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A coroner has said that the North Cumbria Hospitals Trust showed
"shambolic implementation" of policy and a "total absence of leadership"
following the deaths of two patients, after neglect
Michael Parke from Cockermouth died at the West Cumberland Hospital in
December 2012 and Amanda Coulthard from Penrith died in the Cumberland
Both suffered pneumonia after feeding tubes were inserted
into their lungs instead of their stomachs.
Megan Paterson was at Cockermouth Coroners court for us today.
Earlier I asked her what happened to these patients.
Well, Michael Park and Amanda Coulthard died after what should
have been very simple medical procedures went wrong and mistakes
were not detected. In the most simple form, nasogastric tubes are a
type of feeding tube, said in through a patient's knows, taking
nutrients to their stomach. In both these cases, the tubes were put in
the wrong place and instead went to the patient's lungs. Both Michael
and Amanda contracted pneumonia and later died.
So, what safeguards did the trust have in place?
According to the coroner, the safeguards which were in place were
not strong enough. In 2005, there not strong enough. In 2005, there
was a death in Carlisle related to was a death in Carlisle related to
feeding tubes. In 2011, the NHS issued further guidance for trusts,
and here in Cumbria, the trust was supposed to be in fermenting
changes, introducing further staff training and making things safer.
They failed to do that quickly enough. In the weeks leading up to
Michael Park's death, several e-mails were exchanged calling for
greater training, but it never happened. And Michael Park's case,
his doctor failed to realise the tube had been placed into Michael's
long, despite looking at x-ray which showed that was clearly the case.
The coroner said directors and managers at the trust were so
distracted by the potential merger and acquisition by Northumbria
health care trust that day-to-day governance fell by the wayside. He
said they were asleep at the wheel. The coroner said Michael died as a
result of systemic neglect. So had no improvements being made by
the time and a coal-fired died three years later?
The coroner today said improvements had been made, policy had been
changed, and staff were starting to operate under the new policy.
Unfortunately, in Amanda Coulthard's case, staff treating her did not
argument that properly. Today, the trust which runs the hospital said
it would not comment directly on the findings of the inquest, and
instead, it issued this statement. I am deeply sorry about these
events, and they wish to extend my deepest sympathies to the families
and friends of Michael Bach and Amanda Coulthard. The trust fully
takes on the inclusion is of HM senior coroner Roberts. Patient
safety remains of paramount importance to the trust, and we
expect high standards of patient care at all times. These were not
met for Michael or Amanda. We sincerely apologise for this.
And the coroner today paid tribute several times to the families of
Michael Park and Amanda Coulthard, saying they have conducted
themselves with utmost dignity throughout a process which has no
doubt been difficult. Thank you very much.
A shot was fired by a man who tried to rob a Post Office
Police said they were called to Hylton Road just
Two men - one carrying a firearm - demanded money from
The shot was fired when he refused to hand over any cash.
Officers believe the men left in a silver Vauxhall Vectra
No-one was hurt but police have stepped up patrols in the area.
The inquest into the deaths of the British tourists killed
in a terrorist attack in Tunisia has heard the police delayed
66-year-old Lisa Burbidge, from Gateshead, was among those
killed in Sousse in 2015. Peter Harris reports.
Described as beautiful, a woman of dignity and style,
Lisa Burbidge was among 30 British victims of a lone gunman.
A widow and mother of two and with four grand children,
she'd been on holiday at the resort of Port El Kantaoui near Sousse
when the attack began on a beach and at a hotel.
Today, families of the dead were at London's Royal Courts
of Justice, where the circumstances leading up to the deaths of each
of the victims will be examined over the course of the hearing.
And on day one, a startling claim - that Tunisian law enforcement units
deliberately delayed their arrival and that a local investigation
criticised some police for wasting time.
The court heard an account of how one beach guard opened fire, but was
hit by a grenade thrown by the attacker. A member of the public who
picked up the gun then found he was unable to work it.
One aspect that will emerge are the claims of some families that
travel companies had assured their relatives
Sousse was safe despite previous terrorist attacks.
The inquests are likely to last seven weeks.
Hundreds of people gathered in York today to release balloons
to celebrate what would have been the eighth birthday of Katie Rough.
Katie died after being found with serious injuries last week,
and a 15-year-old girl has been charged with her murder.
