“Medical review requested on 10 March by nurses due to concerns about the acute…”
Dated 14 Mar 2024, from the coroner for Essex. 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
All responses publishedReplies were due by 9 May 2024.
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 dated14 Mar 2024
- Deadline9 May 2024
- Published on judiciary.uk20 Mar 2024
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| The Princess Alexandra Hospital NHS TrustNamed in the report as “Princess Alexandra NHS Trust” | Response publishedPublished on judiciary.uk in March 2024. |
The coroner’s concerns
– a. Medical review requested on 10 March by nurses due to concerns about the acute development of bilateral bruising on Mr Smith’s legs. This request was chased by nurses on 11 March and was not conducted until the evening of 12 March. b. A further medical review was conducted in the early hours of 13 March as Mr Smith was in pain and had developed a leg haematoma. c. It took 3 days for consultant review of Mr Smith. On 13 March Mr Smith was reviewed by a consultant from another ward and prophylactic anticoagulation was discontinued. d. Mr Smith was medically reviewed and considered fit for discharge on 30 March. A tissue viability nurse review that day noted an infected leg haematoma and recommended a surgical referral for consideration of washout and debridement. e. Antibiotics for the infected haematoma were not commenced until 3 April. f. Sepsis was highlighted by the Trust surgical team on 3 April and the Sepsis Protocol was not 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, 2024-0144
- 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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