Source · Prevention of Future Deaths

Maurice Camfield

Ref: 2015-0176 Date: 16 Apr 2015 Coroner: David Hinchliff Area: West Yorkshire (East) Responses identified: 0 / 1 View PDF

Crucial one-to-one nursing care, stipulated in the agreed care plan, was not consistently provided to the patient.

Date 16 Apr 2015
56-day deadline 11 Jun 2015 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Crucial one-to-one nursing care, stipulated in the agreed care plan, was not consistently provided to the patient.
View full coroner's concerns
In circumstances it is my statutory duty to report to you: heard evidence at this Inquest from a Consultant in Neurological Rehabilitation who expressed the view that it was important that in Mr Camfield's case that those involved in his care and treatment should do s0 strictly in accordance with the agreed plan which dictated that he should have one t0 one nursing care at all times stressed the importance of doing what was in the care plan which did nothappen in Mr Camfield's case

Report sections

Circumstances of the death
Maurice Camfield's medical was that of suffering back pain, type 2 diabetes and chronic obstructive pulmonary disease. On 21st April he was involved in a road traffic collision in Bangkok whilst motor cycle which caused him to suffer a traumatic brain injury: He was repatriated t0 the United Kingdom on 16th 2013 whereupon he was admitted to Pinderfields General Hospital, Wakefield . The injuries he had sustained in Bangkok were subdural and subarachnoid haemorrhages , fractured ribs, left obstructive uropathy and hydronephrosis and dilatation with linear skull fracture: He developed post injury agitation and seizure activity and he was transferred to the stroke unit where a new diagnosis 0f HIV was made_ Mr Camield was deemed ready for rehabilitation and was transferred t0 Dewsbury District Hospital for stroke rehabilitation Where his condition deteriorated On 27urJune 2013 he was transferred to the intensive care unit at Dewsbury Hospital where he developed sepsis He required blood pressure support and inotropes and hereasefed by a nasogastric tube_ On 5ih July 2013 he was transferred back to Pinderfields General Hospital but became immediately_unresponsive on the journey and died in the ambulance The 1(a) history from riding May
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action_ therefore request that the Trust's Medical Director ascertain from ithe precise nature of her concerns and then should issue the appropriate direcions to all Clinicians and nursing staff about the importance of care being given strictly in accordance an agreed care plan: In order to assist attach a copy of report dated 16th December 2013 and a transcript of the evidence she gave arinis Inquest

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Report details

Reference
2015-0176
Date of report
16 April 2015
Coroner
David Hinchliff
Coroner area
West Yorkshire (East)

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: 11 Jun 2015 (estimated).

Sent to

Mid Yorkshire Hospitals NHS Trust

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