“1-__Out-patients with similar injuries to Mr Mayoll's returning to the fracture clinic at…”
Dated 25 Nov 2014, from the coroner for Portsmouth and South East Hampshire. 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
All responses publishedReplies were due by 20 Jan 2015.
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.
- Report dated25 Nov 2014
- Deadline20 Jan 2015
- Published on judiciary.uk25 Nov 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Portsmouth Hospitals University NHS TrustNamed in the report as “Portsmouth Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in November 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-__Out-patients with similar injuries to Mr Mayoll's returning to the fracture clinic at Queen Alexandra Hospital experiencing problems with their treatment or for periodic review are not subject to re-assessment under the hospital's DVT assessment policy. If they were, there would be less risk of their developing DVT's during the course of their treatment. 2- Evidence was given at the Inquest highlighting the delay in typing fracture clinic doctors' notes meaning that they would not always be available if an out-patient returned to the clinic and improved methods of making the notes available sooner to the clinic (e.g. by use of voice recognition IT) would obviate this problem.
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, 2014-0515
- 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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