“| would raise with you are as follows — 1”
Dated 5 Dec 2017, from the coroner for Staffordshire (South). 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 dated5 Dec 2017
- Deadline30 Jan 2018
- Published on judiciary.uk11 Feb 2018
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| University Hospitals of North Midlands NHS TrustNamed in the report as “University Hospitals North Midlands NHS Trust” | Response publishedPublished on judiciary.uk in February 2018. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
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.
| would raise with you are as follows — 1. Soon after her arrival at County Hospital Mrs Halfpenny would have benefitted from surgical input. There was no surgical cover at County Hospital. Remote advice from RSUH is not the same as a surgical presence and | wonder if there should be a mid-grade surgical doctor at County Hospital. 2. Back in September 2016 when this death occurred the MEWS systems operated at County Hospital and RSUH differed. This has subsequently been remedied. However | was told at the Inquest that there are still different policies and equipment at County Hospital than those at RSUH. The hospitals have been part of the same Trust for a considerable period now and | wonder if there should be greater efforts to achieve consistency.
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, 2017-0353
- 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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