“Whilst this delay did not affect Mr Gillott, were this to happen again in the future…”
Dated 4 Feb 2020, from the coroner for Derby and Derbyshire. Sent to 3 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 31 Mar 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 dated4 Feb 2020
- Deadline31 Mar 2020
- Published on judiciary.uk8 Feb 2020
- Today28 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East Midlands Ambulance Service NHS TrustNamed in the report as “East Midlands Ambulance Service” | Response publishedPublished on judiciary.uk in February 2020. |
| Chesterfield Royal Hospital NHS Foundation TrustNamed in the report as “Chesterfield Royal Hospital” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 31 Mar 2020. A reply may have been sent and not yet published. |
| Royal Derby Hospital | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 31 Mar 2020. A reply may have been sent and not yet published. |
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
– 1. Whilst this delay did not affect Mr Gillott, were this to happen again in the future, there is a risk of future death if urgent transfers are not available to acutely ill patients due to resourcing issues.
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, 2020-0020
- 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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