“National Concerns: (1) There appears to be a lack of local or national guidelines…”
Dated 4 Mar 2026, from the coroner for Essex. 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.
The 56-day response deadline
All responses publishedReplies were due by 29 Apr 2026.
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 dated4 Mar 2026
- Deadline29 Apr 2026
- Published on judiciary.uk9 Mar 2026
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Mid and South Essex NHS Foundation TrustNamed in the report as “Basildon Hospital (Mid & South Essex NHS Trust)” | Response publishedPublished on judiciary.uk in March 2026. |
| The Royal College of Paediatrics and Child Health | Response publishedPublished on judiciary.uk in March 2026. |
The coroner’s concerns
– National Concerns: (1) There appears to be a lack of local or national guidelines assisting those assessing patients in an accident and emergency and paediatric environment to assess the correct pathway for identifying and investigating those who may present with heart related issues such as myocarditis. (2) Raising awareness of the existence of Parvovirus considering the surge of this virus in children post the Covid 19 pandemic. Local Concerns: (3) Chest X rays which showed cardiomegaly were not reported officially by a radiologist until several days later. (4) Underlying causes for metabolic acidosis were not fully explored. Greater awareness of the difference between metabolic and respiratory acidosis is required. (5) Incomplete documentation to be addressed to include all updates from nursing staff in relation to observations and escalations; and handovers from the medical team to one another to be clearly recorded.
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, 2026-0122
- 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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