“The court heard evidence that in October 2024, Mrs Hampson sustained minor wounds to both…”
Dated 18 Jun 2025, from the coroner for Manchester South. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedReplies were due by 13 Aug 2025.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated18 Jun 2025
- Deadline13 Aug 2025
- Published on judiciary.uk3 Jul 2025
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Tameside and Glossop Integrated Care NHS Foundation Trust | Response publishedPublished on judiciary.uk in July 2025. |
The coroner’s concerns
– The court heard evidence that in October 2024, Mrs Hampson sustained minor wounds to both knees in a fall outside her home. Mrs Hampson was later seen on a number of occasions in the Emergency Department and referred herself to the District Nurses on 4th October 2024 for wound care, remaining on their case load until her admission to Tameside General Hospital on 30th October 2024. By the time Mrs Hampson’s wounds were formally assessed in hospital by a Tissue Viability Nurse on 31st October 2024, the wound to her left knee was described as ‘5.4cm x 13cm 10% necrosis (thick dark devitalized tissue) 40% slough (yellow devitalized tissue) 50% granulation tissue.’ I am concerned that the Trust has not undertaken any serious incident investigation with a view to identifying if any learning could usefully be identified in the light of the progression of Mrs Hampson’s left leg wound whilst under the care of the District Nurses. It is a further matter of concern that the court heard evidence that an Orthopaedic review undertaken in the Emergency Department on Mrs Hampson’s initial attendance resulted in a recommendation that Mrs Hampson should be followed up in fracture clinic. For reasons which did not become clear during the inquest, the evidence of the consultant orthopaedic surgeon was that no such follow up appears to have taken place.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2025-0306
- Added to Minute Book
- 8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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