“ are as follows”
Dated 27 Mar 2017, from the coroner for Inner North London. 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 22 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 dated27 Mar 2017
- Deadline22 May 2017
- Published on judiciary.uk17 May 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| University College London Hospitals NHS Foundation TrustNamed in the report as “University College London Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in May 2017. |
The coroner’s concerns
are as follows. – (1) It was clear that significant concerns were raised regarding the extent of the bleeding which followed Mr Brennan’s bronchoscopy. This was acknowledged to require expert input and transfer to UCLH. A plan was put in place to effect this, with a backup of more immediate transfer, should he deteriorate. I am concerned that this backup plan relied on the availability of a bed at a satellite hospital, which was ultimately not available when it was required. This raises the concern that the bed status for the Westmoreland Street hospital was not known to the clinicians when this plan was devised. It is possible that future deaths could occur in similar circumstances if there is not a system in place to inform clinicians of the current bed status for the Trust’s multiple sites.
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, 2017-0114
- 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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