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Coroner’s reportPrevention of future deaths · 2020-0185

Hospital death (Clinical procedures and medical management) related deaths

Dated 28 Sep 2020, from the coroner for Manchester South. Sent to 4 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

How this works

The 56-day response deadline

Deadline passed

Replies were due by 23 Nov 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.

  1. Report dated28 Sep 2020
  2. Deadline23 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
Manchester University NHS Foundation TrustNamed in the report as “Manchester University Hospitals NHS Foundation Trust”Response publishedPublished on judiciary.uk in June 2022.
Department of Health and Social CareResponse 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.
NHS EnglandResponse publishedPublished on judiciary.uk in June 2022.
Care Quality CommissionResponse publishedPublished on judiciary.uk in June 2022.

The coroner’s concerns

Read the coroner’s concerns in the full report on judiciary.uk.

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, 2020-0185
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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