“At the weekend the on call team had to do the job of 4 teams and that it was not possible…”
Dated 15 Jul 2016, from the coroner for Manchester West. 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
All responses publishedReplies were due by 9 Sep 2016.
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; a reply may have been sent and not yet published.
- Report dated15 Jul 2016
- Deadline9 Sep 2016
- Published on judiciary.uk15 Jul 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustNamed in the report as “Wrightington Wigan and Leigh NHS Trust” | Response publishedPublished on judiciary.uk in July 2016. |
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
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1. At the weekend the on call team had to do the job of 4 teams and that it was not possible to provide patients with the care they deserve. In thos circumstances, I consider that staffing levels should be reviewed. 2. The scoring of the MEWS tool on the medical charts had been done inaccurately, and the use of the MEWS tools did not appear to be clearly understood. It would appear that refresher training would assist
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, 2016-0255
- 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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