“(brief summary of matters of concern) 1”
Dated 15 Nov 2022, from the coroner for Milton Keynes. 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.
The 56-day response deadline
All responses publishedReplies were due by 10 Jan 2023.
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.
- Report dated15 Nov 2022
- Deadline10 Jan 2023
- Published on judiciary.uk21 Nov 2022
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Milton Keynes University Hospital NHS Foundation TrustNamed in the report as “Milton Keynes University Hospital” | Response publishedPublished on judiciary.uk in November 2022. |
| Central and North West London NHS Foundation TrustNamed in the report as “Central North West London NHS Trust” | Response publishedPublished on judiciary.uk in November 2022. |
The coroner’s concerns
(brief summary of matters of concern) 1. That a 91-year-old man was discharged from hospital following surgery, having refused to wait over the weekend for a care package to be put in place and there was no follow-up arranged to either assist him with his care or to ensure that he was coping. 2. That when the GP practice made a subsequent referral for a visit and assessment by the district nurse it was rejected on the basis that the appropriate referral was to “home first“. The GP forwarded the referral but nothing was actioned. 3. There does not appear to be any system to ensure that a patient discharged home possibly needing support and care are automatically followed up.
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, 2022-0364
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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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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