Sores acquired in Grimsby hospital led to death
THE NHS has issued an apology to the family of a woman who died as a result of infected pressure sores she developed in Grimsby's hospital.
Coroner Paul Kelly recorded that Sylvia Le-Berre, 59, of Cleethorpes, died from hospital-acquired pressure sores which led to sepsis – infection which enters the bloodstream – and her early death.
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Changes: The Trust has introduced a new pressure ulcers plan and ongoing research into improvement at Grimsby’s Diana, Princess of Wales Hospital.
An inquest heard how a post mortem examination revealed there were blisters as big as 17cm by 14cm on her legs, heels, lower back and other parts of her body.
Other factors including thin skin, coronary artery disease and diabetes made it difficult for her body to fight the infection and heal.
Following the verdict, the family issued a statement, which read: "It's a relief to finally have an outcome and closure after what has been a very tragic period for the family."
Advocate Jackie Watts said the family wanted to "let the dust settle" before deciding if they were to take any further action over the matter.
The inquest heard how Mrs Le-Berre cut her leg on an Asda trolley in 2010 and it became infected.
The issue was never fully resolved, despite months of treatment at Clee Medical Centre and long periods as an inpatient at Grimsby's Diana, Princess of Wales Hospital.
She was first admitted after breaking her shoulder on April 13, given pain relief and a sling, then discharged into respite care at Bradley House Nursing Home.
Although doctors at the hospital did not offer treatment for any other injuries, staff at the home noticed the seriousness of wounds on her legs and she was re-admitted to hospital on the same day, where she stayed until April 29.
A statement from her husband, David Le-Berre, said his wife would sit in a chair between 9am and 7pm, getting up only to go to the toilet, and that staff eventually fitted a catheter.
He also said that her bandages were only changed every two days, even when they were "soaked through".
On April 29, she returned to Bradley House Nursing Home, which requested a report into her care and the family wrote a letter of complaint to the hospital.
Mrs Le-Berre was admitted to hospital again on May 7 with infected ulcerations. Due to other conditions, she was not fit for surgery and the sepsis became worse, the inquest heard.
She was in much pain and was moved to a high-dependency ward where, occasionally, her body would go into spasm due to the infection. Mr Le-Berre described the episodes as the "angels calling her to heaven".
Matron Rachel Greenbeck told the inquest that a report into her first stay at the hospital showed a failure to address wound management, a failure to bath or shower her once a day and a failure to stop the wounds developing.
Tara Filby, acting chief nurse for Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, which manages Grimsby's hospital, said: "We apologise and offer our condolences to the family in light of the coroner's verdict and hope that it provides them with some comfort."
She added that the management of pressure sores was something taken "extremely seriously".
The Trust has introduced a new pressure ulcers plan due to the report and ongoing research into improvement at the hospital.
Mrs Filby said there has been an "increased focus" on the prevention and management of pressure sores to make sure there are "no further lessons to be learned".
Information is also available for patients to advise them on how to stop pressure sores developing.







12 Comments
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by SueingGoliath
Monday, January 16 2012, 8:39PM
“Firstly, I must express my sorrow to the family for having lost a loved one in this disgusting manner. I too have had to see my poor 90 year-old Mother suffer from needless and preventable bedsores whilst in the so-called "care" of the Diana Princess of Wales Hospital.
In my opinion, the Matrons, Managers and Nurses involved in this matter should be sacked and criminal charges brought against them.
Is any of the staff reprimanded or sacked? I think not, they all close ranks and carry on regardless.
My Mother's sad story was published in the Grimsby Telegraph on the 8th November 2011. She had grade 3 to 4 bedsores, a hole in her back measuring seven inches long. My mother's heels were in the same condition, they had holes in them and they were turning black.
I quote "The Trust has introduced a new pressure ulcers plan due to the report and ongoing research into improvement at the hospital." I too was advised that "changes" would be made, so why has it happened again and how long before we hear of another horror story.
