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recurance

Norma Bruton

19 May 2023 · Coroner Vanessa McKinlay · Birmingham and Solihull

The coroner's concerns

  1. 1. chest drains or intravenous infusions

    “The Birmingham Heartlands Hospital falls risk assessment document does not prompt staff to consider or document the presence of attachments such as chest drains or intravenous infusions.”

Responses

2023-0165-Response-from-University-Hospitals-Birmingham-NHS-Foundation-Trust-.pdf ↗· University Hospitals Birmingham NHS Foundation Trust

Stated action · 15th August 2023

“We have considered the concerns you have raised within your report to prevent future deaths and we are taking steps to add in a drop down menu, within the falls risk assessment, which will allow staff to select an appropriate option if a patient has any equipment, such as drains, in place. This will then also be recorded in the PHAF (Patient Handling Assessment Form) therefore attachments will be reflected in both risk assessments. This will further increase staff awareness of falls risk factors”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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