UK Inquiry Tracker

Martin Dean

PFD Report Historic (No Identified Response) Ref: 2014-0416

Date of Report 22 September 2014

Coroner Area Manchester West

Response Deadline est. 17 November 2014

Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's Concerns (AI summary)

Inadequate adherence to hand hygiene by visitors on a Critical Care Ward, directly increasing the risk of infection to vulnerable patients.

View full coroner's concerns

During the Inquest evidence was given that a number of visitors to the Critical Care Ward where Martin Leslie Dean was a patient were not washing their hands on entering the ward. Further evidence stated that the most effective single precaution that could be taken to prevent infection was hand washing. The evidence continued by revealing that it would be possible to station volunteers at the entrances to wards particularly at the entrances to Critical

Sent To

Salford Royal Foundation Trust ›Salford Royal

Response Status

Linked responses 0 of 1

56-Day Deadline 17 Nov 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 26th February 2014 I commenced an investigation into the death of Martin Leslie Dean, aged 42 years. The investigation concluded at the end of the inquest on 9th September 2014. The conclusion of the inquest was that Martin Leslie Dean died as a consequence of a naturally occurring intracerebral haemorrhage together with a complication of necessary treatment for that condition.

Circumstances of the Death

On the 13th December 2013 Martin Leslie Dean suffered an intracerebral haemorrhage at his home address, Timperley, Altrincham, following which he was transferred to Salford Royal Hospital where a shunt and a feeding tube were inserted.