“Poor standards of communication between the domiciliarv care companv, the 2 local…”
Dated 22 Jul 2024, from the coroner for East London. Sent to 4 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
Deadline passedReplies were due by 16 Sep 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.
- Report dated22 Jul 2024
- Deadline16 Sep 2024
- Published on judiciary.uk31 Jul 2024
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East London NHS Foundation TrustNamed in the report as “East London Foundation NHS Trust” | Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s. |
| London Borough of Newham | Response publishedPublished on judiciary.uk in July 2024. |
| Department of Health and Social Care | Response publishedPublished on judiciary.uk in July 2024. |
| Sunlight Care Group | Response publishedPublished on judiciary.uk in July 2024. |
The coroner’s concerns
1. Poor standards of communication between the domiciliarv care companv, the 2 local authority and NHS trust resulted in a failure to identify the deterioration in Mr Ahmed's living conditions and health. 2. Evidence heard in the inquest suggested an under-resourced and demoralised district nursing team lacked the clinical curiosity to predict the harm that would befall Mr Ahmed should he be allowed to disengage from treatment. 3. Mr Ahmed's poor decision-making in how he budgeted was never challenged, this led to a lack of nutritious food and cleaning materials in his home. Similarly, Mr Ahmed's unwillingness to turn on his central heating, a contributory factor in the development of his fatal condition -hypothermia, remained unchallenged at the time of his death. Domiciliary carers capitulated to Mr Ahmed's express wishes that they ought not assist him with cleaning, personal care or meals instead, state-funded care hours were utilised to assist Mr Ahmed in attending his local pub and café.
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, 2024-0390
- 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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