“The Trust failed to correctly monitor the blood sugar and ketone testing of Jonathan…”
Dated 22 May 2019, from the coroner for North West Kent. 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 dated22 May 2019
- Deadline17 Jul 2019
- Published on judiciary.uk14 Aug 2019
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Maidstone and Tunbridge Wells NHS TrustNamed in the report as “Maidstone & Tonbridge Wells NHS Trust” | Response publishedPublished on judiciary.uk in August 2019. |
The coroner’s concerns
– (1) The Trust failed to correctly monitor the blood sugar and ketone testing of Jonathan Richard McCarthy (2) The Trust failed to administer the correct does of insulin (3) There was inadequate nursing care and a failure to escalate to the medical team when it was clear this should be carried out.
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, 2019-0179
- 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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