“The delayed cardiology referral whilst Mrs Hawkes was on an orthopaedic ward led to…”
Dated 2 Apr 2024, from the coroner for South Yorkshire East. 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 28 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 dated2 Apr 2024
- Deadline28 May 2024
- Published on judiciary.uk4 Apr 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| The Rotherham NHS Foundation TrustNamed in the report as “Rotherham NHS Foundation Trust” | Response publishedPublished on judiciary.uk in April 2024. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
(1) The delayed cardiology referral whilst Mrs Hawkes was on an orthopaedic ward led to suboptimal management of her cardiac failure which in turn is implicated in her death. There is no procedure in place at the Trust for Clinicians to automatically refer in-patients with known cardiac failure to cardiology for expert management. (2) The lack of communication between services within the Trust (surgery, cardiology and tissue viability) led to a delayed and incohesive approach to the wound management. 6. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you the power to take such action. 7. YOUR RESPONSE have You are under a duty to respond to this report within 56 days of the date of this report, namely by the 28th May 2024. I, the coroner, may extend the period.
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, 2024-0178
- Added to Minute Book
- 8 Oct 2026
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- 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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