Edwin Thompson

PFD Report Historic (No Identified Response) Ref: 2014-0542
Date of Report 22 December 2014
Coroner Terence Carney
Response Deadline ✓ from report 9 March 2015
No published response · Over 2 years old
Response Status
Responses 0 of 2
56-Day Deadline 9 Mar 2015
Over 2 years old — no identified published response
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroners Concerns
A The seeking of medical advice and assistance. There is a need to draft and disseminate to all care staff a clear, simple and concise directive to care home staff to seek medical advice or assistance in respect of residents presenting with pain, particularly of a cardiac nature without delay.
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Apply full and fair meaning consistently across all schemes
Post Office Horizon Inquiry
Quality and safety oversight
Allow 3-month window to accept Fixed Sum Offer after assessment
Post Office Horizon Inquiry
Quality and safety oversight
Regular CCTV review with swipe card data
Fuller Inquiry
Quality and safety oversight
Share HTA reports with reliant organisations
Fuller Inquiry
Quality and safety oversight
Board review governance - assurance not reassurance
Fuller Inquiry
Quality and safety oversight
Board oversight of licensed mortuary activity
Fuller Inquiry
Quality and safety oversight
Treat HTA compliance as Trust statutory responsibility
Fuller Inquiry
Quality and safety oversight
Chief Nurse responsible for mortuary assurance
Fuller Inquiry
Quality and safety oversight
No deceased left out of fridges overnight
Fuller Inquiry
Quality and safety oversight
Audit and monitor mortuary access
Fuller Inquiry
Quality and safety oversight

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.