“4 On 28/12/2015 Mrs”
Dated 28 Mar 2017, from the coroner for South Leicestershire. 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 23 May 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 dated28 Mar 2017
- Deadline23 May 2017
- Published on judiciary.uk5 Apr 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| United Lincolnshire Teaching Hospitals NHS TrustNamed in the report as “United Lincolnshire Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in April 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.
— 4 On 28/12/2015 Mrs. Daynes was admitted to Accident and Emergency at the Pilgrim Hospital, Fishtoft, and Boston following painful / sore legs/ulcers. 2 Her INR was recorded at 3.6, her medication changed and the matter was referred back to the GP. 3 A doctor from the GP's surgery saw Mrs Daynes the next day on 29th December 2015 but was unaware of the advice provided by the hospital, change in medication or increased IRN levels. 4 The hospital wrote to the surgery and the letter arrived on 4/2/2016 (date stamp verified by the Coroner). 5 In the intervening period the patients INR increased to over 9 and she passed away on 5/1/2016.
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, 2017-0091
- 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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