“The keeping of patient records in relation to a urine chart and the accurate measuring of…”
Dated 7 Apr 2017, from the coroner for Wiltshire and Swindon. Sent to 2 organisations or people.
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 2 Jun 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 dated7 Apr 2017
- Deadline2 Jun 2017
- Published on judiciary.uk17 May 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Great Western Hospitals NHS Foundation TrustNamed in the report as “Great Western Hospitals NHS Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 Jun 2017. A reply may have been sent and not yet published. |
| NHS England | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 Jun 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.
— (1) The keeping of patient records in relation to a urine chart and the accurate measuring of output. (2) The period before a review of a patient is carried out where there has been no improvement in condition. (3) Review of the sepsis guidelines in the light of the “Acute care toolkit 9: sepsis” produced by The Royal College of Physicians (4) The training of locums and other temporary staff
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, 2017-0112
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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