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Coroner’s reportPrevention of future deaths · 2022-0325

“(brief summary of matters of concern) Mr Perkins was transferred from Ilkeston Community…”

Dated 18 Oct 2022, from the coroner for Derby and Derbyshire. 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

Deadline passed

Replies were due by 13 Dec 2022. 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 dated18 Oct 2022
  2. Deadline13 Dec 2022
  3. Published on judiciary.uk20 Oct 2022
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
University Hospitals of Derby and Burton NHS Foundation TrustNamed in the report as “University Hospitals of Derby and Burton”Response publishedPublished on judiciary.uk in October 2022.
Ilkeston Community HospitalDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 13 Dec 2022. A reply may have been sent and not yet published.

The coroner’s concerns

(brief summary of matters of concern) Mr Perkins was transferred from Ilkeston Community Hospital to the Royal Derby Hospital. There was no clear detailed handover or transfer document which would have detailed his medication, medical history and history of recurrent falls The Royal Derby Hospital did not (but should have) requested a transfer document from Ilkeston. That historv would have Regulation 28 -After Inquest Document Template Updated 30/07/2021 allowed an enhanced level of care and observation to be put in place so as to prevent further falls.

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, 2022-0325
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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