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recurance

University College London Hospitals NHS Trust

12
reports received
4
with a published response found
1
recurrence chains
2
reports in those chains
  • Coroner Mary Hassell · Inner North London

    No published response from this organisation found.

  • Coroner Ian Potter · Inner North London

    No published response from this organisation found.

  • Coroner Mary Hassell · Inner North London

    No published response from this organisation found.

  • Coroner Stephen Simblet · Inner North London · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Graeme Irvine · East London

    No published response from this organisation found.

  • Coroner Mary Hassell · Inner North London

    Response · 6 stated actions
    2022-0392-Response-from-Kapital-Care.pdf ↗
    “Concern 3 - Kapital care coordinators will contact district nurses in all cases when it is identified they are involved in the adult's care arrangements. This will ensure any care and support needs relating to pressure ulcer management and other relevant care needs can be implemented as part of our care plans.”
    “Concern 5 - All relevant information including hospital discharge notes for the client is reviewed to ensure a better understanding of a person's care needs. - Kapital care reviews the discharge letter sent home with the adult to identify any additional needs relevant to the care delivery.”
    “Concern 6 - Review of all policies and procedure has been completed/in progress since the safeguarding enquiry/Coroner report which include the actions set out. - Review of all training needs for all care staff employed by Kapital care to identify training needs across the organization and improve standards of care”
    “concern. - Any concerns identified which impact on our ability to complete the care tasks are reported immediately to adult social care, ensuring an immediate solution is found.”
    “is found. - Review the care plan when any concerns are raised/identified.”
    “Concern 7 - Kapital care maintains full cooperation with the local authority in all safeguarding enquiries. Since the Coroner's report Kapital care has identified any potential conflict of interest when interviewing our own care staff. This is to be discussed with the local authority to identify who is the most appropriate person/agency to lead the interview.”
    Response
    Response · 6 stated actions
    2022-0392-Response-from-Kapital-Care-UK-Limited.pdf ↗
    “Concern 3 - Kapital care coordinators will contact district nurses in all cases when it is identified they are involved in the adult's care arrangements. This will ensure any care and support needs relating to pressure ulcer management and other relevant care needs can be implemented as part of our care plans.”
    “Concern 5 - All relevant information including hospital discharge notes for the client is reviewed to ensure a better understanding of a person's care needs. - Kapital care reviews the discharge letter sent home with the adult to identify any additional needs relevant to the care delivery.”
    “Concern 6 - Review of all policies and procedure has been completed/in progress since the safeguarding enquiry/Coroner report which include the actions set out. - Review of all training needs for all care staff employed by Kapital care to identify training needs across the organization and improve standards of care”
    “concern. - Any concerns identified which impact on our ability to complete the care tasks are reported immediately to adult social care, ensuring an immediate solution is found.”
    “is found. - Review the care plan when any concerns are raised/identified.”
    “Concern 7 - Kapital care maintains full cooperation with the local authority in all safeguarding enquiries. Since the Coroner's report Kapital care has identified any potential conflict of interest when interviewing our own care staff. This is to be discussed with the local authority to identify who is the most appropriate person/agency to lead the interview.”
    Response
  • Michael Brennan27 Mar 2017

    Coroner R Brittain · London Inner (North) · in 1 recurrence link

    Response · 1 stated action
    2017-0114-Response-by-University-College-Hospitals-NHS-Trust.pdf ↗
    “we will amend it by the end of May 2017 to take account of the normal practice with respect to Westmoreland Street Hospital (WMS) beds which is twice daily updates on the WMS bed state being sent to the main hospital”
  • Ralph Goslin25 Jun 2014

    Coroner ME Hassell · London Inner (North)

    No published response from this organisation found.

  • Peter Brookes7 May 2014

    Coroner R Brittain · London Inner (North)

    Response · 1 stated action
    2014-0205-Response-by-University-College-London-Hospitals-NHS-Foundation-Trust.pdf ↗
    “An item to be included in the July Quality and Safety newsletter. Link to Parkinson's Disease website and reference to 'Get it on time' video to be included in the Q&S newsletter. Awareness to be raised via the Trust Clinical Practice Facilitators forum.”
  • Eric Matthews4 Apr 2014

    Coroner R Brittain · London Inner (North)

    No published response from this organisation found.

  • Coroner R Brittain · London Inner (North)

    No published response from this organisation found.

  • Umul Audu27 Jan 2014

    Coroner R Brittain · London Inner (North)

    Response · 1 stated action
    2014-0038-Response-by-University-College-London-Hospitals-NHS-Foundation-Trust.pdf ↗
    “investigation. (2) We will keep this issue under review but at present would not propose to introduce transport heaters for the reasons set out above.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error