George Griffiths

“The patient appears to have been held in ED for 40+ hours during which time footwear was not removed. Necrotic Toe apparent without evidence of appropriate management or referral.”

“Skin inspection on admission confirmed that all areas were intact but there is no evidence of preventative care despite patients' time on ED (40 hours) and in AMU (5 days) . Acknowledgement of pressure area damage occurred on the 8th February but no reassessment took place until the 20th February with consequent failure to implement pressure relieving measures.”

“The Pressure Sore acquired in Hospital contributed to the death and it is noted that pressure area care training is not mandatory within Wye Valley Trust.”