Pauline Margerat Bradley
24 Jun 2026 · Coroner Sally Robinson · East Riding and Hull
The coroner's concerns
1. lack of family support in ward
“The family were not told that they were welcome to provide support to Mrs [name redacted] on the ward initially. Whilst it is acknowledged that not all patients have family or friends who are able to help the family of Mrs [name redacted] felt that communication could have been improved on the ward which may have meant that [name redacted] would not have fallen on the ward as family would have been with her.”
2. cubicles without falls mats or sensors
“The cubicles on Ward H90 Hull Royal Infirmary do not all have falls mats or sensors and whilst is acknowledged that these are not always appropriate in hospital settings it may be desirable that there are enough so that one may be used.”
3. staff occupied with handover
“Although staffing was optimal on the evening of 24th October 2025 at the time of Mrs [name redacted] fall the staff were engaged in hand over leaving the cubicles unmonitored for a period of time.”