“are as set out in Box 6 above”
Dated 29 Jun 2026, from the coroner for Nottingham City and Nottinghamshire. 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
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 13 Oct 2026, after the 56 days for replies had ended (24 Aug 2026). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated29 Jun 2026
- Deadline24 Aug 2026
- Published on judiciary.uk13 Oct 2026
- Today21 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| United Lincolnshire Teaching Hospitals NHS TrustNamed in the report as “[REDACTED], Chief Executive, United Lincolnshire Hospitals NHS Trust” | Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s. |
The coroner’s concerns
are as set out in Box 6 above. Shiree had a shunt to manage her longstanding hydrocephalus and presented to Lincoln County Hospital on 30 th August 2025, with headache and increased absence seizures. Neurosurgical advice was sought on 1.9.25 but not followed. No urgent eye assessment to look for papilloedema (swelling of the optic discs caused by raised intracranial pressure) was requested as advised. There was no recording of headache frequency or severity, and very limited recording of seizures to help guide urgency of management. These issues all led to a delay in recognising that Shiree had persistent raised intracranial pressure, due to a shunt blockage, such that there was a delay in transfer to Queens Medical Centre, which did not occur until 13.9.25. 11 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 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: [please do not use individual’s names, but instead roles/titles] FAMILY Nottingham University Hospitals NHS Trust 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. 12 SIGNATURE Dr Elizabeth Didcock HM Assistant Coroner Nottinghamshire Shiree Routledge – Prevention of future deaths report – 2026-0411_Published (1) Download
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, 2026-0411
- Added to Minute Book
- 14 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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