Evidence
Date of report: 19/09/2024
Ref: 2024-0502
Deceased name: Suzanne Eccles
Coroners name: Chris Morris
Coroners Area: Greater Manchester South
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: Tameside and Glossop Integrated Care NHS Foundation Trust
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS | |
---|---|
THIS REPORT IS BEING SENT TO:
[REDACTED], Chief Executive, Tameside and Glossop Integrated Care NHS Foundation Trust |
|
1 | CORONER
I am Chris Morris, Area Coroner for Greater Manchester (South). |
2 | CORONER’S LEGAL POWERS
I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. |
3 | INVESTIGATION and INQUEST
On 10th April 2024, Alison Mutch, Senior Coroner for Greater Manchester (South), opened an inquest into the death of Suzanne Rose Eccles who died on 3rd March 2024 at Tameside General Hospital, Ashton-under-Lyne, aged 72 years. The investigation concluded with an inquest which I heard on The inquest determined that Mrs Eccles died as a consequence of:- 1) a) Pneumonia and Empyema; II Ischaemic Heart Disease The conclusion of the inquest was a Narrative Conclusion, to the effect that Mrs Eccles died as a consequence of complications arising from necessary surgery which had not been identified in the course of previous hospital attendances. |
4 | CIRCUMSTANCES OF THE DEATH
Mrs Eccles died on 3rd March 2024 at Tameside General Hospital having developed Pneumonia and Empyema against a background of recent surgery for lung cancer. Her death was contributed to by Ischaemic Heart Disease. In the days leading up to her death, Mrs Eccles had been seen in the Same Day Emergency Care Unit and Emergency Department, and also been a patient on the Virtual Ward. |
5 | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. – Whilst the court heard evidence as to significant work which has been undertaken following the Trust’s detailed investigation into the circumstances leading to Mrs Eccles’s death, it is a matter of concern that no system currently operates whereby clinicians working in the Emergency Department can easily access records made by colleagues working on the Virtual Ward. |
6 | ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe you and your organisation have the power to take such action. |
7 | YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this report, namely by |
8 | COPIES and PUBLICATION
I have sent a copy of my report to the Chief Coroner, Mrs Eccles’s daughter and son-in-law, and the Trust’s legal team. I have also sent a copy to the Care Quality Commission and NHS Greater Manchester Integrated Care who may find it useful or of interest. |
9 | Dated: 19th September 2024 Signature: Chris Morris, Area Coroner, Manchester South. |
The post Suzanne Eccles: Prevention of Future Deaths Report appeared first on Courts and Tribunals Judiciary.
Estimated reading time: 11 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
Cool Evidence: Engaging Young People and Students in Real-World Evidence
Real-Time Evidence Search [Psychiatry]
AI Research
Suzanne Eccles: Prevention of Future Deaths Report
🌐 90 Days
Evidence Blueprint
Suzanne Eccles: Prevention of Future Deaths Report
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence