Source · Prevention of Future Deaths

William Driscoll

Date: 16 Dec 2015 Coroner: Emma Whitting Area: Birmingham and Solihull Responses identified: 0 / 1 View PDF

There are serious deficiencies in the medical assessment process for drivers, including insufficient investigation of health conditions, leading to inadequately assessed individuals being permitted to drive.

Date 16 Dec 2015
56-day deadline 10 Feb 2016 est.
Responses identified 0 of 1
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
There are serious deficiencies in the medical assessment process for drivers, including insufficient investigation of health conditions, leading to inadequately assessed individuals being permitted to drive.
View full coroner's concerns
the course of the inquest the evidence revealed matters giving rise to concern_ In my opinion there is a risk that future deaths will occur unless action is taken: : along 27th _ taking the During

gave evidence that if he had been aware of the incident in September 2014 he would have carried out further investigations revealing the epilepsy that was ultimately diagnosed in August 2015 and thus preventing from driving before the collision with the deceased. It appears that there are serious deficiencies in the medical assessment process as regards the limited investigation into the health conditions on the form POLN3 and/or in not following up the GP's identification of a Relevant Consultant' _ As a consequence drivers may be permitted to drive who have not been adequately assessed as fit to do so_

Report sections

Investigation and inquest
On 09/07/2015 commenced an investigation into the death of William Francis Driscoll. The investigation concluded at the end of the inquest on 9th December 2015. The conclusion of the inquest was that the deceased died at the Queen Elizabeth Hospital Birmingham on the 3Oth June 2015 as a result ofthe effects of injuries sustained in a road traffic collision on the 23rd June 2015. At the time of the collision the deceased was a pedestrian proceeding appropriately the pavement of the Lordswood Road, Birmingham when he was hit by a vehicle from behind that had left the road and mounted the pavement: The driver of the vehicle which hit him had lost control of the vehicle due to an epileptic seizure. The driver did not know she was suffering from epilepsy but there was an opportunity for further investigations into her health to have been made as a result ofa DVLA assessment in early 2015 that was itself a result of a road traffic accident in September 2014. It is likely that with further investigation of her medical condition the driver would have been diagnosed with epilepsy before the accident with the deceased and as a consequence would not have been driving at that time: Medical cause of death: 1(a) PNEUMONIA 1(b) RECUMBENCY
Circumstances of the death
On the 24th March 2015 the third party driver's GP had completed a POLN 3 form at the request of the DVLA following a referral to the DVLA by the police arising out of damage only RTC when the third party driver, was driving on the September 2014. Following the RTC on the 27 September 201 had no recollection of how the accident came to occur and the referral was made because the police that attended were concerned that it may have been the result ofa medical conditior had been diagnosed with Transient Global Amnesia ('TGA in July 2014 as a result of Transient Ischaemic Attacks, the last known attack place in April 2014 filled out the POLN3 correctlvin 2015 and in response to question 17 provided the name of a 'Relevant Consultant' at City Hospital, Birmingham had made the diagnosis of TGA in 2014. At no point did the form allow explain why he thought_ Iwas 'relevant' and he did not do so. Atunonoint did form allow Dr. Chan to express any general reservations or concerns about fitness to drive:| was not contacted and was therefore unaware thath Inad suffered a further episode of amnesia whilst driving:
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.

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Report details

Date of report
16 December 2015
Coroner
Emma Whitting
Coroner area
Birmingham and Solihull

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: 10 Feb 2016 (estimated).

Sent to

The Driver and Vehicle Licensing Authority

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