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Coroner’s reportPrevention of future deaths · 2023-0284

“(brief summary of matters of concern) That once the PEG tube was inserted at Milton…”

Dated 4 Aug 2023, from the coroner for Milton Keynes. 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.

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Replies were due by 29 Sep 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.

  1. Report dated4 Aug 2023
  2. Deadline29 Sep 2023
  3. Published on judiciary.uk10 Aug 2023
  4. Today24 Oct 2026

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Sent toResponse
Milton Keynes University Hospital NHS Foundation TrustNamed in the report as “Milton Keynes University Hospital”Response publishedPublished on judiciary.uk in August 2023.

The coroner’s concerns

(brief summary of matters of concern) That once the PEG tube was inserted at Milton Keynes Hospital it seems that the deceased's deteriorating condition was not monitored closely even though he was complaining of abdominal pain soon after the procedure was completed . His concerns were not escalated to a senior doctor for consideration of a possible bleed. The procedures and protocols following PEG insertions should be reviewed.

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, 2023-0284
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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