“Poor record keeping in regard to key areas of care namely falls and wound management and…”
Dated 10 Sep 2025, from the coroner for South Yorkshire East. 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 5 Nov 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 dated10 Sep 2025
- Deadline5 Nov 2025
- Published on judiciary.uk19 Sep 2025
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Doncaster and Bassetlaw Teaching Hospitals NHS Foundation TrustNamed in the report as “Mr Nick Mallaband, Acting Chief Medical Director, Doncaster & Bassetlaw NHS Foundation Trust” | Response publishedPublished on judiciary.uk in September 2025. |
The coroner’s concerns
– Poor record keeping in regard to key areas of care namely falls and wound management and handover information on discharge A failure to understand or to follow use of aseptic techniques and cleanliness when managing wounds thus increasing the risk of infection.
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, 2025-0462
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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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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