This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.
On the 26.3.18 an investigation was commenced into the death of Vivienne Greener (DOB 24.8.53) who died at Glan Clwyd Hospital on the 20.3.2018. A narrative conclusion was recorded in the following terms:
1. Ruthin Coroner’s Court 2. Inquest of Vivienne Greener 3. Conclusion - Box 4 of The Record of Inquest 18.12.23. 4. On the 19 March 2018, Mrs Vivienne Greener was taken by ambulance to the Glan Clwyd Hospital in response to vomiting blood at her home. She arrived at 00:21 hours. 5. Despite ambulance technicians seeking to have her admitted into the emergency department, they were told by hospital staff that there were no beds available. The emergency department was overrun, with insufficient numbers of medical staff. Corridors were full of patients as were the waiting areas in addition to up to 14 ambulances waiting to offload. There were around 83 patients. The Health Board Clinical Site Manager was never alerted. 6. There was no effective triage system whilst Mrs Greener was waiting outside the hospital. She had been vomiting blood. At 00:38 hours, her National Early Warning Score (NEWS) was 6 and at 01:11 hours, it worsened to 12 and she needed immediate attention. The Health Board failed to escalate her situation to senior staff and failed to go to the ambulance to examine her. The Health Board failed to admit her at 00:38 hours and give her clinical attention. 7. She was admitted into the emergency department at the further request of WAST at 01:20 where she continued to vomit blood and pass blood rectally. There was an unacceptable delay in the Health Board providing blood products to her because there were insufficiently trained staff available to access the blood safe, located in another part of the hospital, together with a doctor who preferred to wait for crossmatched blood, as opposed to emergency O negative blood. 8. The nurse in the resuscitation unit escalated the matter and Mrs Greener was then attended by the hospital medical registrar. There were insufficient suitably available doctors to help the registrar with resuscitating Mrs Greener. 9. Mrs Greener ought to have had emergency blood products at the earliest available opportunity when she entered the emergency department, and the delay in giving blood products was a missed opportunity to render care. 10. Junior doctors failed to escalate Mrs Greener’s serious condition to their on-call Consultants who would have been able to more quickly appreciate that she was on the verge of dying. 11. The Health Board failed to provide or resource an out of office hours endoscopy procedure. It also failed to follow the Massive Haemorrhage Pathway. Given that this was catastrophic bleeding, the Health Board should have summoned the Medical Emergency Team which ought to have brought together the medical registrar, surgical registrar, surgical junior doctor, anaesthetist junior doctor and intensive care unit nurse practitioner or a mixture of them, but failed to do so. These were significant missed opportunities to provide care to a patient who was suddenly dying, aware of it and frightened. Her treatment in the resuscitation unit was an acceptable venue for it and no less than she would have received in the Intensive Treatment Unit. 12. At the time, the source of the bleeding could not be identified. Had resuscitation occurred sooner when the opportunity presented, it could have been done more aggressively up to 01:30. This would have given her more chance of remaining alive for longer in the hope that an upper gastrointestinal surgeon would have come into the hospital during business hours and been able to operate on her. 13. Mrs Greener had been taking prescribed Naproxen, a non-steroidal anti-inflammatory, which stripped the lining of her stomach. Just as fast as the medical registrar was putting blood products into her, they were coming out. As a result, Mrs Greener never achieved haemodynamic stability, and any surgical intervention would have carried a mortality risk of up to 80% as she would not have been able to withstand anaesthetic or sedation. 14. An endoscopy would only have seen redness and not the source of the bleed. The only alternative would have been for a gastrectomy, the removal of the stomach. It is a very rare operation with a very high mortality risk. 15. I record the admitted failings of the Health Board and find the Health Board: 16. Failed to transfer the patient to the emergency department as Mrs Greener was on the ambulance for one hour; 17. Failed to provide documented evidence of triage with a member of emergency department staff attending the patient on the ambulance; 18. Failed to recognise a deteriorating patient; 19. Failed to trigger the massive haemorrhage pathway following the first set of observations in the emergency department; 20. Failed to recognise the early instigation and relevance of the major haemorrhage pathway; 21. Failed to document clinical review within medical records; 22. Failed to escalate the situation earlier, internally to on call consultants; 23. Failed to obtain blood products urgently. 24. Even given the ideal standard of care, Mrs Greener would not have survived the catastrophic bleeding. 25. Mrs Greener died due 1a multi organ failure due to 1b massive upper gastrointestinal haemorrhage due to 1c therapeutic use of Naproxen which led to her death at Glan Clwyd Hospital on 20 March 2018.
Circumstances of the death
As per the above narrative conclusion.
The published report provides this section by reference to another part of the report.
Coroner’s concerns
1. An out of hours emergency endoscopy is still not available at Glan Clwyd Hospital or in this area of North Wales as the provision has ‘collapsed’ at Wrexham Maelor Hospital, so no referrals can be made; 2. There are insufficient doctors and nurses and space available to cope with the number of patients coming into the Emergency Department; 3. There is an ineffective triage and record of triage of patients arriving at Glan Clwyd Emergency Department by ambulance; 4. There is not a clear understanding of when the Emergency Treatment Team should be called; 5. There is not a clear understanding of when the Major Haemorrhage Pathway should be engaged; 6. The Health Board’s Upper GI Bleeding Management and Principles of Care 2022 is no longer fit for purpose; 7. Any learning from the Health Board’s Investigation Report is not adequately shared with its practitioners; 8. A part of the Health Board’s Investigation Report changed in different versions and obscured the reason why the provision of blood products was delayed meaning issues are not sufficiently identified and actioned; 9. Ambulances and paramedics are being kept at the Emergency Department as an extension of the hospital and its staff, due to WAST being unable to get their patients admitted into the Emergency Department and back on active duty.
