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Coroner’s reportPrevention of future deaths · 2024-0447

“5 (1) I received evidence of the planning that had gone into preparing the trust for…”

Dated 13 Aug 2024, from the coroner for Cumbria. 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.

Read the full report on judiciary.uk

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Replies were due by 8 Oct 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.

  1. Report dated13 Aug 2024
  2. Deadline8 Oct 2024
  3. Published on judiciary.uk13 Aug 2024
  4. Today27 Oct 2026

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Sent toResponse
North Cumbria Integrated Care NHS Foundation TrustNamed in the report as “North Cumbria Integrated Care NHS Trust”Response publishedPublished on judiciary.uk in August 2024.

The coroner’s concerns

– 5 (1) I received evidence of the planning that had gone into preparing the trust for strikes. However, there was evidence from one of the Trust's consultants that on the day of the strike she had to "look after nearly 25 patients" and that "due to the junior doctor’s strike on 14/06/2023, Mrs Austin did not receive any medical input that day". Another consultant gave evidence that despite being listed as one of the consultants covering the unit (in the contingency planning evidence) he was probably dealing with other duties on that day. In the circumstances I am concerned that the planning that seeks to ensure safe levels of cover during periods of industrial action was insufficient to meet need and that this gave rise to a risk of future deaths.

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, 2024-0447
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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