Joan Hanratty
PFD Report
Historic (No Identified Response)
Ref: 2018-0141
No published response · Over 2 years old
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
4 Jul 2018
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
aged The day:
It was confirmed in the course of evidence given at the inquest that under certain circumstances, patients who have been diagnosed with, and are subject to regular review as a result of, Chronic Obstructive Pulmonary Disease are issued with prescriptions for antibiotics and steroids upon request and without requirement for a telephone or in-person consultation with a doctor. Whilst it is recognised that this practice accords with relevant clinical guidelines, it is a matter of concern that the system currently operated by the practice does not currently include explicit advice to patients that; in the event a significant improvement in condition is not experienced within a specified period of time of beginning antibiotic and steroid therapy, medical advice should be sought:
It was confirmed in the course of evidence given at the inquest that under certain circumstances, patients who have been diagnosed with, and are subject to regular review as a result of, Chronic Obstructive Pulmonary Disease are issued with prescriptions for antibiotics and steroids upon request and without requirement for a telephone or in-person consultation with a doctor. Whilst it is recognised that this practice accords with relevant clinical guidelines, it is a matter of concern that the system currently operated by the practice does not currently include explicit advice to patients that; in the event a significant improvement in condition is not experienced within a specified period of time of beginning antibiotic and steroid therapy, medical advice should be sought:
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation the power to take such action:
Report Sections
Investigation and Inquest
On 7th February 2018, | opened an inquest into the death of Joan Hanratty who was 75 years when she died at Tameside General Hospital, Ashton under-Lyne on 28'h January 2018_ The investigation concluded at the end of the inquest which heard on 30"h April 2018_ conclusion of the inquest was that Mrs Hanratty died a5 a consequence of septic shock due to pneumonia and Chronic Obstructive Pulmonary Disease against a background of multiple complex medical problems: At the end of the inquest;, recorded a conclusion of Natural Causes
Circumstances of the Death
Mrs Hanratty had a complex medical history, which included heart failure, ischaemic heart disease , atrial fibrillation, hypertension and moderate to severe Chronic Obstructive Pulmonary Disease. On 23" January 2018,Mrs Hanratty contacted Denton Medical Practice and requested a prescription for antibiotics and steroids having developed a chest infection. As Mrs Hanratty was subject to regular review for her Chronic Obstructive Pulmonary Disease, a prescription for Amoxicillin and Prednisolone was issued automatically in accordance with relevant best-practice guidelines. On 28'h January 2018, Mrs Hanratty was brought into hospital by ambulance, having collapsed and suffered a cardiac arrest Despite attempts to resuscitate her, she sadly died in hospital later that
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.