Prevention of Future Deaths reports · 2015

Mollie Bentham

Regulation 28 report to prevent future deaths, written 30 Dec 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report30 Dec 2015
DeceasedMollie Bentham
CoronerAlan Walsh
Coroner areaManchester (West)
CategoryHospital Death (Clinical Procedures and medical management) 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 (1)

NOTE: This form is to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. Dr Jackie Bene, Chief Executive, Royal Bolton Hospital NHS Foundation
Trust, Minerva Road, Bolton, BL4 0JR

1 | CORONER
I am Alan Peter Walsh, Area Coroner, for the Coroner Area of Manchester West.
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 8" May 2015 I commenced an Investigation into the death of Mollie
Bentham, 90 years, born 27" December 1924. The Investigation concluded at
the end of the Inquest on 14" December 2015.

The medical cause of death was 1a) Peritonitis, 1b) Ruptured ischaemic distal
large bowel.

The conclusion of the Inquest was Natural Causes.

4 | CIRCUMSTANCES OF THE DEATH

1. Mollie Bentham died at Rivington View Nursing Home, Albert Street,
Horwich, Bolton on the 1% May 2015.

2. On the 12" February 2015 Miss Bentham was admitted to the Royal
Bolton Hospital, Bolton with lower respiratory tract infection and acute
on chronic kidney disease. She suffered with confusion due to delirium
and she had episodes of seizures. Following treatment at the Hospital
Miss Bentham was transferred to Darley Court Intermediate Care Centre,
Shepherd Cross Street, Bolton on the 6" March 2015 where she received
further treatment, including treatment for Norovirus infection.

3. Prior to the 237 April 2015 plans were being considered for Miss
Bentham’s discharge from Darley Court to a Nursing Home.

On the 23% April 2015 the family of Miss Bentham had noticed that Miss
Bentham was suffering with some abdominal pain and the family
reported the abdominal pain to nursing staff at Darley Court. However

the concerns of the family were not recorded in the nursing notes nor in
the medical notes. The concerns were not brought to the attention of
the medical team and no examination by the medical team was
conducted in relation to the family concerns.

On the 24" April 2015 Miss Bentham had a medical review which
showed that her CRP, which is a marker of infection, had risen to 178
and her white cell count, also sign of infection, had risen. There was a
documented discussion with the family at 17.00 hours on the 24" April
2015 when the family, once again, mentioned the abdominal pain but
the pain was not referred to in the documented note of the meeting.

Prior to the meeting with the family at 17.00 hours on the 24" April 2015
Professor Baker, Consultant Geriatrician, had reviewed Miss Bentham at
10.30 hours on the same day but the review by Professor Baker made
no mention of abdominal pain and the previous concerns of abdominal
pain mentioned by the family were not brought to the attention of
Professor Baker. Miss Bentham was not sufficiently communicative to
bring the pain to the attention of Professor Baker and the plan noted by
Professor Baker at 10.30 hours on the 24" April 2015 did not refer to
abdominal pain or any examination in relation thereto.

On the 26" April 2015 a Healthcare Assistant noted that Miss Bentham
had a hard area to the left side of her abdomen and complained of pain.
The Healthcare Assistant informed the nursing staff of her finding and
Miss Bentham was given morphine sulphate in relation to the pain.

The 26" April 2015 was a Saturday and over the same weekend Miss
Bentham was visited by two on call doctors, including an out of hours
General Practitioner but the doctors did not make a note of their
attendance. A note was made in the nursing notes that the out of hours
General Practitioner was called by the nursing staff as there was a hard
mags to the left side of Miss Bentham’s abdomen and her pain score had
increased.

The Matron for Darley Court Intermediate Care Centre gave evidence
that a doctor based at the Centre would be present at the Centre on a
Monday to Friday from 9.00am to 5.00pm and on a Saturday and
Sunday from 9.00am to 1.00pm. Outside those hours a request for a
medical review must be addressed to the out of hours GP service. The
out of hours GP service will conduct an initial triage and a General
Practitioner will attend subject to appropriate triage.

