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Coroner’s reportPrevention of future deaths · 2016-0415

“| was told in evidence at the Inquest that despite Mr MacMorland being under the care of…”

Dated 16 Nov 2016, from the coroner for Portsmouth and South East Hampshire. 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.

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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.

  1. Report dated16 Nov 2016
  2. Deadline11 Jan 2017
  3. Published on judiciary.uk19 Feb 2017
  4. Today23 Oct 2026

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Sent toResponse
Portsmouth Hospitals University NHS TrustNamed in the report as “Portsmouth Hospitals NHS Trust”Response publishedPublished on judiciary.uk in February 2017.

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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.

— | was told in evidence at the Inquest that despite Mr MacMorland being under the care of consultant gastroenterologists during his final admission to hospital he was at no time treated in a specialist gastroenterology ward - even though the consultants had during that time requested such a transfer on five separate occasions. Given the nature of his medical problems, from the evidence | heard, | am of the opinion that he could have benefitted from the expertise and facilities available in a gastroenterology ward which might have had an effect on the outcome. | was also told that it is common for consultants’ requests for patient transfer to specialist wards not to be implemented.

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, 2016-0415
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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