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Coroner’s reportPrevention of future deaths · 2023-0083

“There was a lack of professional curiosity by the medical staff in relation to…”

Dated 6 Mar 2023, from the coroner for East London. 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

Deadline passed

Replies were due by 1 May 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.

  1. Report dated6 Mar 2023
  2. Deadline1 May 2023
  3. Published on judiciary.uk10 Mar 2023
  4. Today23 Oct 2026

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Sent toResponse
Barking, Havering and Redbridge University Hospitals NHS TrustNamed in the report as “Barking, Havering & Redbridge NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 1 May 2023. A reply may have been sent and not yet published.

The coroner’s concerns

– 1. There was a lack of professional curiosity by the medical staff in relation to investigating the cause of Mrs Dick’s severe pain in October 2021. 2. There was a failure by the medical staff to adequately assess the sacral pressure ulcer between the 24th October to 29th October 2021, particularly in light of the increasing white cell count and severe pain complained of by Mrs Dick. 3. There was a failure to diagnose Osteomyelitis at Queens Hospital prior to her transfer to Broomfield Hospital on the 29th October 2021. 4. There is no system for mandatory training for clinical staff in relation to pressure ulcers.

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, 2023-0083
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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