Anne Sandever
4 Sept 2014 · Coroner Dr Samuel Bass · Cambridgeshire (South & West)
The coroner's concerns
1. lack of nursing care on Walnut ward
“There was a lack on nursing care afforded to Mrs. [name redacted], She was not seen by any nurse or medical staff from until 1030 until 1610 whilst on Walnut ward.”
2. poor communication and handover regarding diabetic status
“Communication and handover was poor, no one on the ward knew Mrs [name redacted] was diabetic or took appropriate care of her diabetic control.”
3. lack of intravenous fluids for patient with renal failure
“She was left without intravenous fluids for many hours despite having renal failure.”
4. lack of SUI inquiry and insufficient investigation
“There has been no SUI inquiry and the hospital has not investigated this sufficiently to ensure that this does not recur and has not taken the necessary steps to assure me of this.”