Case

Inquest touching upon the death of Jonathan McCarthy

30.04.2019

Daniel represented the family of Jonathan McCarthy in the inquest into his death.

Mr McCarthy died whilst an inpatient at the Tunbridge Wells Hospital at Pembridge in October 2018. He was a Type 1 diabetic who had been successfully maintaining his insulin regime for the entirety of his adult life. During admission, his insulin regime was managed by clinical and nursing staff. His blood sugar was allowed to increase to such levels as to be unreadable for a period of almost twenty-four hours. He subsequently died of Diabetic Ketoacidosis, an acute condition caused by extremely high blood sugar levels.

Mr Roger Hatch, Senior Coroner for North West Kent, found that the Trust failed to correctly monitor Mr McCarthy’s blood glucose levels, failed to undertake ketone testing when it was clearly indicated, failed to administer the correct doses of insulin, failed to provide adequate nursing care and failed to escalate to the on call medical team when it was clear this should have been done.

He recorded a narrative conclusion that the death was due to the failure of Maidstone and Tunbridge Wells Hospital Trust to check frequently for high blood sugar levels or ketones and as a result of no action being taken, Mr McCarthy developed Diabetic Ketoacidosis from which he died.The Coroner also made a Preventing Future Deaths report pursuant to Schedule 5 Paragraph 7 Coroners and Justice Act 2009.

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