Michael Parke
18 Jan 2017 · Coroner David Roberts · Cumbria
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. misplaced nasogastric tubes
“Staff not being aware of the policy”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Common themes in all were: (a) _ Staff not being aware of the policy.”
Later report
“The court heard that there is no unified approach to address the on going issue of avoidable deaths caused by using misplaced nasogastric tubes.”
Responses
2017-0024-Response.pdf ↗· Department of Health and Social Care
Stated action · 21 April 2017
“Boards were asked to assess and address compliance issues by 21 April 2017”
2017-0025-Response-by-North-Cumbria-University-Hospitals-Trust.pdf ↗· North Cumbria University NHS Trust: NHS England