“There was inadequate communication and liaison between the hospital on the one hand and…”
Dated 16 Dec 2016, from the coroner for Cheshire. 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
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 12 Feb 2017, after the 56 days for replies had ended (10 Feb 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated16 Dec 2016
- Deadline10 Feb 2017
- Published on judiciary.uk12 Feb 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Mid Cheshire Hospitals NHS Foundation TrustNamed in the report as “Mid Cheshire NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 12 Feb 2017, after the 56 days for replies had ended (10 Feb 2017). These dates can’t tell us whether a reply was due before it went online. |
The coroner’s concerns
– There was inadequate communication and liaison between the hospital on the one hand and on the other hand the deceased’s GP practice and district nurses in the community who, following the deceased’s discharge from hospital, would be responsible for the deceased’s ongoing care. Further, monitoring of the deceased’s condition from Leighton Hospital was insufficiently robust and relied upon oral contact rather than ensuring the physical presence of a medical attendant, be that attendant hospital or community based. The evidence suggested that there was miscommunication between the hospital and the deceased’s family with the result that the deceased’s worrying decline in health was not appreciated by the hospital. 1
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, 2016-0449
- 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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