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Coroner’s reportPrevention of future deaths · 2014-0433

“An opportunity may have been missed to provide suitable treatment”

Dated 7 Oct 2014, from the coroner for Plymouth, Torbay and South Devon. 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

Deadline passed

Replies were due by 2 Dec 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.

  1. Report dated7 Oct 2014
  2. Deadline2 Dec 2014
  3. Published on judiciary.uk7 Oct 2014
  4. Today27 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
University Hospitals Plymouth NHS TrustNamed in the report as “Plymouth Hospitals NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 Dec 2014. A reply may have been sent and not yet published.

The coroner’s concerns

– An opportunity may have been missed to provide suitable treatment. Deaths of children as a result of Sepsis are fortunately rare but as a result new qualified clinicians are not readily identifying such deaths 3 The Crescent, Plymouth, PL1 3AB Tel 01752 204 636 | Fax 01752 313297

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, 2014-0433
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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