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Coroner’s reportPrevention of future deaths · 2016-0390

“That an elderly patient who was still very unwell was discharged home very late in the…”

Dated 31 Oct 2016, from the coroner for Milton Keynes. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 26 Dec 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 dated31 Oct 2016
  2. Deadline26 Dec 2016
  3. Published on judiciary.uk31 Oct 2016
  4. Today23 Oct 2026

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Sent toResponse
Oxford University Hospitals NHS Foundation TrustNamed in the report as “Oxford University Hospital”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 26 Dec 2016. A reply may have been sent and not yet published.

The coroner’s concerns

– (1) That an elderly patient who was still very unwell was discharged home very late in the evening without a detailed care plan being in place, His immediate family were unaware of the discharge and there was no food or provision for him in the house despite being a type 2 diabetic. (2) Inadequate planning and management of patient discharge will put patients lives at risk. HM Coroners Office, Civic Offices, 1 Saxon Gate East, Central Milton Keynes, MK9 3EJ Tel 01908 254326 | Fax 01908 253636

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, 2016-0390
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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