“That Elsie Raper, being a patient and being subject to regular visits and examination by…”
Dated 4 Mar 2016, from the coroner for County Durham and Darlington. Sent to 3 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 29 Apr 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 dated4 Mar 2016
- Deadline29 Apr 2016
- Published on judiciary.uk4 Mar 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Neasham Road Surgery | 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. |
| County Durham and Darlington NHS Foundation TrustNamed in the report as “County Durham and Darlington 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. |
| Grosvenor Park Care Home | 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 Elsie Raper, being a patient and being subject to regular visits and examination by GP’s and nurses, suffered a fracture to her left tibia and left fibula probably on 21° August 2015, which remained undiagnosed until the 25" August 2015. (2) During the period 21° — 25" August she was in extreme pain (3) The cause of death included multiple fractures.
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, 2016-0090
- 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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