Mellin Beard
17 May 2019 · Coroner Chris Morris · Manchester (South)
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. delayed community nursing referrals
“it was 'common' not to receive timely referrals in respect of patients who were discharged from hospital and required community nursing services”
2. reliance on agency nursing staff
“only one permanent substantive registered nurse working on the ward, with the vast majority of shifts being fulfilled by agency workers”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“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.”
This report
“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”
Responses
2019-0157-Response-by-Tameside-and-Glossop-Integrated-Care-NHS-Trust.pdf ↗· Tameside and Glossop Care NHS Trust