Minute Book, home
Coroner’s reportPrevention of future deaths · 2025-0636

“Discharged by the gastroenterology team without referral to the cardiology team as to…”

Dated 23 Oct 2025, from the coroner for Shropshire, Telford and Wrekin. Sent to 2 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

All responses published

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.

  1. Report dated23 Oct 2025
  2. Deadline18 Dec 2025
  3. Published on judiciary.uk19 Dec 2025
  4. Today23 Oct 2026

Watch this report

We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.

Next we ask your name, then send a link to confirm and create your free account. Already have an account? Sign in

Responses from each recipient

Responses from each recipient
Sent toResponse
NHS EnglandResponse publishedPublished on judiciary.uk in December 2025.
The Shrewsbury and Telford Hospital NHS TrustNamed in the report as “Shrewsbury and Telford NHS Hospital Trust”Response publishedPublished on judiciary.uk in December 2025.

The coroner’s concerns

– (1) Discharged by the gastroenterology team without referral to the cardiology team as to whether the discharge was appropriate. (2) Discharged without a cardiology clinic appointment or plan to be later rereferred. (3) There was no document exchange or communication between the gastroenterology team and the cardiology team meaning that Ms Silcock was then forgotten about. (4) No investigation by Shrewsbury and Telford NHS Trust as to what went wrong and why between the treating teams and their respective administration teams.

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, 2025-0636
Added to Minute Book
8 Oct 2026
Reuse
We show short extracts and link to the original. We don’t host the full report.

Something wrong, such as a date or who it was sent to? Report a mistake

Is this report about someone close to you? You can ask us to remove names from our pages.

Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

Ask about this report

AI

Summaries and questions, with page references. Pro and above.

Sign in to use