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Coroner’s reportPrevention of future deaths · 2017-0193

Hospital Death (Clinical Procedures and medical management) related deaths

Dated 16 Jun 2017, from the coroner for Northamptonshire. Sent to 6 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

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The 56-day response deadline

Report put online after its 56 days

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.

judiciary.uk put this report online on 15 Sep 2017, after the 56 days for replies had ended (11 Aug 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.

  1. Report dated16 Jun 2017
  2. Deadline11 Aug 2017
  3. Published on judiciary.uk15 Sep 2017
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Royal College of AnaesthetistsReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 15 Sep 2017, after the 56 days for replies had ended (11 Aug 2017). These dates can’t tell us whether a reply was due before it went online.
Royal College of SurgeonsResponse publishedPublished on judiciary.uk in September 2017.
Department of Health and Social CareNamed in the report as “Department of Health”Response publishedPublished on judiciary.uk in September 2017.
Nursing and Midwifery CouncilResponse publishedPublished on judiciary.uk in September 2017.
Kettering General Hospital NHS Foundation TrustNamed in the report as “Kettering General Hospital”Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 15 Sep 2017, after the 56 days for replies had ended (11 Aug 2017). These dates can’t tell us whether a reply was due before it went online.
Woodlands HospitalResponse publishedPublished on judiciary.uk in September 2017.

The coroner’s concerns

Read the coroner’s concerns in the full report on judiciary.uk.

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, 2017-0193
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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