“Mr Derek Wynne Turnbull had a known history of falls, was on Warfarin and had sustained…”
Dated 16 Mar 2017, from the coroner for Sunderland. 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
Deadline passedReplies were due by 11 May 2017. A reply may have been sent and not yet published.
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.
- Report dated16 Mar 2017
- Deadline11 May 2017
- Published on judiciary.uk24 Mar 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Gateshead Health NHS Foundation TrustNamed in the report as “Gateshead Health Foundation Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 11 May 2017. A reply may have been sent and not yet published. |
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.
— Mr Derek Wynne Turnbull had a known history of falls, was on Warfarin and had sustained an obvious head injury after an unwitnessed fall, yet it took from 03:15am to 04:18am to summons an ambulance by a 999 call in a case that was to be “stepped up” to hospital in any event. There was no purpose in waiting, given the known scenario. In Mr Turnbull’s case the delay may not have caused or contributed to his death, but in other cases the opportunity for earlier review at the hospital ought to be taken. Policies, procedures and protocols may need to be reviewed in order to ensure that in those cases that are to be stepped up, that the action is taken immediately.
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, 2017-0076
- Added to Minute Book
- 8 Oct 2026
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- 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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