On the 27" April 2015, which was a Monday, Miss Bentham was
reviewed by , who is a member of the medical team based at
Darley Court Intermediate Care Centre. EIEN did not make a note of
the attendance and there was no note that the attendance of the out of
hours General Practitioner over ee and Miss Bentham’s
abdominal pain were brought to attention.

. On the 27" April 2015 a Multi-Disciplinary Team Meeting was held and

Miss Bentham was discussed at the Meeting. The note of the Meeting

]

to be taken or the persons to take any action. The note of the Multi-

did not refer to those present at the Meeting nor in relation to any o

Disciplinary Team Meeting simply noted fast track paperwork and the

fact that Miss Bentham had been accepted at Rivington View Nursing
Home.

9. On the 28" April 2015 a medical review identified that the abdomen was
found to be tender but not in one specific place and the abdomen was
described as soft, meaning no rigidity as would be expected with
peritonitis. In view of the fact the patient had been constipated for
some six days prior to the 28" April 2015 laxatives were prescribed as
well as all previously prescribed medications.

10. On the 29" April 2015 Miss Bentham was transferred to Rivington View
Nursing Home, Albert Street, Horwich, Bolton where she deteriorated
and died on the 1* May 2015.

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. During the Inquest evidence was heard that

The notes at Darley Court Intermediate Care Centre did not refer
to the family concerns expressed to the nursing staff from the
23" April 2015 onwards and the notes did not include a note
from the out of hours General Practitioner, who attended Darley
Court on the 26" April 2015, nor the attendance off on
the 27" April 2015. The notes did not make any reference to
abdominal pain suffered by Miss Bentham until the 28" April
2015, even though the family expressed concerns with regard to
abdominal pain on the 23 April 2015.

There was no evidence of liaison between the nursing staff and
the medical staff at Darley Court Intermediate Care Centre,
particularly in relation to the concerns expressed by the family
and with regard to the attendance of the out of hours General
Practitioner on the 26 April 2015.

There was no evidence of handovers at shift changes as between
nursing staff and medical staff particularly in relation to the
concerns expressed by the family and the attendance of the out
of hours General Practitioner on the 26" April 2015.

The notes of the Multi-Disciplinary Team Meetings, including the
Meeting on the 27" April 2015, did not give details of who was
present at the Meeting, the actions to be taken following the

Meeting together with the person who was given responsibility to

vi.

taker the actions and a timescale in relation to the actions.

The above concerns are particularly relevant in relation to a
patient, like Miss Bentham, who was unable to communicate with
either nursing staff or medical staff. In such circumstances and in
the absence of documented and noted information in relation to
family concerns a condition suffered by the patient may be left
untreated without consideration by a reviewing doctor or a Multi-
Disciplinary Team Meeting.

The above issues raise training issues in relation to staff, both
nursing and medical, at Darley Court Intermediate Care Centre.

The evidence raised concerns that there is a risk that future
deaths will occur unless action is taken to review the above
issues, particularly where known symptoms observed by the
family are not brought to the attention of the reviewing medical
team and no investigations are conducted with regard to the
observed symptoms.

2. I request you to consider the above concerns and to carry out a review
with regard to the following:-

The quality of the notes made by nursing and medical staff at
Darley Court Intermediate Care Centre.

Liaison between the nursing staff and members of the medical
team in relation to patients, particularly in relation to symptoms
observed by health professionals and members of the family.

The system of handovers, particularly with regard to passing
information between healthcare professionals at the end and the
commencement of a shift.

The conduct of Multi-Disciplinary Team Meetings, particularly
with regard to notes to refer to those present, actions to be
taken, the person allocated to take the actions and a timescale in
relation to such actions.

The training of all healthcare professionals at Darley Court
Intermediate Care Centre in relation to the above matters.

ACTION SHOULD BE TAKEN

In my opinion urgent action should be taken to prevent future deaths and I
believe you and/or your organisation 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 24" February 2016. 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.

COPIES and PUBLICATION

T have sent a copy of my report to the Chief Coroner and to the following
Interested Persons

1

HEE nephew of the deceased.

nephew of the deceased

Iam 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.

Dated Signed

30°" December 2015 Alan P Walsh

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