“Tlru Trusl”
Dated 27 Aug 2024, from the coroner for East London. 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.
The 56-day response deadline
Deadline passedReplies were due by 22 Oct 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 dated27 Aug 2024
- Deadline22 Oct 2024
- Published on judiciary.uk30 Aug 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Barts Health NHS TrustNamed in the report as “Barts Health NHS Foundation Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 22 Oct 2024. A reply may have been sent and not yet published. |
| Department of Health and Social Care | Response publishedPublished on judiciary.uk in August 2024. |
The coroner’s concerns
A. Tlru Trusl. l'ällëü tu ädëquätëly lüëiltll'y ä ërltluälly lll pätlëilt wltlr ä pre-uxlstlrrg uumorbidity, sickle cell anaemia, that carried with it a hiqh risk of acute 2 d eterioration. Earlier introduction of fluid resuscitation, blood and i/v antibiotics is likely to have resulted in a non-fatal outcome. Factors in the emergency department including, patient congestion, over-reliance on the NEWS algorithm and a lack of compassion and clinical curiosity contributed to the outcome.
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, 2024-0470
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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