Theatre capacity shortage leading to delayed procedures
Department of Health and Social Care received 3 coroners' reports about this hazard between 4 Aug 2022 and 10 Dec 2024.
They came from 3 different coroners in 3 coroner areas. A similar concern was raised again 2 times after the first warning.
A published response was found for 1 of the 2 earlier reports, stating 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
Original on judiciary.uk ↗ No published response from Department of Health and Social Care was found for this report.
- 2 years laterIdentical hazardConfidence 0.95 · higha different coroner
“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023.”
Original on judiciary.uk ↗ Repeated from the earlier report:theatrecapacityTrust
Department of Health and Social Care responded.Response (PDF) ↗
- 5 months later
Raised again · 2nd time
Karen Dack↗
10 Dec 2024 · Dianne Hocking · Leicester City and South Leicestershire
Closely relatedConfidence 0.90 · higha different coroner“this lady's surgery was cancelled at the last minute on three separate occasions due to lack of theatre availability.”
Original on judiciary.uk ↗ Department of Health and Social Care responded.Response (PDF) ↗
- All reports to Department of Health and Social Care
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.
2022 → 2024David Curry2 years after Margaret Warwick · different coronerIdentical hazardConfidence 0.95 · high
Identical hazardConfidence 0.95 · highBoth reports identify a shortage of theatre capacity as the cause of delayed treatment.
Margaret Warwick · 4 Aug 2022
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
Original on judiciary.uk ↗ David Curry · 25 Jul 2024
“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023.”
Original on judiciary.uk ↗ 2022 → 2024Karen Dack2 years 4 months after Margaret Warwick · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports identify insufficient theatre capacity as the core problem affecting timely surgical care. The earlier report notes delays due to shortage, while the later report describes repeated last‑minute cancellations because of the same lack of theatre availability.
Margaret Warwick · 4 Aug 2022
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
Original on judiciary.uk ↗ Karen Dack · 10 Dec 2024
“this lady's surgery was cancelled at the last minute on three separate occasions due to lack of theatre availability.”
Original on judiciary.uk ↗
No published response from Department of Health and Social Care was found for this report.
No specific action could be extracted with a verified quote.
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 Department of Health and Social Care 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 |
|---|---|---|---|---|
| 2022 → 2024 | 0.75 | 0.30 | Identical · 0.95 | different |
| 2022 → 2024 | 0.77 | 0.42 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.