“BHRUT chose not to investigate this case as part of NHS England’s Patient Safety Framework”
Dated 10 Mar 2026, from the coroner for East London. 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 5 May 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 dated10 Mar 2026
- Deadline5 May 2026
- Published on judiciary.uk18 Mar 2026
- Today28 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Barking, Havering and Redbridge University Hospitals NHS Trust | Response publishedPublished on judiciary.uk in March 2026. |
| Department of Health and Social Care | Response publishedPublished on judiciary.uk in March 2026. |
The coroner’s concerns
1. BHRUT chose not to investigate this case as part of NHS England’s Patient Safety Framework. Mrs Creegan’s death ought to have been subject to such an investigation. Decisions were reached at two clinical governance meetings that meaningful learning could not flow from a governance investigation into the circumstances of Mrs Creegan’s care. Such decisions appear to be incongruous with; a. The inaccurate cause of death initially offered by the Trust, b. The failure to investigate the seat of Mrs Creegan’s burgeoning infection after her pneumonia resolved, c. The missed diagnosis of infective endocarditis, d. The failure to monitor the development of Mrs Creegan’s heart failure during her inpatient treatment.
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, 2026-0147
- 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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