Brighton and Sussex University Hospitals NHS Trust

PFD Addressee
Reports: 36 Earliest: Feb 2014 Latest: 16 Jun 2022
Response Status (last 2 years)
AI Classification
Action Taken 77%
Action Planned 14%
Noted 5%
Disputed 5%
Based on 22 classified responses
PFD Reports Received by Quarter
PFD Reports
36 results
Thelma Jones
All Responded
2015-0318 12 Aug 2015 Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The provided text only states the report concerns the Acute Medical Unit (AMU) where the deceased was admitted, without specifying the issues or failures.
Disputed (AI summary) The Trust believes that the medical notes contain appropriate detailed information on the care and treatment given within AMU and in relation to the NEWS scores, therefore remedial action is not necessary.
Anthony Geerts
Partially Responded
2015-0240 24 Jun 2015 Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The provided text is incomplete and does not contain any discernible coroner's concerns.
Action Taken (AI summary) Brighton and Sussex University Hospitals NHS Trust has integrated the neck of femur service at the Princess Royal Hospital. They also recruited a new Clinical Nurse Practice Educator and implemented a structured teaching program for junior doctors and nurses.
Isaac Bahar
All Responded
2015-0229 15 Jun 2015 Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) A patient with advanced kidney disease was fatally prescribed Codeine, directly breaching hospital policy and national guidance on medication for vulnerable patients.
Action Taken (AI summary) Brighton and Sussex University Hospitals Trust has discussed the incident with general surgeons and the nursing and pharmacy teams, leading the general surgeons to decide that codeine should no longer be routinely available for them to prescribe.
Evelyn Kennedy
All Responded
2015-0178 7 May 2015 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Acute Medical Unit failed significantly in patient care, with issues including incomplete handovers, poor personal hygiene, missing wristbands, unremoved IVs, incomplete care documentation, development of pressure damage, and unescalated NEWS scores indicating clinical deterioration.
Action Taken (AI summary) The Trust has been undertaking work, including improved consultant cover, a working group to address practices and documentation, developing specialist areas, improving signage, improving information handover, and increased monitoring of documentation.
Bruce Longden
All Responded
2015-0149 21 Apr 2015 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The Sussex Partnership Trust demonstrated a critical lack of awareness regarding its own internal protocols.
1 response from Response Brighton and Sussex University Hospitals NHS Trust
Maureen Ellett
All Responded
2014-0473 31 Oct 2014 Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Initial A&E documentation was flawed, with critical patient information like blood pressure and Glasgow Coma Scale omitted from the front sheet.
Action Taken (AI summary) Agreement has been reached with SECAMB that they will start calculating National Early Warning Scores (NEWS) and the triage nurse will note this when the patient arrives. The Trust is continuing to educate staff about avoiding the term 'Acopia'. Individual named emergency consultants have recently been given responsibility for each of the Short Ward and Clinical Decisions Unit.
Martin Hill
All Responded
2014-0382 22 Aug 2014 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) No specific concerns were detailed in the provided text for this report.
Action Taken (AI summary) The Trust has begun a high-risk review into the death and is improving electronic reporting systems by utilizing a system called "Order Comms" for radiology. The Matron for the CDU has ensured that the staff are familiar with the responsible flowchart. The process for discharge summaries with patients from the CDU is currently under review and it is anticipated that the CDU will soon be utilising the electronic discharge summary process.
John Adams
Historic (No Identified Response)
2014-0293 1 Jul 2014 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) VERONICA HAMILTON-DEELEY, LLB.
Graham Watts
All Responded
2014-0149 3 Apr 2014 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The hospital's discharge procedure was severely flawed, involving blank paperwork, lack of communication with family or care home, and discharging a medically unfit patient.
Action Taken (AI summary) A social worker has started attending daily "Board Round" meetings to assist in patient discharge planning. The Trust acknowledges shortcomings in the discharge planning process and is aiming to start a one year pilot scheme to focus on consistent multi-disciplinary management of frail elderly patients, in preparation for their discharge.
Herta Woods
Historic (No Identified Response)
2014-0081 26 Feb 2014 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Multiple failures in patient care included apparent abandonment, poor documentation, lack of senior review, incorrect fluid management leading to overload, and inappropriate cannulation, all contributing to the patient's death.
Stephen Palmer
Historic (No Identified Response)
2014-0072 25 Feb 2014 Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Multiple failures, including delayed assessments, lack of senior review, inappropriate unit transfer, and a complete CT scanning service failure, led to critical deterioration and suboptimal surgical management.