On 7ih January 2014 commenced an investigation into the death of Mr John Patrick Fox, aged 93years. The investigation concluded at the end of the inquest on 4" march 2014. The conclusions of the inquest were as follows: Injury or disease causing death: I(a) Ventricular arrhythmia (b) Ischaemic heart disease, atrial fibrillation, heart failure and aortic regurgitation (c) pneumonia II Fractured neck of femur (surgery 23/12/2013) and osteopenia. How, when and where Mr Fox came by his death: Mr Fox sustained an accidental fall at his home address on 22/12/2013. He fractured his left neck of femur and was admitted to St Georges Hospital. Despite all active treatment for his fracture and underlying heart problems, he died on 01/01/2014_ Conclusion of the coroner as to the death: Accidental fall in combination with severe underlying natural disease.

Evidence_was taken from his daughter that Mr Fox had a severe kyphosis and ankylosing spondylitis This would have meant that he was at high risk of chest infection post operatively, making early mobilisation and physiotherapy especially important: During his in patient stay there were 3 bank holidays and a weekend, during which the access to physiotherapy was limited to an on call service only.

In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action:

Injury or disease causing death: I(a) Ventricular arrhythmia (b) Ischaemic heart disease, atrial fibrillation, heart failure and aortic regurgitation (c) pneumonia II Fractured neck of femur (surgery 23/12/2013) and osteopenia. How, when and where Mr Fox came by his death: Mr Fox sustained an accidental fall at his home address on 22/12/2013. He fractured his left neck of femur and was admitted to St Georges Hospital. Despite all active treatment for his fracture and underlying heart problems, he died on 01/01/2014_ Conclusion of the coroner as to the death: Accidental fall in combination with severe underlying natural disease.