“On the 4/5/18 the deceased attended the Lister Hospital following a road traffic…”
Dated 5 Sep 2019, from the coroner for Hertfordshire. 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 dated5 Sep 2019
- Deadline31 Oct 2019
- Published on judiciary.uk22 Nov 2019
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East and North Hertfordshire Teaching NHS TrustNamed in the report as “East and North Hertfordshire NHS Trust” | Response publishedPublished on judiciary.uk in November 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.
— (1) On the 4/5/18 the deceased attended the Lister Hospital following a road traffic collision in which she is likely to have suffered serious injuries (fractures and head injuries) which appear to have been overlooked. | ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | belleve you, Chief Executive, Nick Carver; Medical Director Michael Chilvers and Clinical Director Paediatrics, Amitabh Gite of East and North Hertfordshire NHS Trust have the power to take such action. ‘YOUR RESPONSE ‘You are under a duty to respond to this report within 56 days of the date of this report, namely by 31 October 2019. |, the coroner, may extend the period.
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, 2019-0356
- Added to Minute Book
- 8 Oct 2026
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- 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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