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Hunter Macmillan

Ref: 2016-0375 Date: 24 Oct 2016 Coroner: Chinyere Inyama Area: London (West) 0 responses identified · 1 indexed addressee View PDF

AI-generated concerns summaryThe coroner noted insufficient staffing levels in the Emergency Department, which prevented adherence to national and local policies for treating suspected sepsis.

Date 24 Oct 2016
56-day deadline 19 Dec 2016 est. estimated from the report date
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
The coroner noted insufficient staffing levels in the Emergency Department, which prevented adherence to national and local policies for treating 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 from the report date).

Sent to

Chelsea and Westminster Hospitals NHS Trust

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk.

Contains public sector information licensed under the Open Government Licence v3.0.