Source · Prevention of Future Deaths

Roy Oakley

Ref: 2016-0126 Date: 1 Apr 2016 Coroner: Eleanor McGann Area: Essex Responses identified: 0 / 1 View PDF

No specific concerns were detailed in the provided text.

Date 1 Apr 2016
56-day deadline 26 May 2016
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
No specific concerns were detailed in the provided text.
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.

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

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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.

Sent to

Basildon Hospital Trust

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