“There was no discussion/explanation yprovided to Allison before she underwent planned…”
Dated 9 Apr 2020, from the coroner for West Yorkshire (Western). 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 4 Jun 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 dated9 Apr 2020
- Deadline4 Jun 2020
- Published on judiciary.uk14 May 2020
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Bradford Teaching Hospitals NHS Foundation TrustNamed in the report as “Bradford teaching hospitals NHS Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 4 Jun 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. There was no discussion/explanation yprovided to Allison before she underwent planned major thoracic surgery on the 5" March 2018, the explanation given was immediately before she was asked to provide her written consent in the theatre area minutes before surgery commenced, a situation which if repeated causes me concern for a patient being able to appropriately consider the risks associated with proposed surgery and determine if they are willing to consent. 2. There did not appear to be an escalation of monitoring of Allison's vital signs by nursing staff in the 24 hour period commencing at 11.00am on 12" March 2018. 3. Nursing staff did not appear to be consistently seeking clinical review following non reassuring vital signs results actually taken in the same 24 hour period referred to in 2 above.
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, 2020-0092
- 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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