I can offer my advice; Matron's and her nursing staff need to do their jobs properly, with compassion and care.”
by AllanGY
Monday, January 16 2012, 8:05PM
“pffttt, you have got it spot on. When my mother came round from her opperation a few years ago,her lips were dry,and she was begging for a glass of water.I went to the nurses station and asked one of the nurses if they would get her some water, the reply was can`t you see we are busy. They were busy, busy talking about last nights party.Say no more.”
by jamojambo
Monday, January 16 2012, 8:03PM
“Oh they said sorry thats ok then all forgotten!!! What a disgrace through neglect and incompitance this poor women paid the ultimate price. Bless the family hope they take it much further. RIP Syliva”
by Madasahatter
Monday, January 16 2012, 7:23PM
“What a disgrace Grimsby DPW Hospital. Nursing once was a vocation that was probably under recognised & appreciated by the public, but the nurses carried out thier duties with devotion and genuine love of their job. How times have changed, all we seem to hear is of being, overworked and underpaid, what job isn't. As they say "If you can't stand the heat get out of the kitchen" Surely there must be one or two angels left on the wards who see the problems and could report it. Perhaps they do, but it doesn't go any further. I have first hand experience of this hospital not responding to complaints. It was regarding the treatment of my late father whilst he was in their 'care', after 2 years of procrastination, distress to his family, the matter still isn't truthfully concluded.
Despite giving all letters and emails to the Grimsby Telegraph so they could see I was transparent in my statements, they chose to give a watered down few lines on the matter, their reason being there wasn't enough space available to publish the whole matter!! The mind boggles when one reads some of the drivel they publish.
My condolences to the family of this unfortunate lady. I am sorry to say that I doubt for one minute that similar cases won't keep surfacing showing the inadequate nursing of patients.”
by ces2401
Monday, January 16 2012, 6:54PM
“You would of thought with this lady been diabetic they would of been treading on more than caution and checking her regularly for signs of infection and sores. How sad at only 59 she has lost her life. Showering or bathing a person on a daily basis and carrying out personal care daily is a must. They have neglected her as a human being and let her and her family down terribly. An apology from the Hospital can never make up for what she went through or what they must be going through knowing how she died. The Hospital needs to get a procedure in place for daily personnel care planning that nurses have adhere too and wound management must be on the top of their priorities.”
by pffttt
Monday, January 16 2012, 6:13PM
“Ban the nurses stations and then you may see nurses on the wards.”
by simonreds
Monday, January 16 2012, 5:33PM
“yet ANOTHER story of neglect concerning grimsby hospital!!! its an awful fact that this hospital has been the cause of many mistakes and neglect that has led to so many deaths and caused so much heartbreak! i remember not too long ago having an exchange of words on this site regarding the decline of this hospital with a person who was singing its praises. i imagine there are happy patients BUT i KNOW there are many who are NOT! so come on, where are you now and whats your defence this time?”
by RalphKingg
Monday, January 16 2012, 2:18PM
“It seems nothing has been learned in 35 years. Back in the 70s, in the then Grimsby General I got a pressure sore that became infected. It took the staff two weeks to discover it, despite the strong smell. I was lucky to keep my leg.”
by dave_41
Monday, January 16 2012, 1:33PM
“so a patient has to die before changes are made who will be next?”
by faybie
Monday, January 16 2012, 12:23PM
“Is an apology supposed to make all this ok? A lovely lady has lost her life due to Nursing staff not doing there jobs properly. Shouldn't all staff go through strict training before they are let loose on the wards. I am disgusted to think that she went in with a broken shoulder, then after time suffering she never got to go home again and be with her family. She was taken away from them and for me an apology would not be enough. This shouldn't happen in this day and age. So why did it??? You go to hospital with something that isn't classed as life threatening, even with under lying health problems, and you don't come out. Something seriously needs to be done and would hope all staff involved in her care ( or not as it seems ) get shown the door. UNBELIEVABLE IS ALL I CAN SAY !!!!!!”