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Coroner’s reportPrevention of future deaths · 2020-0243

“Staff shortages contributed to the patient being left the clinical decisions area of the…”

Dated 18 Nov 2020, from the coroner for Mid Kent and Medway. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

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Replies were due by 13 Jan 2021.

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.

  1. Report dated18 Nov 2020
  2. Deadline13 Jan 2021
  3. Published on judiciary.uk24 Dec 2020
  4. Today23 Oct 2026

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Responses from each recipient

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Sent toResponse
Maidstone and Tunbridge Wells NHS TrustNamed in the report as “Maidstone and Tunbridge Wells NHS Foundation Trust”Response publishedPublished on judiciary.uk in June 2022.

The coroner’s concerns

– (1) Staff shortages contributed to the patient being left the clinical decisions area of the unit on a trolley. This was not an area that was suitable to keep a patient overnight. Staff shortages were reported to those responsible for the hospital. (2) Evidence is that the unit has moved and has been reconfigured, however there remains an outstanding request for increased staffing that has not been addressed by the Trust. 1

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, 2020-0243
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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