“6 Evidence emerged during the inquest that thromboprophyiaxs was not arranged and no…”
Dated 30 May 2017, from the coroner for Black Country. 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 publishedOrganisations 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 dated30 May 2017
- Deadline25 Jul 2017
- Published on judiciary.uk4 Aug 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| The Dudley Group NHS Foundation TrustNamed in the report as “Dudley Group of Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in August 2017. |
The coroner’s concerns
1. 6 Evidence emerged during the inquest that thromboprophyiaxs was not arranged and no effective risk assessment of deveopmg blood clots was undertaken AC11ON SHOULD BE TAKEN Ir my op non action should be taken to prevent future dea hs and power to ake such action believe you have the You may wish to consde sett’ng up a revew of the. ool cy and training for the relevant staff the reqLurements for th orr boprophy axs fo pahents who are mmoble due to a history of fal s a a e yb de. a d ty to resp 2017 I the. 5 p a ef C PE ust contain de s r c o a e action Otherws x o ed a e f hs rep rt e e en. settng ou posed d PUBLICA11ON a o s d to if s port wif 56 day of o e aye te difeporod F my mpnrt to the eny 0 Pam.lj re L.r rda,reO or sumu’arJ ‘b’e’ Core er may pub sh ehnr e ootn n o r.g beleves 1 j-4 mu. sen.d a cccv ma hr”l t uSek fm ecort a 3fly’ oe;so a. of nterest You may make representatons to me tne coroner. at the nme of your esponse. about the release o the publcaton o’ you. resconse by the CHef Coroner T ‘nr- ° 30 May 2017 Mr Zafar Siddique Senor Coroner Black Country Area
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, 2017-0175
- 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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