“Joan was in receipt of support on the ward from her own care staff”
Dated 22 Nov 2022, from the coroner for South Yorkshire West. 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.
The 56-day response deadline
Deadline passedReplies were due by 17 Jan 2023. 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.
- Report dated22 Nov 2022
- Deadline17 Jan 2023
- Published on judiciary.uk25 Nov 2022
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Sheffield Teaching Hospitals NHS Foundation Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Jan 2023. A reply may have been sent and not yet published. |
The coroner’s concerns
– Joan was in receipt of support on the ward from her own care staff. These staff were not included in, or aware of, the risk assessments or care plans which were in place on the ward to support Joan. This had the potential to place Joan at risk of those staff delivering care which was contrary to that which was indicated by medics and clinicians responsible for her. Involvement in care planning and delivery of those supporting Joan would have made this a safer environment for her and the roles and responsibilities of those involved in care should be made clear.
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, 2022-0373
- Added to Minute Book
- 8 Oct 2026
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- 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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