Charles Bradley

To the day:

During the investigation and inquest into Mr Bradley's death it was found that the record-keeping and communications at Arrowe Park Hospital were inadequate, ineffective making them unsafe. This was evidenced by findings that though Leeds Teaching Hospital had effective records as to the arrangements for the transfer of Mr Bradley to Arrowe Park on the 21st February 2013, when Mr Bradley arrived at Arrowe Park they were not expecting him: This is likely to have caused added worry and stress to his rehabilitation plan. It is further evidenced by the inadequate recording of his fall on the 215 February 2013. From evidence it was unclear as to whether it was witnessed or not; was it in a bathroom and if s0 why was there mention of a filing cabinet near where he lay? In other cases the matters reported could result in fatalities. Documentation; recordkeeping and communications are core basic skills for all who work In healthcare_ Neither the HEALTH aspect nor the CARE aspect of a health care service can be delivered without these basic skills. It would be helpful to see a cross Trust action plan with regard to the improving documentation, record-keeping and communication in the response to this report