Daniel Williams
24 Sept 2019 · Coroner Briony Ballard · London Inner (South)
The coroner's concerns
1. wound vulnerable to infection
“Following Surgery Mr [name redacted] was left with a wound which was challenging to nurse and vulnerable to infection”
2. deficient nursing care
“The nursing care which Mr [name redacted] received on this general gastrointestinal (GI) ward was found - by an internal Trust investigation which took place sometime after Mr [name redacted]' death following a request by myself - to be "deficient in delivering the fundamentals of care”
3. c-diff infection
“urisdiction commenced an investigation into the death of Danie! end of the inquest on 28 August 2019.”
4. investigation process for c-diff cases
“Although | found at inquest that the presence of c-diff w. Mr [name redacted] ultimately came by his death | have residual concerns with the potential under investigation of c-diff cases within the Trust from what | was told about the process which is triggered on discovering the presence of c-diff”
5. investigation limited to current ward
“What is not done however, is if the respective patient has recently been transferred from another ward, the investigation does not extend to the conditions on the transferring ward”