The event followed a Facebook appeal to celebrate Katie's life,
and it took place near the school she attended in the Woodthorpe
Her family wanted balloons of every colour of the rainbow to represent
the "exuberance" of Katie, and the hundreds who turned
up celebrated her life with a respectful silence.
Members of an anti-fracking group in North Yorkshire have set up
a protest camp close to the site where permission has been given
The camp is on private land but has attracted well
over 1,000 visitors, as our Business Correspondent
They call it a protection camp, but they call themselves protect doors.
What they want to do is try to prevent fracking in this part of
North Yorkshire. After exactly a month here, they claim is that the
camp has been welcomed locally and further afield, with 1300 visitors
coming to hear their message. We always knew that a camp would
have some opposition. It is a scary thing to suddenly find a new
community and your doorstep. But we're hoping that the people who
still might have concerns will come and visit us, see that we are normal
people, and we just want the same things as them, and we are the To Be
Missed Camp, because we're here protect.
Hello. Nice to meet you. Thank you very
much. What have we got here? Locals have donated clothes and food
to the camp. Sue even cooked Christmas lunch. I just felt that I
couldn't in all conscious sit at home with my family in a lovely warm
house, having Christmas dinner without at least giving them a
semblance of Christmas celebration. However, there is undoubtedly a
degree of local goodwill towards this campus so-called protectors.
But are there any local dissenting voices?
Non-, Albion in a nonscientific way, Non-, Albion in a nonscientific way,
that I could find. Of course, in the villages around, there will be
people who object to the camp, but its inhabitants say it is here to
stay. Their best bet is that test fracking could start in September.
Eight long months, then, to garner more support and deflate criticism,
plotting a way to thwart the perceived enemy.
Well, Third Energy - the company planning to frack
at Kirby Misperton - said that it hopes those who object
to its plans respect its rights, and those of Ryedale residents,
to go about their business lawfully and peacefully.
That's it from me this evening, time now to take a look
at the weather for the week ahead with Paul Mooney.
Definitely much less bitter this morning?
Yes, altogether more quiet this week. This time last week I promised
you snow, ice, gales, the lot. This week, things are much quieter. High
pressure dominates, meaning things will stay fairly settled, lots of
cloud around, and patchy rain for a time as well. But we will have frost
free nights, and a milder feel generally. Cloud around tonight, and
some outbreaks of rain, especially in the West and north. Fairly light
drizzly rain which it shouldn't cause any problems, and the further
south and east you are, the more dry you will stay. It will stay cloudy
everywhere, and the cloud and southern breeze. The temperature
dropping much below five Celsius. Cloudy start tomorrow, some patchy
rain around, especially through the morning. The rain becomes more
intermittent and patchy through the day but stays mostly cloudy.
Temperatures will climb up to 9-10 Celsius in the southerly breeze, so
much milder than it has been. A lot of low cloud sitting down on the
hills, so poor visibility and higher ground. Into tomorrow evening and
overnight, we keep the cloud. Still a fuse box of rain here and there,
but generally drying up through the night. A mild night, temperatures no
lower than six or seven as we head into Wednesday morning. Wednesday
starts off grey, cloudy, Misty in places, but with a better chance of
cloud breaking. We will start the season sunny intervals breaking
through, generally brighter skies through the middle of the working
week. Similar temperatures again, highs of around ten on Wednesday
afternoon. High-pressure in charge, as I said. This weather front just
sinks away to the south, allowing the cloud to break midweek, and the
high really becomes established over the top of us as we had through the
second half of the week. Nothing changes a great deal. Light winds as
well, and things stay fairly quiet. For Thursday, mostly dry, generally
cloudy skies, a a few breaks appearing here and there.
Temperatures up to 8-9 C on Thursday afternoon. Friday, perhaps a bit
cooler. The cloud more broken overnight. Allowing temperatures to
climb up to 6-7 for most of us on Friday afternoon. Staying fine and
dry as we had through the working week. Into next weekend, we will
keep you updated on your BBC local radio station. I will leave you with
a summary. perhaps a little milder. If you like
the mild weather, you'll have to head elsewhere in the country. Find
out more in the national weather forecast. Our weather is going
against normal expectations this week. In Highland Scotland some snow
to be seen on the hills. Temperatures as high as 12 Celsius
today. Over the next few days the coldest air is in the far south-east
of England where there is sunshine to be had. Four or five Celsius in
Kent. Differences remain over the next few days and here is why. I