Investigation and inquest
On 17th and 18th October 2013 I commenced an investigation into the death of Michael Longley. My summary of evidence and conclusion were read at Folkestone Magistrates Court on 18th December 2013 when the inquest ended. The conclusion of the inquest was a Narrative Verdict.
Circumstances of the death
Mr M D Longley had an adverse reaction to Rivaroxaban which was administered after hip surgery which took place on 071211 at William Harvey Hospital, Ashford. Clexane was administered on 261211 by the district nurses. He was admitted to William Harvey Hospital on 311211 with an unrecordable platelet count and died the same day.
Coroner’s concerns
I heard evidence that Integrated Care 24 had difficulties in contacted the District Nursing Service on 25th December 2011 and I consider that improved methods of both oral and written communication between IC24 and the district nurses must be put in place.