Source · Prevention of Future Deaths
Barbara Mitchell
Ref: 2023-0153
Date: 12 May 2023
Coroner: Peter Straker
Area: North London
Responses identified: 0 / 1
View PDF
There is a lack of specialist staff training in moving and handling individuals, especially regarding safe procedures after a fall.
Date
12 May 2023
56-day deadline
7 Jul 2023 est.
Responses identified
0 of 1
Coroner's concerns
There is a lack of specialist staff training in moving and handling individuals, especially regarding safe procedures after a fall.
View full coroner's concerns
1. Consideration of specialist training of staff in connection with the moving and handling of individuals, especially after a fall.
Report sections
Investigation and inquest
On the 13th July 2022 I opened an investigation touching the death of Barbara Mitchell , aged 94 years old. I opened and heard an inquest on the 7th December 2022. The conclusion of the inquest was “ Barbara Mitchell died as the result of an accident ”, the medical case of death was 1a Pneumonia, 1b Fracture of Sternum and under paragraph 2 Atrial Fibrillation.
Circumstances of the death
On the 9th July 2022 Barbara Mitchell died at Northwick Park Hospital having fallen at home despite being assisted at the time by a carer.
Similar PFD reports
Related inquiry recommendations
Scottish Hospitals Inquiry
Training for IPC professionals engineers and clinicians
Scottish Hospitals Inquiry
IPC role specifications and staffing levels
Southport Inquiry
Autism spectrum disorder police training
Southport Inquiry
Prevent training on online activity assessment
Southport Inquiry
Neurodiversity training for Prevent practitioners
Southport Inquiry
Balancing vulnerability with professional curiosity
Southport Inquiry
Sharing information about closed Prevent referrals
Southport Inquiry
Prevent Supervisor training on closure decisions
Southport Inquiry
Prevent referral training for organisations
Southport Inquiry
Taxi driver duty to report criminal activity
Report details
- Reference
- 2023-0153
- Date of report
- 12 May 2023
- Coroner
- Peter Straker
- Coroner area
- North London
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 7 Jul 2023 (estimated).
Sent to
- Bluebird Care (Kent)