Colin Bailey
PFD Report
Historic (No Identified Response)
Ref: 2019-0106
No published response · Over 2 years old
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
4 Aug 2019
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
Coroner's Concerns
The inquest heard that Mr Bailey fell and hit his head whilst an in-patient at Stepping Hill hospital. No CT scan of the brain/head was undertaken despite Mr Bailey taking anti-coagulant medication because NICE guideline recommend a scan is undertaken if the patient has fallen, struck their head and is taking warfarin but that is not the guidance if the anticoagulant medication is one of the other types of anticoagulant medications used. The clinicians attending the Inquest indicated that a CT scan in this scenario should be undertaken whatever the type of anti-coagulant medication and that is the Trust's own policy going forwards: There was concern that this ought to be national guidance:
Report Sections
Investigation and Inquest
On 11th April 2018 an investigation into the death of Colin Bailey was commenced and an inquest opened on 19ih April 2018. The Inquest was concluded on 1gth March 2019 and the conclusion was one of Narrative: Mr Bailey died as a result of a recognised risk of the use of anti-coagulant medication in combination with his cO-morbid conditions The medical cause of death was Ia Extensive subarachnoid haemorrhage bilaterally with intraventricular extension of bleed: 1b Hypertension II Ischaemic stroke, atrial fibrillation requiring anti-coagulation, type 2 diabetes.
Circumstances of the Death
Mr was admitted to Stepping Hill Hospital following a stroke on 9th March 2018. He was transferred to Tameside General Hospital on 14th march 2018 to continue his rehabilitation. On 1Oth April 2018 his condition suddenly deteriorated. A CT scan of the head showed an extensive subarachnoid haemorrhage bilaterally with intraventricular extension of the bleed which was linked to and probably exacerbated by the use of anticoagulant medication His health worsened and a as result of the subarachnoid haemorrhage he died at Tameside General Hospital Bailey -
on 1Oth April 2018.
on 1Oth April 2018.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.