Source · Prevention of Future Deaths
Hunter Macmillan
Ref: 2016-0375
Date: 24 Oct 2016
Coroner: Chinyere Inyama
Area: London (West)
Responses identified: 0 / 1
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Emergency Department staffing levels were inadequate, preventing the implementation of national and local policies for the timely and effective treatment of suspected sepsis.
Date
24 Oct 2016
56-day deadline
19 Dec 2016 est.
Responses identified
0 of 1
Coroner's concerns
Emergency Department staffing levels were inadequate, preventing the implementation of national and local policies for the timely and effective treatment of suspected sepsis.
View full coroner's concerns
_ Staffing levels in the Emergency Department were not sufficient to be able to follow national (currently NICE Guideline, Sepsis:recognition, diagnosis and early management) or any local policy on treating suspected sepsis.
Report sections
Investigation and inquest
On 20th of November 2015 commenced an investigation into the death of Hunter Jack Macmillan: The investigation concluded at the end of the inquest on 5"h September 2016 with a narrative_
Circumstances of the death
Hunter Jack Macmillan was booked into the Urgent Care Centre at West Middlesex Hospital before; as a result of his condition; being taken to the Emergency Department at West Middlesex Hospital. He was not triaged in the Emergency Department for over 45 minutes by which time his condition had deteriorated:
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
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Report details
- Reference
- 2016-0375
- Date of report
- 24 October 2016
- Coroner
- Chinyere Inyama
- Coroner area
- London (West)
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: 19 Dec 2016 (estimated).
Sent to
- Chelsea and Westminster Hospitals NHS Trust