John Malone

PFD Report Historic (No Identified Response) Ref: 2014-0026
Date of Report 21 January 2014
Coroner John Pollard
Coroner Area Manchester (South)
Response Deadline est. 18 March 2014
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
No published response · Over 2 years old
Sent To
Response Status
Responses 0 of 1
56-Day Deadline 18 Mar 2014
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
took evidence from the two GP's caring for the deceased and they showed to me; inter alia , a discharge letter from your hospital dated 21"' October 2013 a copy of which append hereto. You will note that this document is woefully short on detail and has significant omissions of vital information for the GP's. On page one of the report there are no details given as to Admission date, admission ward, admission method, admission source, discharge destination or discharge date. patient sustained a fall within 3 days of his discharge and this led to or exacerbated his subdural haemorrhage.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action: It is essential that full information is passed promptly to the GP practice of a patient discharged.
Report Sections
Investigation and Inquest
On 29th October 2013 commenced an investigation into the death of John Joseph Malone dob 16"h January 1932, The investigation concluded at the end of the inquest on 8" January 2014. The conclusion of the inquest was that Mr Malone suffered two falls at his home address; the first several weeks before his death and the second on the 24" October 2013 which led to his sustaining a subdural Haematoma and concluded that he had died an accidental death
Circumstances of the Death
As paragraph 3 above
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.