Michael Longley

PFD Report Historic (No Identified Response) Ref: 2013-0370
Date of Report 19 December 2013
Coroner Rachael Redman
Coroner Area Central & South East Kent
Response Deadline ✓ from report 12 February 2014
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Difficulties in communication between Integrated Care 24 and the District Nursing Service highlight a need for improved oral and written communication methods.
View full coroner's concerns
I heard evidence that Integrated Care 24 had difficulties in contacted the District Nursing Service on 25th December 2011 and I consider that improved methods of both oral and written communication between IC24 and the district nurses must be put in place.
Sent To
  • Kent Community Health NHS Foundation Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 12 Feb 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 17th and 18th October 2013 I commenced an investigation into the death of Michael Longley. My summary of evidence and conclusion were read at Folkestone Magistrates Court on 18th December 2013 when the inquest ended. The conclusion of the inquest was a Narrative Verdict.
Circumstances of the Death
Mr M D Longley had an adverse reaction to Rivaroxaban which was administered after hip surgery which took place on 071211 at William Harvey Hospital, Ashford. Clexane was administered on 261211 by the district nurses. He was admitted to William Harvey Hospital on 311211 with an unrecordable platelet count and died the same day.
Action Should Be Taken
I consider the training of District Nurses must now include that a patient should be examined if symptoms of bleeding have been reported.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.