Alan Peck

PFD Report Historic (No Identified Response) Ref: 2014-0444
Date of Report 14 October 2014
Coroner John Pollard
Coroner Area Manchester (South)
Response Deadline est. 9 December 2014
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Critical medication was not delivered due to an unconnected syringe driver and its subsequent failure to be transferred with the patient, depriving him of essential drugs during transport.
View full coroner's concerns
Whilst a patient on the surgical ward at Tameside Hospital, it was noted by his family that although he was prescribed medication to be delivered by syringe driver; the said driver was unconnected under the patient's bed thus meaning that the essential drugs and analgesia were not being delivered to him_ When he was discharged and transferred from the hospital to the hospice, a nurse grabbed the syringe driver which was attached to his bed, and said that that could not be transferred with him: He was thus deprived of his medications for the duration of that transfer
Sent To
  • Tameside Hospital NHS Foundation Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 9 Dec 2014
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 20th May 2014 commenced an investigation into the death of Alan Charles Peck dob 19th October 1942. The investigation concluded on the 7" October 2014 and the conclusion was one of Natural Causes. The medical cause of death was 1a Adenocarcinoma of the colon (resected) with liver metastases and post-operative wound infection 2. Coronary artery atheroma.
Circumstances of the Death
Mr Peck had been an in-patient at Tameside Hospital for a period of approximately six weeks during which time he had a hemi-colectomy performed. Thereafter he was discharged from the hospital to the Willow Wood Hospice.
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. The
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.