“That on the 10¢ September 2014 Mrs”
Dated 10 Aug 2015, from the coroner for Bedfordshire and Luton. 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 5 Oct 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 dated10 Aug 2015
- Deadline5 Oct 2015
- Published on judiciary.uk10 Aug 2015
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East and North Hertfordshire Teaching NHS TrustNamed in the report as “Mr N Carver, Chief Executive, East & North Hertfordshire NHS Trust” | Response publishedPublished on judiciary.uk in August 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
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
(1) That on the 10¢ September 2014 Mrs. Bird attended the Plaster Room at the Queen Elizabeth Hospital complaining of numbness in her foot and possible swelling; this was at least three weeks following the original injury. She was probably developing a deep vein thrombosis (DVT) and yet she was sent home after treatment by the Plaster Technician without a medical review. (2) There appears to be a complete lack of a Protocol for the assessment of , pp Pp patients who attend for treatment at the Plaster Room. (3) The evidence before me was that if the DVT had been detected, and the appropriate treatment had been administered on that date, it is unlikely that she would have suffered a fatal pulmonary embolism on the 13 September 2014.
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, 2015-0315
- 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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