“6 That an on-call senior doctor (the SpR) did not make satisfactory arrangements to…”
Dated 2 Mar 2017, from the coroner for South Yorkshire 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 27 Apr 2017.
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 dated2 Mar 2017
- Deadline27 Apr 2017
- Published on judiciary.uk5 Mar 2017
- Today23 Oct 2026
Watch this report
We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.
Responses from each recipient
| Sent to | Response |
|---|---|
| Sheffield Teaching Hospitals NHS Foundation TrustNamed in the report as “Sheffield Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in March 2017. |
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
– 6 That an on-call senior doctor (the SpR) did not make satisfactory arrangements to ensure that she would waken if telephoned. That the next on-call (the consultant) would have had no opportunity to attend promptly because of the distance from his home. The AA website shows that from the centre of Retford to Weston Park would take over 50 minutes although it is accepted that the consultant may live on the Sheffield side of Retford. For clarity, it is acknowledged that the consultant would not have had time to attend in this case (from when the request was actually made) even if living much closer. That the request for two packs was not met correctly.
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, 2017-0035
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
Something wrong, such as a date or who it was sent to? Report a mistake
Is this report about someone close to you? You can ask us to remove names from our pages.
Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
Ask about this report
AISummaries and questions, with page references. Pro and above.
Sign in to use