Jean Waghorn
25 Oct 2019 · Coroner Veronica Hamilton-Deeley · Brighton and Hove
This report repeats 3 earlier warnings. See the linked reports.
The coroner's concerns
1. unnecessary and inappropriate transfers
“Unnecessary and inappropriate transfers between the Royal Sussex County Hospital, the Princes Royal Hospital and the Royal Sussex County Hospital”
2. policy for transfer ignored
“The Brighton and Sussex University Hospital NHS Trust policy for transfer was effectively ignored”
3. lack of use of regulation 28 reports and policy working group
“have made two recent previous regulation 28 reports concerning the Transfer Policy on 12 July 2018 and 20 July 2018. The response to the former included the_assurance that a trust wide transfer policy working group was convened, led oy three extra assessment tool sheets were created. None of these were used for Mrs [name redacted]. Why not? What is the point of the Regulation reports if the trust ignores them?”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust”
This report
“The Brighton and Sussex University Hospital NHS Trust policy for transfer was effectively ignored.”
Closely relatedConfidence 0.80 · moderate
Earlier report
“There are basic requirements for Staffing and resources for a vascular hub. Royal Sussex County Hospital does not meet these requirements.”
This report
“Unnecessary and inappropriate transfers between the Royal Sussex County Hospital, the Princes Royal Hospital and the Royal Sussex County Hospital.”
Closely relatedConfidence 0.90 · high
Earlier report
“(1) Unnecessary transfers to and from the Princess Royal Hospital with no supporting paperwork.”
This report
“(1) Unnecessary and inappropriate transfers between the Royal Sussex County Hospital, the Princes Royal Hospital and the Royal Sussex County Hospital.”
Responses
No published response was found on judiciary.uk.