“How the nutritional status of a patient, in particular when a patient is nil by mouth, is…”
Dated 16 Apr 2019, from the coroner for Gloucestershire. 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 dated16 Apr 2019
- Deadline11 Jun 2019
- Published on judiciary.uk14 Jun 2019
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Gloucestershire Hospitals NHS Foundation TrustNamed in the report as “Gloucestershire Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in June 2019. |
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.
— How the nutritional status of a patient, in particular when a patient is nil by mouth, is communicated effectively to staff caring for a patient during an admission to hospital. Gloucestershire Coroner's Court, Corinium Avenue, Barnwood, Gloucester, GL4 3D) Tel 01452 305661 | coroner@gloucestershire.gov.uk ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action.
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
- 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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