Prevention of Future Deaths reports · 2015

Rosalind Baird

Regulation 28 report to prevent future deaths, written 2 Sep 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report2 Sep 2015
DeceasedRosalind Baird
CoronerDavid Horsley
Coroner areaPortsmouth and South East Hampshire
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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ANNEX A

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. Rt. Hon Jeremy Hunt, MP
Secretary of State for Health
Dept. of Health
Richmond House
79 Whitehall
London
SW1A 2NS

1 | CORONER

| am David Clark Horsley, senior coroner, for the coroner area of Portsmouth and South
East Hampshire.

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 12 November 2014 | commenced an investigation into the death of Rosalind Jane
Anne Bernadette Baird. The investigation concluded at the end of the inquest on 30
June 2015. The conclusion of the inquest was:
- Medical cause of death:
ta: Bronchopneumonia
1b: Small Bowel Ischaemia requiring Small Bowel Resection
1c: Superior Mesenteric Artery Injury during Nephrectomy for Kidney Tumour
- Coroner's Conclusion: Death due to an Accident
On 20 October 2014 Rosalind Baird underwent a left nephrectomy at Queen
Alexandra Hospital, Portsmouth, during the course of which a blood vessel
supplying her bowel was cut. Thereafter her condition deteriorated and despite
further surgery and other medical treatment, she died at the hospital at
approximately 22.00 hours on 05 November 2014.

4 | CIRCUMSTANCES OF THE DEATH

See above.

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. —

At the time of Mrs Baird's nephrectomy there was no formal scheme for the monitoring
of inexperienced surgeons carrying out surgical procedures. Since that time, Queen
Alexandra Hospital has adopted a formal scheme (see attached). | was told that such
schemes are not widespread in England and no such scheme has been formulated at
national level. To help prevent deaths in circumstances similar to those of Mrs Baird,
consideration should be given to a national monitoring scheme for inexperienced
consultant surgeons being compiled using the Queen Alexandra Hospital scheme as an
example of good practice.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you and 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 28 October 2015. 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

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

| 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.

02 September 2015 [SIGNED BY CORONER]

David Clark Horsley

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