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Ryan Donoghue on behalf of the Care Quality Commission in prosecution of Shrewsbury & Telford NHS Foundation Trust

19/05/2022

Ryan Donoghue represented the Care Quality Commission in the prosecution of Shrewsbury & Telford NHS Foundation Trust, for three offences of failing to provide safe care and treatment, contrary to regulations 12 and 22 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The three offences arose from two incidents in which sub-standard care was provided to service users of the Royal Shrewsbury Hospital. The first incident, which occurred in October 2019, led to a patient dying from exsanguination (severe blood loss), following a renal dialysis line becoming disconnected from his venous access catheter. The failures of the Trust included a lack of adequate training for staff on the delivery of renal dialysis and failures to comply with various pieces of industry guidance. The second incident, which occurred in May 2020, involved a patient falling out of a bariatric bed, causing his head and neck becoming trapped between the mattress and bed rails, leading to a risk of asphyxiation. The failures of the Trust on that occasion included insufficient policies and risk assessments regarding the use of bariatric beds, a lack of compliance with industry standards and a lack of adequate training for staff.

The Trust was convicted and fined a total of £1,333,334 and ordered to pay prosecution costs of around £42,378.

Press coverage of the case is available below:

BBC: https://www.bbc.co.uk/news/uk-england-shropshire-61492208

Guardian: https://www.theguardian.com/society/2022/may/18/nhs-trust-pleads-guilty-over-death-of-two-patients-after-staff-mistakes-shrewsbury-telford

Authors

Ryan Donoghue

Call 2015

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