Recurance · prevention of future deaths reports
Pre-inquest brief
Insufficient qualified nursing staff on surgical unit
The earlier warning
Barbara White · 13 Jan 2014 · Joanne Kearsley, Manchester (South)
“There was a shortage of staff on duty on the Surgical Unit on the night of the 9th December. There was only one auxillary nurse who was not familiar with the Surgical Unit.”
judiciary.uk/prevention-of-future-death-reports/barbara-white
What was promised
No published response from Tameside General Hospital was found for the earlier reports.
What recurred
- 17 May 2019 · Mellin Beard · Chris Morris · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Barbara White · 13 Jan 2014
“There was a shortage of staff on duty on the Surgical Unit on the night of the 9th December. There was only one auxillary nurse who was not familiar with the Surgical Unit.”
Later · Mellin Beard · 17 May 2019
“The Ward Manager of Ward 31 confirmed in her evidence that, at the time of the care provided to Mr [name redacted], there was only one permanent substantive registered nurse working on the ward, with the vast majority of shifts being fulfilled by agency workers”
What happened next
No web check of the stated actions has been published for this chain.