Source · Prevention of Future Deaths

Charles Pierson

Ref: 2014-0336 Date: 6 Aug 2014 Coroner: ARW Forrest Area: South Leicestershire Responses identified: 1 / 2 View PDF

The deceased was able to meet the vision standard set for drivers by the DVLA according to a practitioner registered with the General Optical Council, but DVLA staff indicated this was not the case, and the deceased was not informed to notify DVLA of the findings.

Date 6 Aug 2014
56-day deadline 9 Oct 2014
Responses identified 1 of 2
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
The deceased was able to meet the vision standard set for drivers by the DVLA according to a practitioner registered with the General Optical Council, but DVLA staff indicated this was not the case, and the deceased was not informed to notify DVLA of the findings.
View full coroner's concerns
A practitioner registered with the General Optical Council gave a statement to the effect that the deceased, when subject to an eye examination was able to meet the vision standard set for drivers by the DVLA. A review of his documented findings by DVLA staff indicated that was not the case. The DVLA opinion is that the deceased should have been informed by his optician to inform DVLA of the findings. This was not done and as a result the deceased continued to drive without a review of his vision defects by the DVLA. I should tell you that there is no evidence that his vision defects contributed to the collision that led to his death.

Responses

1 respondent
General Optical Council Other
6 Oct 2014 PDF
Action Taken

The General Optical Council (GOC) concluded its investigation into the optometrist's fitness to practise, closing the case with no further action. However, the GOC has published new standards for individual registrants, defining expected behaviour and performance for all optometrists and dispensing opticians, in response to the issues raised by this case. (AI summary)

View full response
Dear Professor Forrest

Action to Prevent Future Fatalities (Inquest into the death of Charles Pierson)

I write further to my letter dated 6 October 2014 to inform you of the outcome of the GOC's investigation into the fitness to practise of [REDACTED].

The allegation against [REDACTED] has now been considered by two of the GOC's case examiners.

When the case examiners consider an allegation of impaired fitness to practise against a registrant, they are required to apply what is known as the "realistic prospect test" in order to determine whether or not a matter should be referred for a hearing before the Fitness to Practise Committee. This is a two stage test:

* Firstly, the case examiners must consider whether there is a realistic prospect of being able to prove the facts alleged against the registrant if the allegation is referred to the Fitness to Practise Committee.
* Secondly, if the alleged facts were proved, the case examiners must consider whether they are so significant as to indicate that the registrant's fitness to practise is or may be impaired to a degree that justifies action being taken against their registration.

The case examiners have applied this test to the allegation against [REDACTED] and have determined that the matter ought not be referred to the Fitness to Practise Committee. The case against [REDACTED] has therefore now been closed with no further action.

As the case did not proceed to a final hearing, the full decision of the case examiners is not publically available. The GOC can consider disclosing the decision to you however, if a specific request is made. If you would like to obtain a copy of the full decision, please submit your request by email to [REDACTED] Investigations Manager, at [REDACTED]

10 Old Bailey, London, EC4M 7NG Telephone +44 (0)20 7580 3898 Fax +44 (0)20 7436 3525 Email goc@optical.org Web www.optical.org Registered charity number 1150137

Finally, you may recall that in my letter of 6 October 2014 I informed you that we were looking at the issues raised by this case from the perspective of our role in setting standards for the individuals and businesses on our register. I can now inform you that the new standards for individual registrants have since been published and are available on our website:

behaviour and performance we expect of all registered optometrists and dispensing opticians, including students. It is hoped that by making clear what we expect of our registrants, these standards will have a positive impact on the quality of care provided to patients.

I hope the above information is of some assistance. Please do not hesitate to contact me if you require any further information.

Report sections

Investigation and inquest
On 15th January 2014 I commenced an investigation into the death of Charles Albert William Pierson, age 84 years. The investigation concluded at the end of the inquest on 6TH August 2014. The conclusion of the inquest was ACCIDENT.
Circumstances of the death
On 24th December 2013 at about 11.30am Mr Pierson and his wife arrived at the car park at Tesco's store at Northgate, Sleaford. left the vehicle to collect a trolley. As Mr Pierson reversed into a disabled driving space an incident occurred in which he collided with a bollard and knocked over. He then accelerated forward and collided with a kerb, then a lamp post. His seat belt was fitted with a clip that inhibited its proper operation. This meant that his seat belt did not prevent him from being thrown forward and sustaining the fractured sternum that led to his death.

Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

ARW Forrest LLM, FRCP, FRCPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire
Copies sent to
2. Inspector HeadsDVLATel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.ukAR W. Forrest LLM, FRCP, FRCPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire

Similar PFD reports

Shared signals

Report details

Reference
2014-0336
Date of report
6 August 2014
Coroner
ARW Forrest
Coroner area
South Leicestershire

Responses identified

Responses identified 1 of 2
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 9 Oct 2014.

Sent to

Buckinghamshire Healthcare NHS Trust
General Optical Council

Source links