“These are set out within the enclosed Report of Dr Stephen Hoole.”
Dated 19 Aug 2015, from the coroner for Plymouth, Torbay and South Devon. 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
Deadline passedReplies were due by 14 Oct 2015. 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 dated19 Aug 2015
- Deadline14 Oct 2015
- Published on judiciary.uk19 Aug 2015
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| University Hospitals Plymouth NHS TrustNamed in the report as “Plymouth Hospitals NHS Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Oct 2015. 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) These are set out within the enclosed Report of Dr Stephen Hoole.. (2) (3) ACTION SHOULD BE TAKEN In my opinion action should be taken immediately to prevent future deaths and | believe you have the power to take such action. In particular, | believe the revised algorithm for dealing with patients in the Emergency Departme ent with acute coronary syndrome should again be reviewed in light of the findings —_—
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
- 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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