“That there was a lack of knowledge, among clinical staff, of the Acute Abdominal Pain…”
Dated 30 Sep 2024, from the coroner for Central and South East Kent. Sent to 3 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
All responses publishedReplies were due by 25 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 dated30 Sep 2024
- Deadline25 Nov 2024
- Published on judiciary.uk30 Sep 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East Kent Hospitals University NHS Foundation Trust | Response publishedPublished on judiciary.uk in September 2024. |
| National Institute for Health and Care Excellence | Response publishedPublished on judiciary.uk in September 2024. |
| NHS England | Response publishedPublished on judiciary.uk in September 2024. |
The coroner’s concerns
– (a) That there was a lack of knowledge, among clinical staff, of the Acute Abdominal Pain Pathway (AAPP). (b) Given what was said about how clear the AAPP was, that EKHT should provide evidence of what further work has been done make it clearer and accessible to clinicians. (c) That the hospital SI process did not include information from family and other interested persons or parties as part its fact-finding exercise. (d) There was not a clearly documented and recorded process for patients who selfdischarge from 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, 2024-0518
- 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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