“There was no Senior review by a Consultant from admission to the time of his death and…”
Dated 16 May 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 11 Jul 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 dated16 May 2016
- Deadline11 Jul 2016
- Published on judiciary.uk16 May 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Medway NHS Foundation Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 11 Jul 2016. A reply may have been sent and not yet published. |
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) There was no Senior review by a Consultant from admission to the time of his death and was no locum cover 2 ) There was no daily review of test results and no consideration given to instances where tests had not been performed or consoderation given to to the reasons why 3 ) Medical records were inconsistent and / or incomplete leading to a lack of clarity as to reviews and care plan.
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, 2016-0193
- 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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