Edward Funnell
2 Sept 2025 · Coroner Andrew Morse · South Wales Wales
The coroner's concerns
1. lack of appreciation of need for podiatrist referral
“There was a lack of appreciation of the need for the deceased to see a podiatrist as recommended by a Tissue Viability Nurse. The referral was not followed up or actioned.”
2. lack of knowledge of nursing staff about podiatrist referral purpose and interventions
“There was an identifiable lack of knowledge on the part of the nursing staff to understand the reason for referral to a podiatrist and the possible interventions a podiatrist could undertake in respect of pressure wound damage, particularly in patients with circulatory problems.”
3. lack of knowledge of importance of following Tissue Viability Nurse dressing recommendations
“There was an identifiable lack of knowledge on the importance of following the recommendations of the Tissue Viability Nurse in respect of the type of dressings to be administered and the importance of ensuring such steps were followed as opposed to using an alternative and, on the evidence, an inappropriate dressing.”