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Coroner’s reportPrevention of future deaths · 2016-0457

“Ineffective communication between the nurses and general practitioner regarding ongoing…”

Dated 15 Dec 2016, from the coroner for South Yorkshire East. 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

Report put online after its 56 days

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.

judiciary.uk put this report online on 12 Feb 2017, after the 56 days for replies had ended (9 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.

  1. Report dated15 Dec 2016
  2. Deadline9 Feb 2017
  3. Published on judiciary.uk12 Feb 2017
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Rotherham Doncaster and South Humber NHS Foundation TrustNamed in the report as “Rotherham, Doncaster and South Humber 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.

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The coroner’s concerns

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— (1) Ineffective communication between the nurses and general practitioner regarding ongoing significant pain levels which were impeding care provided.

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, 2016-0457
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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