“While at Worcestershire Royal Hospital, Ms”
Dated 20 Sep 2024, from the coroner for Worcestershire. 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 15 Nov 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 dated20 Sep 2024
- Deadline15 Nov 2024
- Published on judiciary.uk24 Sep 2024
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Worcestershire Acute Hospitals NHS Trust | Response publishedPublished on judiciary.uk in September 2024. |
The coroner’s concerns
– 1) While at Worcestershire Royal Hospital, Ms. Maycroft sustained a number of falls: (a) on 5.12.23 in the Emergency Department; (b) on 19.12.23 in the Emergency Department; (c) on 23.12.23 in the Acute Frailty Unit. 1 2) In respect of each of these falls, Matron gave evidence that whilst staff in the Emergency Department and the Acute Frailty Unit had completed falls risk assessments, no measures to mitigate that risk, such as might be found in a falls prevention, assessment and intervention plan, were documented in Ms. Maycroft’s notes. This meant that no documented falls prevention measures were put in place for her. 3) Furthermore, I heard no evidence at the inquest which satisfied me that steps have now been taken to ensure falls prevention measures are now being properly considered and documented in both the Emergency Department and the Acute Frailty Unit at the hospital.
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, 2024-0509
- 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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