Margaret Postill
21 Dec 2017 · Coroner Alison Mutch · Manchester (South)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of evaluation after return
“There did not appear to have been any evaluation of Mrs [name redacted] after her return on 2TM May 2017. In particular no evaluation/assessment sheets were completed.”
2. poor quality documentation
“The documentation held by Tameside Hospital relating to the second visit was of poor quality .In particular there was a lack of detail around the decision making.”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“The documentation held by Tameside Hospital relating to the second visit was of poor quality .In particular there was a lack of detail around the decision making.”
Later report
“The ward was staffed by ward doctors throughout the day but there was no documeniation to suggest communication between the ward doctors and nursing staff in relation to Mr [name redacted] and his deteriorating picture”
Responses
2017-0382-Response-by-Tameside-and-Glossop-NHS-Trust.pdf ↗· Tameside General Hospital
Stated action · end of November
“We would hope that once you have had a chance to consider this further information with respect to documentation within the ED Department you will be reassured that there is clear evidence that there is nota cultural acceptance of poor documentation with the ED Department and that the department, particularly the Senior Consultants, work hard to ensure that all clinicians fully understand their obligations with respect to documentation and where these expectations are not met, that action is taken”