Source · Prevention of Future Deaths

John Fox

Ref: 2014-0098 Date: 5 Mar 2014 Coroner: Fiona Wilcox Area: : London Inner (West) Responses identified: 0 / 1 View PDF

Reduced physiotherapy services on bank holidays and weekends increase the risk of post-operative complications for vulnerable patients.

Date 5 Mar 2014
56-day deadline 30 Apr 2014
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Reduced physiotherapy services on bank holidays and weekends increase the risk of post-operative complications for vulnerable patients.
View full coroner's concerns
That there is a reduced level of physiotherapy services on bank holidays and weekends; increasing the risk of post operative complications developing in vulnerable patients

Report sections

Investigation and inquest
On 7ih January 2014 commenced an investigation into the death of Mr John Patrick Fox, aged 93years. The investigation concluded at the end of the inquest on 4" march 2014. The conclusions of the inquest were as follows: Injury or disease causing death: I(a) Ventricular arrhythmia (b) Ischaemic heart disease, atrial fibrillation, heart failure and aortic regurgitation (c) pneumonia II Fractured neck of femur (surgery 23/12/2013) and osteopenia. How, when and where Mr Fox came by his death: Mr Fox sustained an accidental fall at his home address on 22/12/2013. He fractured his left neck of femur and was admitted to St Georges Hospital. Despite all active treatment for his fracture and underlying heart problems, he died on 01/01/2014_ Conclusion of the coroner as to the death: Accidental fall in combination with severe underlying natural disease.
Circumstances of the death
Evidence_was taken from his daughter that Mr Fox had a severe kyphosis and ankylosing spondylitis This would have meant that he was at high risk of chest infection post operatively, making early mobilisation and physiotherapy especially important: During his in patient stay there were 3 bank holidays and a weekend, during which the access to physiotherapy was limited to an on call service only.
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:
Inquest conclusion
Injury or disease causing death: I(a) Ventricular arrhythmia (b) Ischaemic heart disease, atrial fibrillation, heart failure and aortic regurgitation (c) pneumonia II Fractured neck of femur (surgery 23/12/2013) and osteopenia. How, when and where Mr Fox came by his death: Mr Fox sustained an accidental fall at his home address on 22/12/2013. He fractured his left neck of femur and was admitted to St Georges Hospital. Despite all active treatment for his fracture and underlying heart problems, he died on 01/01/2014_ Conclusion of the coroner as to the death: Accidental fall in combination with severe underlying natural disease.

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Report details

Reference
2014-0098
Date of report
5 March 2014
Coroner
Fiona Wilcox
Coroner area
: London Inner (West)

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: 30 Apr 2014.

Sent to

St George’s Hospital

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