“6 (1) The failure of the Crisis Team to ensure consistency and continuity of care for the…”
Dated 28 Dec 2017, from the coroner for Nottinghamshire. 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 publishedReplies were due by 22 Feb 2018.
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.
- Report dated28 Dec 2017
- Deadline22 Feb 2018
- Published on judiciary.uk12 Feb 2018
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Nottinghamshire Healthcare NHS Foundation TrustNamed in the report as “Nottinghamshire Healthcare 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
– 6 (1) The failure of the Crisis Team to ensure consistency and continuity of care for the deceased, in particular the changing personnel who visited the deceased; (2) The failure of the Crisis Team to make accurate and prompt records of all consultations with the deceased; (3) The failure of the Crisis Team promptly to report/escalate any matters of concern to senior members of staff so that appropriate and timely steps could be taken in relation to the management of the deceased’s care including, if necessary, hospitalisation;
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, 2017-0386
- 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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