“At no time during the two periods of Ms Ayuk’s inpatient care was she assessed for venous…”
Dated 20 Jan 2023, from the coroner for East London. 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
Deadline passedReplies were due by 17 Mar 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 dated20 Jan 2023
- Deadline17 Mar 2023
- Published on judiciary.uk25 Jan 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East London NHS Foundation TrustNamed in the report as “East London Foundation Trust” | Response publishedPublished on judiciary.uk in January 2023. |
| Department of Health and Social Care | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Mar 2023. A reply may have been sent and not yet published. |
The coroner’s concerns
– 1. At no time during the two periods of Ms Ayuk’s inpatient care was she assessed for venous thromboembolism (VTE) risk in contravention of trust policy. 2. Instructions given to monitor and record Ms Ayuk’s food and fluid intake were not adequately followed.
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, 2023-0022
- 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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