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Coroner’s reportPrevention of future deaths · 2017-0086

“Marian Dale had been visited on a regular basis by the District Nursing Team”

Dated 23 Mar 2017, from the coroner for Manchester South. 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

Deadline passed

Replies were due by 18 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.

  1. Report dated23 Mar 2017
  2. Deadline18 May 2017
  3. Published on judiciary.uk3 Apr 2017
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Stockport NHS Foundation TrustNamed in the report as “Stockport NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 18 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.

— Marian Dale had been visited on a regular basis by the District Nursing Team. However, they were unable to give evidence of the condition of her legs and treatment on their visits prior to her death. This was due to the fact that all notes were retained at the patient's address until a full sheet in the hand held notes was completed. There was no system for a contemporaneous record to be held centrally. Her notes had not been retrieved after her death and there was no system in place to ensure that happened. ATION SHOULD BE TAKEN | In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action.

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, 2017-0086
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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