“That Mrs Head had a history of MRSA was not established prior to surgery despite…”
Dated 23 Mar 2016, 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.
The 56-day response deadline
Deadline passedReplies were due by 18 May 2016. 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 dated23 Mar 2016
- Deadline18 May 2016
- Published on judiciary.uk23 Mar 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Medway NHS Foundation 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
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 Mrs Head had a history of MRSA was not established prior to surgery despite opportunities in 3 different hospital departments to obtain this information from Mrs. Head or her family (2) ProphylacticTeicoplanin was not provided pre- or post-operatively even though the results of an MRSA screen would not have been available at the time of surgery (MRSA —ve written on pre-op form erroneously) (3) A post-operative wound care plan was not instituted contrary to NICE guidelines (4) There was no evidence of the surgical wound having been inspected by nursing staff or doctors between 13" August and 25" August 2015 (5) Entries in the nursing notes relating to dressing and wound were meaningless and would not assist a determination of whether there was deterioration in the wound
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, 2016-0115
- 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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