“The deceased’s previous medical records were not available”
Dated 11 Jan 2018, from the coroner for Stoke-on-Trent and North Staffordshire. 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 8 Mar 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 dated11 Jan 2018
- Deadline8 Mar 2018
- Published on judiciary.uk7 Mar 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 of North Midlands” | Response publishedPublished on judiciary.uk in March 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.
— 1. The deceased’s previous medical records were not available. Different clinical decisions might have been made had they been available. 2. The deceased was anaesthetised on a ward bed and it would have helped if he had been on a trolley with rapid tilt. 3. Abronchoscope was not part of the standard anaesthetic equipment trolley and when one was sourced it had a suction button missing. 4. Cricoid pressure and NG tubes were not used in this case. _
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, 2018-0013
- 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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