Hospital Death (Clinical Procedures and medical management) related deaths
Dated 20 Feb 2015, from the coroner for Wiltshire and Swindon. Sent to 6 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 17 Apr 2015. 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 dated20 Feb 2015
- Deadline17 Apr 2015
- Published on judiciary.uk20 Feb 2015
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Department of Health and Social CareNamed in the report as “Department of Health” | 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. |
| Public Health England | Response publishedPublished on judiciary.uk in February 2015. |
| Ministry of Defence | Response publishedPublished on judiciary.uk in February 2015. |
| Avon and Wiltshire Mental Health Partnership NHS TrustNamed in the report as “Avon and Wiltshire NHS Mental Health Partnership Trust” | Response publishedPublished on judiciary.uk in February 2015. |
| Salisbury NHS Foundation TrustNamed in the report as “Salisbury Hospital NHS Trust” | Response publishedPublished on judiciary.uk in February 2015. |
| Great Western Hospitals NHS Foundation TrustNamed in the report as “The Great Western Hospital 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. |
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
Read the coroner’s concerns in the full report on judiciary.uk.
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, 2015-0068
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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