Ann Corfield

1. 1. lack of medication handover

   “I heard evidence at the Inquest staff at Park House were not aware that Mrs [name redacted] was receiving an anticoagulant in the form of enoxaparin whilst she was a patient at Royal Oldham Hospital to reduce the risk of her developing a VTE or that she had refused this medication whilst a patient ROH”

2. 2. inadequate fluid balance charting

   “Dehydration clearly played a part in Mrs [name redacted] death. I heard evidence at Inquest that Fluid Balance Charts were poorly completed indeed some of them were not completed at all or contained errors with simple arithmetic”

3. 3. delayed and omitted anticoagulant administration

   “I heard evidence that although Mrs [name redacted] was at high risk of developing a VTE, following her admission to Park House on 28th June, prophylactic anticoagulation was not prescribed for her until 30th June when a prescription for clexane (enoxaparin) was issued. Further, although clexane was prescribed, it was never administered to Mrs [name redacted]”

No published response was found on judiciary.uk.