“Communication between speciality consultants ~ lack of any system to ensure that…”
Dated 16 Jul 2018, from the coroner for Manchester City. Sent to 5 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Report put online after its 56 daysOrganisations 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 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). 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.
- Report dated16 Jul 2018
- Deadline10 Sep 2018
- Published on judiciary.uk23 Sep 2018
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| The Alexandra Hospital | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). These dates can’t tell us whether a reply was due before it went online. |
| Stockport NHS Foundation TrustNamed in the report as “Stockport NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). These dates can’t tell us whether a reply was due before it went online. |
| Manchester University NHS Foundation TrustNamed in the report as “Manchester University NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). These dates can’t tell us whether a reply was due before it went online. |
| NHS England | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). These dates can’t tell us whether a reply was due before it went online. |
| Care Quality CommissionNamed in the report as “CQC” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Sep 2018, after the 56 days for replies had ended (10 Sep 2018). These dates can’t tell us whether a reply was due before it went online. |
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) Communication between speciality consultants ~ lack of any system to ensure that communication occurs between the treating consultants as to the necessity for identifying and documenting any potential ongoing risks when speciality specific treatments are being contemplated or planned for the different specialities simultaneously
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, 2018-0229
- 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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