LONDON - WEST and INNER WEST
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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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FRESENIUS MEDICAL CARE RENAL SERVICES LTD
Recommendation - Published May 2012
To consider a review of renal units' records to ensure patients' past medical history, and problem lists, are kept up-to-date and used to inform risk assessments: staff training on the location and contents of lists before dialysis commences and the management of medical emergencies on the unit that serious incidents are reported to the patient's renal consultant and their family by a senior nurse.
MENTAL HEALTH RELATED DEATHS
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WEST LONDON MENTAL HEALTH NHS TRUST
Recommendation - Published May 2012
To consider a review of its policy of allowing items on wards which could be used as ligatures and improving search procedures and patient observation levels.
RESPONSE
From: West London Mental Health NHS Trust
Click here to download the response ...
COMMUNITY HEALTHCARE AND EMERGENCY SERVICES RELATED DEATHS
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1. THE HILLINGDON HOSPITAL
2. MARIE CURIE CANCER CARE
Recommendation - Published May 2012
To consider a review of communications between Health Authority staff and Marie Cure Cancer Care staff.
1. LONDON AMBULANCE SERVICE
2. NHS DIRECT
Recommendation - Published May 2012
To consider a review of NHS Direct's clinical decision making software to upgrade the potential severity of dog bites: to allow such software to be over-ridden to ensure that ambulances can be sent and review nurse assessors training for such cases.
RESPONSE: Sent to Westminster Coroner's Court
Click here to download the response
DRUG AND MEDICATION RELATED DEATHS
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MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY
Recommendation - Published May 2012
To consider closing down websites that purport to supply controlled drugs without a prescription.
RESPONSE:
MHRA PAPER RE. MEDICINES SUPPLED THROUGH THE INTERNET
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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 ...
______________________________________________________________________________________________________________________________
HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
________________________________________________________________________________________________________________
FRESENIUS MEDICAL CARE RENAL SERVICES LTD
Recommendation - Published May 2012
To consider a review of renal units' records to ensure patients' past medical history, and problem lists, are kept up-to-date and used to inform risk assessments: staff training on the location and contents of lists before dialysis commences and the management of medical emergencies on the unit that serious incidents are reported to the patient's renal consultant and their family by a senior nurse.
MENTAL HEALTH RELATED DEATHS
________________________________________________________________________________________________________________
WEST LONDON MENTAL HEALTH NHS TRUST
Recommendation - Published May 2012
To consider a review of its policy of allowing items on wards which could be used as ligatures and improving search procedures and patient observation levels.
RESPONSE
From: West London Mental Health NHS Trust
Click here to download the response ...
COMMUNITY HEALTHCARE AND EMERGENCY SERVICES RELATED DEATHS
________________________________________________________________________________________________________________
1. THE HILLINGDON HOSPITAL
2. MARIE CURIE CANCER CARE
Recommendation - Published May 2012
To consider a review of communications between Health Authority staff and Marie Cure Cancer Care staff.
1. LONDON AMBULANCE SERVICE
2. NHS DIRECT
Recommendation - Published May 2012
To consider a review of NHS Direct's clinical decision making software to upgrade the potential severity of dog bites: to allow such software to be over-ridden to ensure that ambulances can be sent and review nurse assessors training for such cases.
RESPONSE: Sent to Westminster Coroner's Court
Click here to download the response
DRUG AND MEDICATION RELATED DEATHS
________________________________________________________________________________________________________________
MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY
Recommendation - Published May 2012
To consider closing down websites that purport to supply controlled drugs without a prescription.
RESPONSE:
MHRA PAPER RE. MEDICINES SUPPLED THROUGH THE INTERNET