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Coroner’s reportPrevention of future deaths · 2024-0207

“The absence of any obvious mechanism for the various medical disciplines across different…”

Dated 19 Apr 2024, from the coroner for Manchester South. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 14 Jun 2024. 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 dated19 Apr 2024
  2. Deadline14 Jun 2024
  3. Published on judiciary.uk29 Apr 2024
  4. Today27 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
NHS EnglandResponse publishedPublished on judiciary.uk in April 2024.
NHS Greater Manchester Integrated Care BoardNamed in the report as “Greater Manchester Integrated Care”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Jun 2024. A reply may have been sent and not yet published.

The coroner’s concerns

– The absence of any obvious mechanism for the various medical disciplines across different hospital sites to be brought together in complex medical cases under the leadership of a single practitioner in a position to evaluate and co-ordinate the best approach and combination of medical care for the patient.

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, 2024-0207
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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