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
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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
Coroner's concerns
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