Peter William Howarth · Prevention of Future Deaths report

On 22nd October 2019, I opened an inquest into the death of Peter William Howarth who died at Stepping Hill Hospital, Stockport on 10th October 2019 aged 83 years. The investigation concluded with the inquest which I heard on 7th July 2020.

The court heard evidence that Mr Howarth died as a consequence of:-

1 a) Cardiac failure;
b) Cerebrovascular disease;
II Dementia, frequent falls, rib fractures, fractured neck of femur (operated).

The inquest concluded with a narrative conclusion to the effect that Mr Howarth died as a consequence of natural causes contributed to by consequences of injuries sustained in a number of falls.

Mr Howarth, who had a complex medical history, was admitted to hospital on 9th October 2019 having sustained injuries in a fall at Brynhaven Rest Home in Stockport.

Whilst in hospital, Mr Howarth had another fall, as a consequence of which he suffered a fractured neck of femur which required surgery.

Mr Howarth died in hospital as a consequence of complex underlying health problems combined with injuries sustained in a number of falls.

1. The court heard evidence that, despite the fact Mr Howarth was injured in a fall at his care home which led to his final admission to hospital, Borough Care has not undertaken any investigation into the circumstances of that fall. Robust investigations into falls in care and nursing homes are essential with a view to considering whether or not there is any learning to be derived from the incident for the benefit of other residents with a view to reducing the risk of death arising from falls in similar circumstances.