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Coroner’s reportPrevention of future deaths · 2024-0652

“No Vulnerable Adult Risk Management meeting was held despite multifactorial concerns with…”

Dated 24 Nov 2024, from the coroner for East Riding and Hull. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 19 Jan 2025. 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.

  1. Report dated24 Nov 2024
  2. Deadline19 Jan 2025
  3. Published on judiciary.uk2 Dec 2024
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Hull University Teaching Hospitals NHS TrustNamed in the report as “Hull University Teaching Hospital”Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.
NHS EnglandResponse publishedPublished on judiciary.uk in December 2024.
East Riding of Yorkshire CouncilResponse publishedPublished on judiciary.uk in December 2024.

The coroner’s concerns

– (1) No Vulnerable Adult Risk Management meeting was held despite multifactorial concerns with Mr Wiles’ comorbities and self neglect leading to poor living conditions and increased risk to his safety (2) It does not seem clear whether callers are advised to call the emergency services back if they continue to have concerns. (3) The waiting times for ambulances to hand over patients at Hull Royal Infirmary were excessive that day leading to 160 hours of lost ambulance time. (4) There appears to be an issue with no criteria to reside patients and the ability to hand over patients into ED in Hull Royal Infirmary who arrive in emergency ambulances.

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, 2024-0652
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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