“Apparent lack of confidence/ability on part of on-call consultant to perform an emergency…”
Dated 24 Dec 2019, from the coroner for Norfolk. 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.
The 56-day response deadline
Deadline passedReplies were due by 18 Feb 2020. A reply may have been sent and not yet published.
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.
- Report dated24 Dec 2019
- Deadline18 Feb 2020
- Published on judiciary.uk7 Jan 2020
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| James Paget University Hospitals NHS Foundation TrustNamed in the report as “James Paget University Hospital NHS Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 18 Feb 2020. A reply may have been sent and not yet published. |
| General Medical CouncilNamed in the report as “GMC” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 18 Feb 2020. A reply may have been sent and not yet published. |
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.Apparent lack of confidence/ability on part of on-call consultant to perform an emergency total abdominal hysterectomy without another consultant present. 2. Lack of professional curiosity about cause of DIC, the haemorrhage was not enough to cause this. 3. Lack of leadership and overview of Mrs Onwuka’s care. Reluctance on the part of the on-call consultant to consider anything other than conservative measures until another obstetric consultant was present. That pregnant women in the area served by this hospital may be at risk if emergency surgery is needed and this consultant has these apparent difficulties, continues with an apparent lack of professional curiosity and displays no evidence of the ability to work in a team or head a team.
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, 2019-0453
- 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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