Failures in Nottingham hospitals contribute to woman’s death

A woman died after a series of failures in two hospitals, found in an inquiry.

Pamela Hall was admitted to Nottingham at Highbury Hospital in Nottingham on 2 November 2023 after staying at Nottingham City Hospital from October 18 of that year.

Nottingham Coronor Court heard the 70 -year -old 70 -year -old weighing around 26 kg (4th 1 LB) on November 5.

An inquiry was reported about the failures failed by the trust that runs the Highbury Hospital – and several staff suspension on the case – and on Wednesday, the jury said that Ms. Hall must have lived for a long time, she was received right care.

In interrogation, Nottinghamshire Healthcare NHS Foundation Trust – which runs a mental health hospital – accepted many failures.

These included failure to monitor the Cherry Ward of Pressure Source, food and fluid charts of Hybari Hospital, and given that the 10 -minute observation was “not completed”.

The trust said, “Many times, the ward employees incorrectly indicated that when it was not, an observation was completed.”

During interrogation, which began to hear the evidence on August 18, the trust stated that “many employees” were suspended after an investigation.

Although the above failures did not make minimal contribution to the death of Ms. Hall, the jury found that the other people did the failure in search of guidance from Nottingham City Hospital, when she was transferred, failure to conduct blood tests when she was transferred, and there was no care plan for Ms. Hall while living there.

The jury of inquiry also found that Ms. Hall was not physically well, which was discharged from the city hospital in Hibmer.

It said that on November 2, the city hospital had “failure to carry out the blood test”, which was said on the balance of possibilities “would have indicated a decline in her situation” as she was fit to fit for discharge three days ago.

Jury said, “Pamela should not have been transferred to Cherry Ward.” “She was neither fit for discharge, nor cherry ward had a fit place for her.”

It was also found that Ms. Hall “would live for longer”, he was taken back to an intense hospital after reaching Hiibari.

Looking at its findings, the jury said: “Pamela died as a result of the natural causes, and failures in both the city and the Hybury hospitals.”

Ms. Hall was born in the crave, but grew up in the dadle.

The court heard that she had a history of severe depression and was famous for local mental health services.

On 21 August 2017, her husband Steve was killed and she survived when the pair tried to kill their lives on rail tracks in Cheshire.

Ms. Hall – What was believed to be in a suicide agreement with her husband – survived after a leg disintegrated below the knee, hearing was heard by inquiries.

After a continuous mantra at a mental health hospital in Dudley, she was discharged on 2 August 2023 and went to her sister in Aslockon Hall Nursing and residential house in Nottinghamshire.

His weight was listed as about 32 kg at the time of arrival.

Staff at home, interrogation heard, became rapidly worried because Ms. Hall was rarely eating or drinking, and sometimes did not accept her medicine, and after raising her concerns, she was eventually admitted to Rani’s medical center in the early hours of 17 October.

She was transferred to Nottingham City Hospital – Nottingham University Hospitals (NUH) another site run by NHS Trust – the next day, where interrogation heard that she slowly starts dining and takes fluids with her medicine.

On 30 October, he was considered a medical fit for discharging by employees, and on 2 November he was rushed to Highbury Hospital.

Employees worried her as a “weak” appearance, but no blood tests were done and was not weighed on arrival.

He was placed in a room on the Cherry ward, where the concern about his care had increased, but he died at 17:20 on 5 November after his condition deteriorated.

A pathologist gave a medical cause of death in the form of bowel ischemia – a condition that occurs when blood flow in the bowel is blocked.

The jury found other factors that contributed to his death, they were dehydration, severe depression, acute kidney injury and fraud.

Despite many failures, the coroner Simon Burj refused to release Future death prevention report The case, and noticed that he was “influenced” by changes that were performed since the death of Ms. Hall.

“On this occasion, I don’t believe that there are concerns that will need to be addressed [by a report],” He said.

After interrogation, Efi Majid, Chief Executive Officer of Nottinghamshire Healthcare, “unreserved” apologized to the family of Ms. Hall.

He said, “We identified many aspects of Pamela’s care, which they were not of the standard they should have,” he said.

“Since 2023, we have done a broad and continuous program of improving our mental health services for older people.”

The chief nurse Tracy Pillcher in NUH said: “We want to express our deep condolences to the family of Pamela Hall in this difficult time.

“We will work to apply changes to consider the findings made by the jury and help to consider the response with colleagues and to improve the future.”

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