“Action is required to ensure that previous radiology, patients medical history and…”
Dated 30 Mar 2015, from the coroner for Surrey. 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 25 May 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 dated30 Mar 2015
- Deadline25 May 2015
- Published on judiciary.uk30 Mar 2015
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Epsom and St Helier University Hospitals NHS Trust | Response publishedPublished on judiciary.uk in March 2015. |
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
– 1. Action is required to ensure that previous radiology, patients medical history and medication is always considered before a chest drain insertion or any invasive procedure is undertaken. 2. Action is required to ensure respiratory consultants opinion is sought where possible before inserting a chest drain. 3. Action is required to ensure the respiratory team is made aware of all patients who have had a chest drain inserted. 4. Action is required to ensure patents previous medical history, historical imaging and medications are always reviewed anew by any subsequent medical team receiving the patient from A&E. 5. Action is required to ensure all medical staff are trained how to access historical imaging. RT4547 2
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, 2015-0135
- 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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