Source · Prevention of Future Deaths
Patricia Norfolk
Ref: 2017-0438
Date: 5 Jul 2017
Coroner: Julie Robertson
Area: Manchester (North)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted that patients were not receiving daily senior clinician reviews and raised concerns about the interim period before new staff are recruited to address this.
Date
5 Jul 2017
56-day deadline
30 Aug 2017 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The coroner noted that patients were not receiving daily senior clinician reviews and raised concerns about the interim period before new staff are recruited to address this.
View full coroner's concerns
That patients, such as the deceased, were not being receiving a daily senior clinician review. I have been appraised of the developments that the Trust is aspiring to in relation to senior daily reviews and decision making and recognise the steps the Trust is taking to recruit appropriate staff to undertake such reviews. However, I remain concerned regarding what happens to patients in the interim period pending recruitment and appointment.
Report sections
Investigation and inquest
On the 1 June 2016 I commenced an investigation into the death of Patricia Norfolk. An inquest was held and concluded on 8 March 2017.
Circumstances of the death
The deceased was admitted to Royal Oldham Hospital on 13 May 2016 following discovery of a fractured neck of femur. The deceased had 2 unwitnessed falls in March 2016 and she attended Royal Oldham Hospital on 18 March 2016. However, the fracture was not discovered until 2 months later in the absence of X-ray investigation on presentation to Royal Oldham Hospital in March 2016. The deceased developed an infection following surgery and she continued to deteriorate despite appropriate medical intervention. She died from bronchopneumonia following discharge from the hospital to Braeside Care Home. Fact of death was confirmed at 20:30 pm on 27 May 2016 My conclusion at inquest was that the deceased died from a recognised complication of necessary medical intervention.
Similar PFD reports
Report details
- Reference
- 2017-0438
- Date of report
- 5 July 2017
- Coroner
- Julie Robertson
- Coroner area
- Manchester (North)
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: 30 Aug 2017 (estimated from the report date).
Sent to
- Pennine Acute NHS Trust