Concerns and recipient responses
Select any concern, action or position to view the source wording.
Report evidence summary
Concerns raised12
Unavailability of out-of-hours emergency endoscopy
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.22
Action
Implement an NHS Wales ambulance patient handover improvement plan for winter 2023/2024.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Communicate annual priorities requiring health boards to improve ambulance handovers and patient flow.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Direct the Chief Ambulance Services Commissioner to monitor improvement plans through Emergency Ambulance Services Committee governance.
Stated byWelsh GovernmentStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Hold health board chairs accountable for ambulance handover improvements and seek collective assurance through regular national meetings.
Stated byWelsh GovernmentStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Provide over £500,000 to improve Betsi Cadwaladr emergency-department facilities and waiting-room experiences.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Provide £50 million in additional funding to support urgent and emergency care improvement.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Establish a national urgent and emergency care improvement programme and direct health boards to develop local improvement plans.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Use monthly integrated quality, planning and delivery meetings and six-monthly Joint Executive Team meetings to monitor and challenge ambulance handover performance.
Stated byWelsh GovernmentStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Fund expanded same-day emergency care capacity across north Wales district general hospitals.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Review and increase the Emergency Department nurse staffing roster template through the annual staffing review.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Use the Manchester Triage Tool and electronic Symphony records for ambulance handovers and triage decisions.
Stated byBetsi Cadwaladr University LHBStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Develop a new incident process for sharing investigation learning with clinicians.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Display the Major Haemorrhage Pathway in all clinical areas, including the Emergency Department resuscitation area.
Stated byBetsi Cadwaladr University LHBStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Continue expanding consultant staffing in the Emergency Department, now providing 8.6 whole-time-equivalent consultants plus one locum.
Stated byBetsi Cadwaladr University LHBStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Display the Medical Emergency Team call process on NEWS charts for clinicians assessing observations.
Stated byBetsi Cadwaladr University LHBStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Develop a suitable out-of-hours endoscopy rota.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Update the Upper GI Bleeding Management and Principles of Care guideline to align with NICE and British Society of Gastroenterology guidance.
Stated byBetsi Cadwaladr University LHBStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
Action
Scope and formalise additional Emergency Department capacity, including a dedicated speciality waiting area.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Map the Emergency Department resource required to meet demand and national recommendations.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
Action
Implement the new incident process in April 2024.
Stated byBetsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 28 December 2023.
Action
Add a newly appointed gastroenterologist to the upper gastrointestinal rota from April 2024.
Stated byBetsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 28 December 2023.
Action
Introduce a report template identifying the final approved investigation version and distinguishing it from drafts.
Stated byBetsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 28 December 2023.
Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.8
Position
Responsibility for delivering health services, including ambulance handover improvements, rests with the health board rather than Welsh Ministers.
Stated byWelsh GovernmentRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The NEWS chart clearly identifies when clinicians should call the Medical Emergency Team.
Stated byBetsi Cadwaladr University LHBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Glan Clwyd Hospital lacks sufficient demand to support a 24/7 emergency endoscopy service under NICE guidance.
Stated byBetsi Cadwaladr University LHBDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Resuscitation, haemorrhage management, critical care monitoring and escalation pathways can stabilise most upper gastrointestinal bleeding until endoscopy.
Stated byBetsi Cadwaladr University LHBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
The upper gastrointestinal bleeding guideline was updated, follows NICE and British Society of Gastroenterology guidance, and is scheduled for review.
Stated byBetsi Cadwaladr University LHBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Workforce challenges at Wrexham Maelor Hospital prevent continuation of cross-site cover for urgent upper gastrointestinal bleeds.
Stated byBetsi Cadwaladr University LHBUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The Major Haemorrhage Pathway is available to all staff, visibly displayed, and supported by experienced senior staff.
Stated byBetsi Cadwaladr University LHBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing Manchester Triage, continuous nursing cover, senior ambulance triage and electronic recording address emergency department triage concerns.
Stated byBetsi Cadwaladr University LHBExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Other statements in published responses
These actions and other statements could not be clearly connected to one concern in this report.
Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6
1
Establish the Strategic Network for Critical Care, Trauma and Emergency Medicine to bring clinical leaders together and focus service improvements on users.
Stated byWelsh GovernmentStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.
2
Invest in ambulance clinical triage resources and video consultation technology to manage patients without emergency-department transport.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
3
Publish a Quality Statement setting expectations for emergency-department care.
Stated byWelsh GovernmentStated plannedThe respondent said that this action was planned when they made their response on 28 December 2023.
4
Provide £3 million to recruit 100 Welsh Ambulance Service staff and fund a St John Ambulance transport-avoidance pilot.
Stated byWelsh GovernmentStated completedThe respondent said that this action was complete when they made their response on 28 December 2023.
5
Review the Upper GI haemorrhage protocol in April 2024.
Stated byBetsi Cadwaladr University LHBStated plannedThe respondent said that this action was planned when they made their response on 28 December 2023.
6
Maintain monthly executive review of out-of-hours endoscopy risks and progress toward future service provision.
Stated byBetsi Cadwaladr University LHBStated in progressThe respondent said that this action was in progress when they made their response on 28 December 2023.