall went to see her GP on 19 January and 12 March 2015 regarding
difficulties she was having with her husband. The GP asked questions with regard to
depression using a Flowchart attached to the Surgery’s Policy on Domestic Violence
and Abuse. Mrs Pegnall wrote letters to the Practice referring to her interaction with the
Police. Mrs Pegnall telephoned the Practice on the-day of her death asking to speak to
a particular GP who was absent requesting “intervention”. .

(2) The Flowchart for Responding to Domestic Abuse is vague and uses an
Assessment of Risk pertaining to.depression and not to the risk of abuse

(3) There is no Questionnaire specific to Domestic Abuse to assist in recognising signs
of abuse and standardising the Surgery’s:GPs’ response to concerns raised.

(4) There was no method available to members of staff to recognise when a patient's
Call should be escalated and dealt with immediately.

6 | ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe your
organisation has 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 2 March 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
Persons: ,

EE cc.

| have also sent it (iii Independent Chair & Overview Report Writer
who may find it useful or of interest. :

lam 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. .

‘

31 December 2015

C rf
Jacqueline Lake
Senior Coroner for Norfolk

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