LONDON - SOUTH AND INNER SOUTH
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If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
The Coroner has sent a Rule 43 to the following organisation/s ...
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HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
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NATIONAL INSTITUTE OF CLINICAL EXCELLENCE (NICE)
Recommendation - Published May 2012
To consider issuing guidance regarding stopping patients taking Clopidogrel before lung biopsies are undertaken.
RESPONSE
From: National Institute of Health and Care Excellence
Click here to download the response ...
GREAT ORMOND STREET HOSPITAL
Recommendation - Published May 2012
To consider a review to determine whether there is any systematic weakness in the way medical advice is communicated to GPs and parents attending the Urology Department and, if so, to make changes to improve communication.
RESPONSE
From: Great Ormond Street Hospital
1. Response letter to FOI
2. Brief description of incident
3. Appendix 1: Urinary tract infections in children with abnormal urinary tracts
4. Appendix 2: Action Plan
5. General correspondence - 6 letters
MENTAL HEALTH RELATED DEATHS
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SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST
Recommendation - Published May 2012
To consider a review of training, in an emergency situation, on balancing client confidentiality against informing family members: of guidance of psychiatric nurses obtaining a second opinion and how to minimise the risks of patients self-harming.
RESPONSE
From: Maudsley Hospital
Click here to download the response ...
COMMUNITY HEALTHCARE AND EMERGENCY SERVICES RELATED DEATHS
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CLINICAL CHILDREN'S SERVICES, Mabel Goodwyn House, London
Recommendation - Published May 2012
To consider a review of health visitor's practice to ensure that they weigh babies and record their weights appropriately: of all child health surveillance clinics in its area to ensure they measure, record and plot children's growth at all important reviews, and to consider how best to ensure that all those involved in child health clinical assessments are aware of the importance of 'failure to thrive' as a diagnostic indicator.
____________________________________________________________________________________
If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
The Coroner has sent a Rule 43 to the following organisation/s ...
________________________________________________________________________________________________________________
HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
________________________________________________________________________________________________________________
NATIONAL INSTITUTE OF CLINICAL EXCELLENCE (NICE)
Recommendation - Published May 2012
To consider issuing guidance regarding stopping patients taking Clopidogrel before lung biopsies are undertaken.
RESPONSE
From: National Institute of Health and Care Excellence
Click here to download the response ...
GREAT ORMOND STREET HOSPITAL
Recommendation - Published May 2012
To consider a review to determine whether there is any systematic weakness in the way medical advice is communicated to GPs and parents attending the Urology Department and, if so, to make changes to improve communication.
RESPONSE
From: Great Ormond Street Hospital
1. Response letter to FOI
2. Brief description of incident
3. Appendix 1: Urinary tract infections in children with abnormal urinary tracts
4. Appendix 2: Action Plan
5. General correspondence - 6 letters
MENTAL HEALTH RELATED DEATHS
________________________________________________________________________________________________________________
SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST
Recommendation - Published May 2012
To consider a review of training, in an emergency situation, on balancing client confidentiality against informing family members: of guidance of psychiatric nurses obtaining a second opinion and how to minimise the risks of patients self-harming.
RESPONSE
From: Maudsley Hospital
Click here to download the response ...
COMMUNITY HEALTHCARE AND EMERGENCY SERVICES RELATED DEATHS
________________________________________________________________________________________________________________
CLINICAL CHILDREN'S SERVICES, Mabel Goodwyn House, London
Recommendation - Published May 2012
To consider a review of health visitor's practice to ensure that they weigh babies and record their weights appropriately: of all child health surveillance clinics in its area to ensure they measure, record and plot children's growth at all important reviews, and to consider how best to ensure that all those involved in child health clinical assessments are aware of the importance of 'failure to thrive' as a diagnostic indicator.