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£25.49An inquest in Preston has heard that a senior doctor refused to see Marina Young when she died of an asthma attack after sitting in a chair for 39 hours in A&E. She died on 22 June 2022 due to a “gross failure to provide adequate assessment and medical care”. Lancashire senior coroner Dr James Adeley said that Marina’s death at the age of 46 was “preventable”. He said the lack of a complete report into what had happened meant “insufficient action…to rectify these difficulties” had been taken by the trust over the last two years. The coroner said he would make recommendations to prevent future deaths.
The first doctor from the hospital’s acute medical team that saw Marina was a second-year medical trainee, who didn’t carry out a peak flow test because she couldn’t find the device required. Dr Adeley said this was “wholly inadequate” and the doctor had admitted that failing to refer Marina to more senior doctors was “quite a serious error”. The coroner concluded that there had been a “consistent failure” to consider information in Marina’s medical records and her sister’s notes when she was admitted.
Marina had spina bifida, was unable to go to the toilet or remove her shoes, which caused her severe pain during an asthma attack. The inquest heard that Marina’s hygiene needs had been consistently ticked on a form in her records, indicating they had been met, despite no evidence of help being given to use the toilet. The coroner also noted that a senior doctor had “refused” to see Marina for five hours following a request from a senior nurse, even though Marina’s test results showed she was in a “life-threatening category”.
Speaking after the inquest, Marina’s sister, Michelle Young, said the medical staff had failed her sister on “the very basic human needs, let alone care.” Family solicitor Madeleine Langmead thinks Marina’s case is likely to have implications for the treatment of other vulnerable patients, especially those suffering from an asthma attack, and is an opportunity to help patient safety. The case is a stark reminder of the importance of medical professionals remaining vigilant about patient care and being thorough in their assessments while valuing patients’ needs
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