The grieving mother of a boy who died of Sepsis during an eight -hour waiting for a phone call back from the NHS said that “she will be chased for the rest of my life.”
Cyrus Perry, 17, died in the early hours of 8 June 2023 after he fell ill in his parental home in Sturminster Marshall, Dorset, the previous day.
With the teenager struggling to eat, feeling sick and having a headache, temperatures and dizziness, his mother Hayley Perry called the NHS 111 service at 22.38 hours on 7 June, heard an investigation.
Mrs. Perry was told by an adviser that a doctor would call back, but because of a 'system error', eight hours was not made.
When a doctor finally made contact at 6.13 am, Mrs. Perry came in the bedroom of Cyrus and found him dead in a moment when she 'follows' her for the rest of her life.
She said: 'I feel abandoned by NHS 111. I clearly said that he was too unwell to take him to the hospital, but no medical care was offered.
“This will chase me for the rest of my life. I put my confidence and faith in a system that failed so badly to help Cyrus.
'The impact on my family has been huge. I can't sleep at night and think that one of my children is sick at night and dies.
Mother of Cyrus, Hayley Perry (photo) said she will be 'chased' for the rest of her life after the death of her son
Cyrus Perry (photo) died in the early hours of 8 June 2023 after he fell ill in his parental home in Sturminster Marshall, Dorset, the previous day
'I would love to be Cyrus here, he was very nice to be in the neighborhood and he is missed by everyone he left in his life.
“We are struggling to try to let us know, knowing that things will be better for others in the future.”
A post-mortem study showed that Cyrus had died of Sepsis and Group A Strep.
The jury in his investigation returned an opinion that he died of natural causes, but stated that “several opportunities were missed,” which meant that Cyrus did not get the opportunity to save him.
During his mother's conversation with a call handler in the night of 7 June, her countless questions were asked and it was advised to transport Cyrus to the hospital within an hour.
When she explained that he was too sick to get him there, they said that someone from the clinical team would call back within 20 minutes.
Cyrus went to bed and his mother put the cover over him and placed a sick bucket next to the bed.
Mrs. Perry only saw it the next morning, but Cyrus had sent her at 3.30 am with the announcement that he felt worse.
Professor Richard Lyon, a consultant in urgent medicine, told the jury that the symptoms described by Cyrus's mother during the 111 call were consistent with Sepsis – disease, diarrhea, dizziness, shortness of breath and increased heartbeat.
A post-mortem study showed that Cyrus had died of Sepsis and Group A Strep
Prof. Lyon said that the outcome of the paths was suitable, but Cyrus was not given the opportunity of the medical treatment he needed. “
If an ambulance was sent, he would have received oxygen therapy and liquid resuscitation by paramedics and then intravenous antibiotics in the hospital.
Profile Lyon continued and claimed that a significant percentage of Sepsis patients is still dying, even with the treatment and he could not say whether Cyrus would have survived if the treatment was quickly given, but it was possible.
He said that the lack of early intervention was “significant” in the death of Cyrus.
An inexperienced doctor who was in her fourth service had looked at Cyrus' business' very briefly ', an investigation, after two hours, but found it' too complex 'for her experience.
Gwen Payne was advised to only call things that are suitable for her level of experience.
She did not notice that the call was too late and her supervisor, Petra Brown, did not inform that it was too complicated for her.
Mrs. Brown's task was to view the list of calls, with overdue callbacks marked in red, but she has no access to Cyrus's matter.
During this week's hearing in Bournemouth, Mrs. Brown said that there was no robust system at that time.
NHS Dorset Healthcare conducted its own research after the death and found a number of shortcomings in the system.
If someone now gets a solution from the hospital within an hour and says they can't get them there, they are instructed to call 999 instead of waiting for a phone call back.
Employees have also followed further training in complex calls, sepsis and identifying a sick child.
Dorset Coroner Brendan Allen said he felt like this, he did not have to prevent prevention of the future death report.
Dawn Dawson, Chief Nursing Officer for Dorset Healthcare, said: “The death of Cyrus at such a young age was a huge, tragic loss and our sincere condolences go to his family and friends.
'While our 111 -service had the right personnel levels and systems, we accept that there were missed opportunities to respond as we should have done.
'After a thorough internal investigation, we have already made a number of changes to our 111 service processes. We have changed and strengthened the regulations for clinical callbacks to ensure that calls are effectively prioritated by clinical needs and urgency.
'Where applicable, we now instruct people to call 999 immediately if they are too unwell to travel to an emergency department.
'The service has also assessed and strengthened the training with regard to complex calls and sepsis, and recruited for a number of new clinical roles to offer extra resilience.
“A considerable amount of work and learning has taken place to reduce the risks for people who need urgent help, and we have the right guarantees to ensure that we offer the best possible care and support for patients.”
Mrs. Perry said: 'I welcome the changes made and their work made to increase the awareness of the recognition of Sepsis. It means a lot for the family as positive lessons can be learned, so that no other family has to go through the tragic loss that we have. '
