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Coroner’s reportPrevention of future deaths · 2021-0174

“I heard evidence that a Major Trauma Centre is expected to have a major trauma lead…”

Dated 12 Feb 2021, from the coroner for Oxfordshire. 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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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 dated12 Feb 2021
  2. Deadline9 Apr 2021
  3. Published on judiciary.uk27 May 2021
  4. Today23 Oct 2026

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The coroner’s concerns

– 1. I heard evidence that a Major Trauma Centre is expected to have a major trauma lead consultant, and a trauma co-ordinator (in accordance with NICE guidelines). I understand that the Trust does not have these posts and that this has been the position since at least 2018.

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, 2021-0174
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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