Robert Payne
16 Apr 2015 · Coroner Andrew Barkley · Powys, Bridgend & Glamorgan Valleys
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. falls resulting in further surgery
“Despite repeated falls risk assessments identifying the deceased as being at high risk of falling he fell on no less than four occasions whilst in hospital which necessitated further surgery as a direct consequence of the fall on the 20" May 2014”
2. unwitnessed fall during ward transfer
“He was transferred between wards at 1am in the morning in circumstances in which it appears no transfer document was completed and fell in circumstances in which the fall was not witnessed”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“He was transferred between wards at 1am in the morning in circumstances in which it appears no transfer document was completed and fell in circumstances in which the fall was not witnessed.”
Later report
“Delay in transferring between Antenatal and HDU wards. The delay in transferring [the deceased]'s mother from antenatal ward to HDU was over 1 hour in a situation when acuity was not raised.”
Responses
No published response was found on judiciary.uk.