“are as foliows”
Dated 18 Apr 2017, from the coroner for Avon. 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
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 10 Jul 2017, after the 56 days for replies had ended (13 Jun 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated18 Apr 2017
- Deadline13 Jun 2017
- Published on judiciary.uk10 Jul 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Bristol NHS Foundation TrustNamed in the report as “NHS, University Hospital Bristol NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 10 Jul 2017, after the 56 days for replies had ended (13 Jun 2017). These dates can’t tell us whether a reply was due before it went online. |
| Brisdoc | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 10 Jul 2017, after the 56 days for replies had ended (13 Jun 2017). These dates can’t tell us whether a reply was due before it went online. |
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.
are as foliows. — 4. Anational review of serious incidents and near misses in similar “front door” services should happen as a matter of some urgency in order to identify common themes that can inform future service design. 2. NHS 111 should share information with ED departments immediately. This needs to be in a user friendly format. 6 | ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 14" June 2017. |, the Coroner, may extend the period.
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, 2017-0139
- 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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