“Despite the known catastrophic risks of deep patch infection following endarterectomy and…”
Dated 18 Aug 2023, from the coroner for Gateshead and South Tyneside. 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 13 Oct 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 dated18 Aug 2023
- Deadline13 Oct 2023
- Published on judiciary.uk7 Sep 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust | Response publishedPublished on judiciary.uk in September 2023. |
| Gateshead Health NHS Foundation Trust | Response publishedPublished on judiciary.uk in September 2023. |
The coroner’s concerns
– Despite the known catastrophic risks of deep patch infection following endarterectomy and the significance of a herald bleed: (1) Inconsistency in understanding between the hospital and the community teams as to the procedure to follow post discharge from vascular surgery and the points of access in the event of concern or complication (including suspected infection, or bleeding). (2) The absence of provision of documented advice to patients on discharge as to points of access in the event of concern or complication (including suspected infection or bleeding). (3) Poor communication from the vascular ward when concerns were raised postoperatively, particularly the concern about bleeding in the wound discharge. (4) Poor record keeping from the community team which meant that key clinical assessment information was not consistently recorded.
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, 2023-0308
- 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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