Source · Prevention of Future Deaths
Roy Oakley
Ref: 2016-0126
Date: 1 Apr 2016
Coroner: Eleanor McGann
Area: Essex
0 responses identified · 1 indexed addressee
View PDF
AI-generated concerns summaryThe coroner identified gaps in information sharing regarding a patient's dementia between Basildon Hospital and outsourced services, as private providers lacked access to the hospital's patient record system. This meant transport and phlebotomy services were unaware of the patient's condition.
Date
1 Apr 2016
56-day deadline
26 May 2016
stated in the report
Responses identified
0 of 1
Coroner's concerns
The coroner identified gaps in information sharing regarding a patient's dementia between Basildon Hospital and outsourced services, as private providers lacked access to the hospital's patient record system. This meant transport and phlebotomy services were unaware of the patient's condition.
View full coroner's concerns
TAS had not been told that Mr Oakley suffered from Dementia and nobody had arranged for a Carer to attend with him. During the course of the inquest it emerged that the Phlebotomy Service who arranged the transport, were unaware that Mr Oakley had Dementia. The Phlebotomy Service is, commissioned out to a private company by Basildon Hospital and they do not have access to Basildon Hospitals Record Keeping System which flagged up Mr Oakley’s Dementia. Other commissioned out services are in a similar position. The failure to communicate and the lack of information sharing may have played some part in the death of Mr Oakley.
He ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe your organisation have the power to take such action.
He ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe your organisation have the power to take such action.
Report sections
Circumstances of the death
Mr Oakley had been taken to Orsett Hospital by Thames Ambulance Service (TAS) for a routine blood test. No settled arrangement was made for his collection by TAS rather he was told to wait in the coffee shop. Mr Oakley, who suffered from Dementia, left the coffee shop and went to the Ambulance Bays to try to find who was taking him home. There he suffered an accident as a result of which he died on the 12th June 2015.
Copies sent to
North East London NHS Foundation Trust 1st April 2016. Mrs Eleanor McGann
Similar PFD reports
Report details
- Reference
- 2016-0126
- Date of report
- 1 April 2016
- Coroner
- Eleanor McGann
- Coroner area
- Essex
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: 26 May 2016 (stated in the report).
Sent to
- Basildon Hospital Trust