Marjorie Gartside
12 Mar 2019 · Coroner Catherine McKenna · Manchester (North)
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inaccurate information suggesting mobilisation
“the information provided by the Royal Oldham Hospital to the Home on 10 October 2018 was inaccurate in suggesting that Mrs [name redacted] was able to mobilise”
2. unsafe discharge
“Mrs [name redacted] discharge from the Royal Oldham Hospital on 12 October 2018 appears to have been unsafe and raises a concern about the robustness of discharge processes”
3. lack of handover and unclear palliative care status
“There appears to have been no handover of care and a lack of clarity as to whether Mrs [name redacted] was for palliative care when she was discharged from the Royal Oldham Hospital on 12 October 2018”
4. missing prescribed medication
“the prescribed anticipatory medication was not sent with Mrs [name redacted] when she was discharged on 17 October 2018”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“No assessment of the risk factors in discharging the deceased was documented in the deceased's records.”
This report
“That the information provided by the Royal Oldham Hospital to the Home on 10 October 2018 was inaccurate in suggesting that Mrs [name redacted] was able to mobilise.”