“When hospital management are aware that, due to hospital capacity issues or other…”
Dated 4 Oct 2024, from the coroner for Lancashire and Blackburn with Darwen. 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 29 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 dated4 Oct 2024
- Deadline29 Nov 2024
- Published on judiciary.uk4 Oct 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Lancashire Teaching Hospitals NHS Foundation TrustNamed in the report as “Lancashire Teaching Hospitals NHS Trust” | Response publishedPublished on judiciary.uk in October 2024. |
The coroner’s concerns
1. When hospital management are aware that, due to hospital capacity issues or other reasons, patients will be spending more than the usual expected time in A & E, A & E managers should be alerted of this perspective status as soon as possible. 2. Any patient remaining in A & E beyond the usual expected time should have an assessment of their care needs. 3. Care needs of patients held in A & E, particularly those with complex care needs, should be identified and managed. 4. Asthma is a common condition. However, A & E lacked nurses with any knowledge of when basic assessment such as peak flow should be taken and no request for assistance from a specialist ward was made. 5. Although the nursing staff made attempts to engage the acute medical team, no attempt was made to escalate problems identified by the treating nurses to senior nursing staff
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, 2024-0527
- 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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