Source · Prevention of Future Deaths
John Bartle
Ref: 2015-0232
Date: 18 Jun 2015
Coroner: Margaret Jones
Area: Stoke-on-Trent and North Staffordshire
Responses identified: 0 / 3
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Concerns were raised about a perceived lack of staff over a bank holiday leading to delayed interventions, alongside poor nutritional support, inadequate pain control, and poor communication from nursing staff.
Date
18 Jun 2015
56-day deadline
13 Aug 2015 est.
Responses identified
0 of 3
Coroner's concerns
Concerns were raised about a perceived lack of staff over a bank holiday leading to delayed interventions, alongside poor nutritional support, inadequate pain control, and poor communication from nursing staff.
View full coroner's concerns
The family perceived a lack of staff over the Bank Holiday weekend, Friday 22"d August to Monday August which they felt led to delayed interventions for Mr Bartle: The family perception was of poor nutritional support and pain control for Mr Bartle. The family experienced poor communication from nursing_staff Coroner's Chambers, 547 Ilartshill Road, Stokc-on-Trent, ST4 6HIF Tcl 0[782 234777 Fox 01782 232074 Joy aged The Augl 25"h
Report sections
Investigation and inquest
On 05/09/2014 commenced an investigation into the death of Benjamin John William Bartle 71 years. The investigation concluded at the end of the inquest on 18h June 2015. The conclusion of the inquest was that the deceased died from a recognised complication of surgery. deceased was admitted to the University Hospital North Staffordshire, Stoke on Trent on the Bth ust 2014 and underwent elective laparoscopic resection of his colon for early colon cancer. Post operatively he had problems with small bowel obstruction requiring a further laparotomy and release of adhesions_ He had a pre-sacral collection drained on the 22nd August 2014. He developed an infection which did not respond t0 intravenous antibiotic treatment and suffered an acute cardiac event: He died at 4.30 pm on the 26th August 2014. The cause of death was septicaemia due to laparoscopic anterior resection for early colon cancer:
Circumstances of the death
See above
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,
Copies sent to
Treni & North Staffordshire Coroner'$ Chambers, 547 Hartshill Rond, StokeTrent, ST4 6HIF Tel 01782 23+777 Fox 0(782 232074 duty
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Report details
- Reference
- 2015-0232
- Date of report
- 18 June 2015
- Coroner
- Margaret Jones
- Coroner area
- Stoke-on-Trent and North Staffordshire
Responses identified
Responses identified
0 of 3
3 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 13 Aug 2015 (estimated).
Sent to
- am Margaret
- CORONER
- Jones, Assistant Coroner, for Stoke-on-Trent & North Staffordshire.