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Coroner’s reportPrevention of future deaths · 2016-0496

“No appropriate care plan was developed by the District Nursing Service”

Dated 5 Apr 2016, from the coroner for Preston and West Lancashire. 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.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

Deadline passed

Replies were due by 31 May 2016. 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 dated5 Apr 2016
  2. Deadline31 May 2016
  3. Published on judiciary.uk5 Apr 2016
  4. Today22 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Care Quality CommissionDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 31 May 2016. A reply may have been sent and not yet published.
Blackpool Teaching Hospitals NHS Foundation TrustNamed in the report as “Blackpool Teaching Hospitals NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 31 May 2016. 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) No appropriate care plan was developed by the District Nursing Service. (2) The District Nursing Service are compromising patient care by not following NMC guidance or record keeping (3) The District Nursing Services are compromising patient care by not following NICE guidelines.

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, 2016-0496
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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