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Coroner’s reportPrevention of future deaths · 2013-0313

“The scans did not reveal DVT and no alternative effective diagnosis or treatment was…”

Dated 27 Nov 2013, from the coroner for East London. 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

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 dated27 Nov 2013
  2. Deadline22 Jan 2014
  3. Published on judiciary.uk22 Feb 2014
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Guy's and St Thomas' NHS Foundation TrustNamed in the report as “Guys & St Thomas’NHS Foundation Trust (Inquest Office) Risk Management and Legal Services Departments, 2” Floor, Tabard House, Guy’s Hospital”Response publishedPublished on judiciary.uk in February 2014.

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The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— 1. The scans did not reveal DVT and no alternative effective diagnosis or treatment was considered. 2. No culture was taken for testing from the open blister which was full of pus. 3. No swab was taken. 4. No intravenous antibiotics were considered.

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, 2013-0313
Added to Minute Book
8 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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