Source · Prevention of Future Deaths
George Vickery
Ref: 2014-0441
Date: 13 Oct 2014
Coroner: David Horsley
Area: Portsmouth & South East Hampshire
Responses identified: 0 / 1
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The decision to change a patient's treatment location without formally consulting or adequately considering the GP's request for home treatment jeopardised continuity of care.
Date
13 Oct 2014
56-day deadline
8 Dec 2014
Responses identified
0 of 1
Coroner's concerns
The decision to change a patient's treatment location without formally consulting or adequately considering the GP's request for home treatment jeopardised continuity of care.
View full coroner's concerns
_ That the decision to treat Mr Vickery at the clinic rather than in his own home (as had been the case previously) was taken without regard to a request from his GP that he should be treated at home, not at a clinic In my opinion, when assessing how and where a patient should be treated, or when assessing whether any changes should be made as to how and where a patient is treated, Southern Health's Integrated Community Services should formally consult with the Patient's GP and have proper regard to the GP's views on these matters_ Percy leg
Report sections
Investigation and inquest
On 28h March 2013 commenced an investigation into the death of George Robert Vickery, aged 89. The investigation concluded at the end of the inquest on 6th October 2014. The conclusion of the inquest was: Death due to an Accident.
Circumstances of the death
George Vickery fell after alighting from an ambulance outside the Oak Park Community Clinic, Havant: He was attending the clinic for treatment: He sustained a broken hip and was taken to Queen Alexandra Hospital in Portsmouth, where he died the next day:
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.
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Report details
- Reference
- 2014-0441
- Date of report
- 13 October 2014
- Coroner
- David Horsley
- Coroner area
- Portsmouth & South East Hampshire
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: 8 Dec 2014.
Sent to
- Southern Health NHS Trust