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Coroner’s reportPrevention of future deaths · 2019-0114

“At the Inquest | heard evidence from Clinical Director for Radiology at Derriford Hospital”

Dated 3 Apr 2019, from the coroner for Plymouth, Torbay and South Devon. Sent to 2 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 6 Jun 2019, after the 56 days for replies had ended (29 May 2019). 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 dated3 Apr 2019
  2. Deadline29 May 2019
  3. Published on judiciary.uk6 Jun 2019
  4. Today27 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
University Hospitals Plymouth NHS TrustResponse publishedPublished on judiciary.uk in June 2019.
Derriford HospitalReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 6 Jun 2019, after the 56 days for replies had ended (29 May 2019). These dates can’t tell us whether a reply was due before it went online.

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) At the Inquest | heard evidence from Clinical Director for Radiology at Derriford Hospital. He told me that, currently, there are 44 radiologists working within the Trust. He told me that he believed there was a need for i: to a further 16 clinicians across a range of specialities. (2) | also heard evidence from who felt that work pressures may have caused or contributed to the error that occ instance. (3) It is not the first time that shortages of radiology clinicians has been brought to my attention at Inquest. | am aware that there are difficulties in this regard nationally but | am concerned that the 1 Derriford Park, Derriford Business Park, Plymouth, PL6 5QZ Tel 01752 204636 | Fax problems in Derriford appear to be worsening with the consequent risk that similar fatalities may occur in the future. In the circumstances, it is my duty to report the situation to you so that you may consider what action needs to be taken to address the situation.

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, 2019-0114
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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