Source · Prevention of Future Deaths
Michael Hacker
Ref: 2015-0179
Date: 8 May 2015
Coroner: Maria Voisin
Area: Avon
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner raised concerns regarding the ambulance service's policy and training on the Mental Capacity Act, specifically concerning protocols for using restraint or force when a patient refuses transport to hospital.
Date
8 May 2015
56-day deadline
3 Jul 2015 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The coroner raised concerns regarding the ambulance service's policy and training on the Mental Capacity Act, specifically concerning protocols for using restraint or force when a patient refuses transport to hospital.
View full coroner's concerns
an Advocacy and Locum Consultant IMCA expressed in evidence his concerns in relation to the ambulance service in this particular case_ heard evidence that South West Ambulance Services Trust had attended Mr, Hacker previously to take him to hospital for treatment of his gangrene and had not been successful in persuading Mr. Hacker to go with them: Icontacted Ifrom the South Western Ambulance Services rust before after Mr. Hacker's death to be told that if an ambulance turned up at the property then there was a protocol in place that meant that the crew would not use restraint or apply force if Mr: Hacker did not want to go with them expressed concerns as to the Trust's policy around the Mental Capacity Act: If Mr: Hacker had been taken to hospital sooner he may or may not have received treatment depending on a number of factors including his capacity to make decisions_ did not make any criticism around the ambulance service in this case however it did raise a concern with me about prevention of future deaths. am therefore writing this report to ask that you consider your training and policy around the Mental Capacity Act and and
Report sections
Investigation and inquest
On 16"h January 2015 | commenced an investigation into the death of Michael Lawrence HACKER, Aged 66. The investigation concluded at the end of the inquest on 6"h May 2015. The conclusion of the inquest was Natural Causes with the medical cause of death being la) Gangrene of the foot and 1b) Type 2 diabetes mellitus
Circumstances of the death
Mr: Hacker was an eccentric man who refused hospital admission to treat his gangrene He was assessed as lacking capacity to refuse admission on 19th December but died on 28ih December 2014 at his home address before hospital admission
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
- 2015-0179
- Date of report
- 8 May 2015
- Coroner
- Maria Voisin
- Coroner area
- Avon
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: 3 Jul 2015 (estimated from the report date).
Sent to
- South Western Ambulance Service