Kevin McDonald

PFD Report Historic (No Identified Response) Ref: 2019-0156
Date of Report 16 May 2019
Coroner Geraint Williams
Coroner Area Worcestershire
Response Deadline ✓ from report 11 July 2019
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Discharge paperwork from the clinical decision-making unit lacks clarity regarding follow-up advice, leaving patients uncertain about their post-discharge care and increasing risks.
View full coroner's concerns
(1) During the inquest the clinician giving evidence indicated that the discharge paperwork from the clinical decision-making unit is different to that from other wardsldepartments and it is not clear what a follow-up or advicelguidance is given to patients_ The family of the deceased contend that there was no advice or follow-up and that the deceased was left not knowing what to do about his increasing It appears that no documentation has been found within the hospital about this The standardisation of discharge documentation would appear to be in need of review and invite you to consider this: doing pain
Sent To
  • Worcestershire Acute Hospital NHS Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 11 Jul 2019
About PFD responses

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

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On 31st of January 2019 commenced an investigation into the death of Kevin John McDonald then aged 53 years The investigation concluded at the end of the inquest on 16th of May 2019. The conclusion of the inquest was A case of suicide the medical cause of death being Exsanguination caused by multiple incised wounds
Circumstances of the Death
Mr McDonald was admitted into the Alexandra Hospital in Redditch following a spinal injury where he was assessed and quickly discharged with analgesia but apparently no follow-up. He later killed himself leaving a note indicating that he was so because he could no longer stand the pain
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.