“The information contained in the NNUH Discharge Letter is inaccurate; (2) Concerns were…”
Dated 5 Aug 2014, from the coroner for Norfolk. Sent to 3 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
Deadline passedReplies were due by 30 Sep 2014. A reply may have been sent and not yet 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.
- Report dated5 Aug 2014
- Deadline30 Sep 2014
- Published on judiciary.uk5 Aug 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Norfolk Community Health and Care NHS Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 30 Sep 2014. A reply may have been sent and not yet published. |
| Norfolk County Council | Response publishedPublished on judiciary.uk in August 2014. |
| Norfolk and Norwich University Hospitals NHS Foundation TrustNamed in the report as “Norfolk and Norwich University Hospital NHS Foundation Trust” | Response publishedPublished on judiciary.uk in August 2014. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
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 information contained in the NNUH Discharge Letter is inaccurate; (2) Concerns were raised by the GP and a feferral made to NCC Community Services on 25 November 2013 as to the suitability of the Care Home in providing care to Mr Wilsher due to his deteriorating condition. He was admitted to NNUH on 27 November 2013 for assessment and plans were made for discharge to the Care Home. Neither NNUH nor the Care Home were aware concerns had already been raised (prior to a further deterioration in his condition) as to the adequacy of the Care Home to cope with his needs. On Mr Wilsher’s discharge to the Care Home it quickly became apparent they could not cope with his needs. (3) An assessment was carried out by NCC Community Services on 13 December 2013 by which time Mr Wilsher had been admitted to NNUH and discharged and plans \ were already in place for his transfer to a nursing home. | (4) The outcome of the Nursing Assessment carried out on 10 December 2013 was not available at the time of the Community Services Assessment.
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, 2014-0360
- Added to Minute Book
- 8 Oct 2026
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- 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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