Sally King

taken. _ (1) Mrs. King was a patient in the hospital for over three weeks and despite numerous attempts to involve the Pain Team proved unsuccessful and she was not seen by the team during her admission: (2 a Consultant Orthopaedic Surgeon, in his evidence told me; "after three weeks of asking; the Respiratory Team eventually agreed to take over Mrs. King's care. However her transfer was delayed due to lack of beds on ward 16. Mrs. was eventually transferred on the 6th February, the that she died_ It would seem that she was not being cared for and treated on the appropriate ward or department: In my opinion action should be taken to prevent future deaths and believe you have the power to take such action King: King 22nd they King day very

You are under a duty to respond to this report within 56 days of the date of this report; namely by 18th November 2013. !, the coroner; may extend the period: Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed_ have sent a copy of my report to the Chief Coroner and to the family as properly Interested Persons I have also sent it to Care Quality Commission who may find it useful or of interest: am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest: You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner, await hearing from you with your response_ Yours sincerely A|wmha Vopz Tom Osborne Her Majesty's Senior Coroner for Milton Keynes This report is sent to: Family of Sally Chief Coroner Care Quality Commission being King