Inquest Touching the Death of Christiana Pelle

Inquest Touching the Death of Christiana Pelle

An inquest took place into the death of Christiana Pelle, who died on 29 September 2016, aged 83.   

Mrs Pelle was a patient in Homerton University Hospital from 18 May – 22 July 2016, having experienced a fall. The discharge plan envisaged her returning to live at home supported by a care package. She had an earlier diagnosis of late onset schizophrenia.

Whilst living at home Mrs Pelle developed a grade 4 pressure ulcer on her sacrum which in turn caused a serious infection that spread to her bones. She was admitted to Homerton University Hospital with this condition on 9 September 2016. The pressure ulcer that became infected was first noted on 10 August 2016. It then developed during a period when she was under the care of the Community District Nursing team and in receipt of a care package that was planned to involve four visits a day by two carers.

The inquest found that Mrs Pelle died, having contracted pneumonia during the period from 9 September 2016 when she was receiving inpatient treatment for an infected pressure ulcer. The medical cause of death was found to be: 1a bronchial pneumonia; 1b sepsis; 1c sacral and calcaneal pressure ulcers.

At the conclusion of the inquest the Assistant Coroner expressed the view that there is a risk that future deaths will occur unless action is taken. As a consequence, the Assistant Coroner reported to the Medical Director at Homerton Hospital.

The Assistant Coroner recorded his matters of concern.  He stated there was a lack of clear guidance and thus on-gong uncertainty on the part of the nurses at Homerton’s Community District Nursing Team, as to when they should seek involvement of a community patient’s GP.

Another area of concern was the absence of any/ any clearly understood system or procedure for sharing relevant information to a community patient and/or escalating concerns about the quality of the care they were receiving, between Hometon’s Community District Nursing Team and other partner agencies involved.

Contact our compassionate and experienced inquests solicitors today

If a family member has died, suddenly and unexpectedly, and you are informed that there is to be an inquest, do not hesitate to contact us. We can provide advice and representation at the inquest, to ensure that there is the fullest possible inquiry into the death of your loved one.

Contact our inquests legal experts today for a free initial consultation on 0333 123 9099 or email Alternatively please complete our online form. 


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