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Coroner’s reportPrevention of future deaths · 2020-0177

“Mr Nyeruke's medical conditions were not made known to the Trust”

Dated 18 Sep 2020, from the coroner for West Yorkshire (Eastern). 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.

Read the full report on judiciary.uk

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The 56-day response deadline

Report put online after its 56 days

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; a reply may have been sent and not yet published.

judiciary.uk put this report online on 19 Nov 2020, after the 56 days for replies had ended (13 Nov 2020). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.

  1. Report dated18 Sep 2020
  2. Deadline13 Nov 2020
  3. Published on judiciary.uk19 Nov 2020
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Leeds Teaching Hospitals NHS TrustResponse publishedPublished on judiciary.uk in June 2022.
Reed Nursing TrustResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.

The coroner’s concerns

(1) Mr Nyeruke's medical conditions were not made known to the Trust. In consequence, he had worked on wards where patients had infections involving multi-resistant organisms. Given his compromised immune state, this situation involved risk to both patients and Mr Nyeruke himself. In the absence of information concerning a particular staff member's medical condition there is an increased risk of transmission of infections either to or from the staff member. 1 (2) There is scant evidence as to whether Mr Nyeruke underwent appropriate training in respect of PPE such as masks before being permitted to work on a ward involving infectious diseases. The difficulties involved (where a support worker supplied by a nursing agency is only in the hospital for a brief period) are acknowledged. Nonetheless, the risk of an adverse transmission of infection either to, or from, the staff member necessitates stringent standards being enforced, with appropriate records preserved. (3) Nursing agencies which supply support workers to hospitals without knowledge of their particular health vulnerabilities, or where they will be working, give rise to a risk that they may be adversely affected or may give rise to adverse effects on patients or colleagues.

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, 2020-0177
Added to Minute Book
8 Oct 2026
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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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