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Coroner’s reportPrevention of future deaths · 2026-0374

“There appears to have been no provision or mechanism to review the fitness of a patient…”

Dated 23 Jul 2026, 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.

Read the full report on judiciary.uk

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The 56-day response deadline

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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 Jul 2026
  2. Deadline17 Sep 2026
  3. Published on judiciary.uk28 Sep 2026
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Barts Health NHS TrustResponse publishedPublished on judiciary.uk in September 2026.

The coroner’s concerns

1. There appears to have been no provision or mechanism to review the fitness of a patient for travel where the transfer from the Royal London Hospital to another hospital had been delayed by a number of days. 2. There appears to have been no mechanism to review the suitability of the chosen transport and crew for a patient whose condition has materially changed from the point of booking to the point of transfer. 10. COPIES AND PUBLICATION OF THIS REPORT I have a duty to send a copy of my report to every Interested Person who in my opinion should 3 A2 receive it. I also may send a copy of the report to any other person who I believe may find it useful or of interest. I can confirm I have sent the report to: 1. The Family of Monica Wood 2. The Associate Director of Transport, Barts Health NHS Foundation Trust, The Royal London Hospital, Whitechapel Road, London, E1 1FR. I also have a duty to send a copy of the report to the Chief Coroner. You may make representations to me, the coroner, about the publication of the contents of this report in line with Chief Coroner’s PFD Publication Policy (2026). Any representations will be sent to the Chief Coroner alongside the report. Please refer to box 4 above for additional information relating to the publication of reports and responses. SIGNATURE 4 A3

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, 2026-0374
Added to Minute Book
7 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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