Sidney Alexander

PFD Report Historic (No Identified Response) Ref: 2016-0257
Date of Report 18 July 2016
Coroner PS Cooper
Coroner Area Lincolnshire (South)
Response Deadline est. 12 September 2016
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Biopsy reports lacked sufficient space for consultants to fully complete their findings, resulting in incomplete and potentially inadequate medical documentation.
View full coroner's concerns
Consultant Gastroenterologist gave evidence, During that evidence he conceded that he hadntt been able to fully complete a Biopsy report for Unilabs as there was insufficient room on it: Surely a form can be expanded or provision made for an addendum?
Sent To
  • United Lincolnshire Hospitals NHS Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 12 Sep 2016
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 12/06/2015 commenced an investigation into the death of Sidney Brian Alexander, age 73. The investigation concluded at the end of the inquest on 01/06/2016. The conclusion of the inquest was a Narrative Conclusion (attached)
Circumstances of the Death
Mr Alexander was admitted at 06.30hrs on 19/05/2015 with a background of 1997 cardiac transplant (on immunosuppressants) , COPD an colitis He presented with a few months history of diarrhoea_ Treated medically for Crohn's exacerbation with IV steroids and then infliximab to no effect. He developed respiratory distress on 03/06/2015. X-Ray showed diffuse right sided infiltrates_ CMV positive Treated with Memperom and Ganciclovir but Mr Alexander died at 2310hrs in the Pilgrim Hospital, Fishtoft. Unit 1, Gilbert Drive; Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire gov.uk

P $ Cooper Her Majesty's Acting_Senior Coroner for South Lincolnshire
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you andlor 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.