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Coroner’s reportPrevention of future deaths · 2016-0147

Hospital Death (Clinical Procedures and medical management) related deaths

Dated 19 Apr 2016, from the coroner for Birmingham and Solihull. Sent to 2 organisations or people.

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 14 Jun 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.

  1. Report dated19 Apr 2016
  2. Deadline14 Jun 2016
  3. Published on judiciary.uk19 Apr 2016
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Sandwell and West Birmingham Hospitals NHS TrustNamed in the report as “Sandwell and West Birmingham 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.
University Hospitals Birmingham NHS Foundation TrustNamed in the report as “University Hospital Birmingham 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

Read the coroner’s concerns in the full report on judiciary.uk.

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, 2016-0147
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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