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Coroner’s reportPrevention of future deaths · 2019-0226

Hospital Death (Clinical Procedures and medical management) related deaths

Dated 3 Jul 2019, from the coroner for East London. 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

How this works

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 13 Sep 2019, after the 56 days for replies had ended (28 Aug 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 Jul 2019
  2. Deadline28 Aug 2019
  3. Published on judiciary.uk13 Sep 2019
  4. Today22 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
North East London NHS Foundation TrustNamed in the report as “North East London NHS Trust”Response publishedPublished on judiciary.uk in September 2019.
Goodmayes HospitalReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 13 Sep 2019, after the 56 days for replies had ended (28 Aug 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

Read the coroner’s concerns in the full report on judiciary.uk.

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, 2019-0226
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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