Source · Prevention of Future Deaths
Chloe Grace Flavell
Ref: 2014-0003
Date: 6 Jan 2014
Coroner: Maria Voisin
Area: Avon
Responses identified: 0 / 1
View PDF
The reception area management, prior to triage, creates significant and dangerous delays in providing immediate care and treatment, particularly for children.
Date
6 Jan 2014
56-day deadline
3 Mar 2014 est.
Responses identified
0 of 1
Coroner's concerns
The reception area management, prior to triage, creates significant and dangerous delays in providing immediate care and treatment, particularly for children.
View full coroner's concerns
It became apparent during the evidence that the management of the reception area,ie the stage before triage, could add significant when assessing someone who was in need of immediate care and treatment especially a child therefore indicated at the conclusion of the inquest that would write to the Trust about the management of the reception area for them to consider whether there ought to be a better system in place to ensure that those needing immediate care and treatment; especially children, are managed in a more appropriate and efficient way to minimise delay and ensure that immediate care and treatment is_given 15"h _ delay
Report sections
Circumstances of the death
Chloe Flavell became unwell and was taken by her parents to Weston General Hospital on the morning of 3rd April 2013 and died there at 14.30 hours
Action should be taken
In my opinion action should be taken to prevent future deaths and believe your organisation have the power to take such action.
Similar PFD reports
Related inquiry recommendations
Southport Inquiry
Healthcare trust risk information visibility
COVID-19 Inquiry
Data Systems for High-Risk Individuals
Muckamore Abbey Inquiry
Full staff access to care plans
Muckamore Abbey Inquiry
Clear records and disclosure policies
Mid Staffs Inquiry
Common information practices shared data and electronic records
Bristol Heart Inquiry
Ensure patients receive copies of all inter-professional letters about their care
Bristol Heart Inquiry
Provide parents of young children with copies of all inter-professional healthcare letters
Southport Inquiry
Response officer access to case information technology
Southport Inquiry
GMMH and Alder Hey joint SMART audit
Southport Inquiry
National guidance on SMART action points
Report details
- Reference
- 2014-0003
- Date of report
- 6 January 2014
- Coroner
- Maria Voisin
- Coroner area
- Avon
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: 3 Mar 2014 (estimated).
Sent to
- Weston Area Health NHS Trust