Prabhaker Kapoor
6 Aug 2019 · Coroner Adam Hodson · Birmingham and Solihull
The coroner's concerns
1. lack of safer swallowing training
“I heard evidence that a review of safer swallowing training was to be provided to staff on team training days, and that changes would be made to the MOODLE training package by the Speech and Language Manager. The RCA report carried out by Matron indicated that this should have been completed by 15th May 2019, but in oral evidence it was revealed that this had not been done, and an estimated timeframe for completion could not be provided to me. Whilst it was suggested that confirmation could be submitted”
Responses
2019-0278-Response-by-Birmingham-Hospitals-NHS-Trust.pdf ↗· University Hospitals Birmingham NHS Foundation Trust
Stated action · 21 October 2019
“A review has now been undertaken, and the content of the training package has been updated by our Speech and Language Therapy team (SLT) to reflect our standard operating procedures relating to 'dysphagia' and patients who are 'nil by mouth'. The training package is currently being developed and will be available for staff by 21 October 2019.”