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Coroner’s reportPrevention of future deaths · 2015-0145

“No party explained the importance of attendance at the haematuria Clinic to Mr”

Dated 17 Apr 2015, from the coroner for Mid Kent and Medway. 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 12 Jun 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.

  1. Report dated17 Apr 2015
  2. Deadline12 Jun 2015
  3. Published on judiciary.uk17 Apr 2015
  4. Today23 Oct 2026

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Medway NHS Foundation TrustDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 12 Jun 2015. A reply may have been sent and not yet published.

The coroner’s concerns

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— i. No party explained the importance of attendance at the haematuria Clinic to Mr. Watt or his wife ii. | The letter communicating the cancellation of the clinic was not sent to the deceased, nor was it placed on the medical records ili. There is no documentation relating to the referral to urology and forward management of the haematuria within the medical records iv. On each occasion that the medical team consulted with renal or urological physicians in seeking advice how to manage their patient, the consultation was conducted through the most junior doctor on the ward (FY 1) v. Aurologist was not asked to review Mr. Watt in circumstances where a malignancy was suspected and he was suffering from weight loss and haematuria both of which are recognised symptoms associated with bladder cancer vi. | The evidence has shown (although it does not relate to the death) that Mr. Watt was discharged from the hospital even though he was scheduled to have an OGD at the hospital on the date of discharge, which it appears that the physicians were unaware of.

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, 2015-0145
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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