Missed opportunity for appropriate VTE risk management
Worcestershire Acute Hospitals NHS Trust received 2 coroners' reports about this hazard between 13 Feb 2015 and 12 Aug 2026.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Worcestershire Acute Hospitals NHS Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“No VTE assessment was ever made of Mrs [name redacted]. The explanation given oy was that staff were too busy to complete the form”
Original on judiciary.uk ↗ No published response from Worcestershire Acute Hospitals NHS Trust was found for this report.
- 11 years 6 months laterClosely relatedConfidence 0.90 · higha different coroner
“(b) a venous thromboembolism ( VTE ) assessment was carried out, which identified that the deceased had an identified risk of suffering a VTE event and prescribed compression stockings to mitigate that risk.”
Original on judiciary.uk ↗ Worcestershire Acute Hospitals NHS Trust responded.Response (PDF) ↗
- All reports to Worcestershire Acute Hospitals NHS Trust
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2015 → 2026Mathew Bailey11 years 6 months after Francoise Snape · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports concern failures to provide appropriate venous thromboembolism prophylaxis despite awareness of risk. The earlier case involved no assessment and ignorance of guidelines; the later case involved an assessment that was not acted upon.
Francoise Snape · 13 Feb 2015
“No VTE assessment was ever made of Mrs [name redacted]. The explanation given oy was that staff were too busy to complete the form”
Original on judiciary.uk ↗ Mathew Bailey · 12 Aug 2026
“(b) a venous thromboembolism ( VTE ) assessment was carried out, which identified that the deceased had an identified risk of suffering a VTE event and prescribed compression stockings to mitigate that risk.”
Original on judiciary.uk ↗
No published response from Worcestershire Acute Hospitals NHS Trust was found for this report.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Worcestershire Acute Hospitals NHS Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2015 → 2026 | 0.73 | 0.17 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Worcestershire Acute Hospitals NHS Trust
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.