Hull Asst Coroner, Edward Steele, concluded David Lodge died from Natural Causes contributed to by Neglect.
No chest examination conducted; local of monitoring of NEWS scores; failure to admit David to Intensive Care
11 findings of fact (in link below)
https://www.georgejulian.co.uk/2024/12/20/david-lodges-inquest-coroners-conclusion-and-prevention-of-future-deaths/
1/5
No chest examination conducted; local of monitoring of NEWS scores; failure to admit David to Intensive Care
11 findings of fact (in link below)
https://www.georgejulian.co.uk/2024/12/20/david-lodges-inquest-coroners-conclusion-and-prevention-of-future-deaths/
1/5
Comments
David would not likely have survived to discharge from hospital, but we can't be certain. He'd previously survived an ICU admission.
2/
4 outstanding concerns:
1) that pain is not being adequately assessed in people not able to communicate with words
3/
3) Concerns that NEWS scores above 7 are not appropriately escalated
4) Opportunities for learning from Serious Incidents are being lost
4/
I'll share a family statement or comment when one becomes available (which may not be until after Christmas).
/END