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recurance

City Hospitals Sunderland NHS Foundation Trust

5
reports received
1
with a published response found
1
recurrence chains
2
reports in those chains
  • James Vinson9 Aug 2017

    Coroner Derek Winter · Sunderland

    No published response from this organisation found.

  • Margaret Ferry23 Oct 2015

    Coroner Karin Welsh · Sunderland

    No published response from this organisation found.

  • Leonard Hudson24 Sept 2014

    Coroner not stated · Sunderland · in 1 recurrence link

    No published response from this organisation found.

  • Thomas Dixon8 Jul 2014

    Coroner Derek Winter · Sunderland

    No published response from this organisation found.

  • Jean James13 Mar 2014

    Coroner Derek Winters · Sunderland · in 1 recurrence link

    Response · 4 stated actions
    2014-0112-Response-by-City-Hospitals-Sunderland.pdf ↗
    “the Trust has undertaken the following actions: 1) We have reviewed the hospital information system, known as MEDITECH V6 to find a solution to prevent further risk for patients who on assessment are at risk of developing a venous thromboembolism episode (VTE). The proposal is for the VTE assessment screen to automatically move to the prescription screen if a patient has been identified as being at risk. The medical staff will be required to complete the prescription for the thromboprophylaxis”
    “2) We have introduced a new format for clinical handover of patients from the Acute Medical Unit to their base ward. This acuity handover tool is patient focused and highlights key indicators regarding the patient's healthcare needs, and treatment plan.”
    “3) Communication between the pharmacy team and escalation of omissions is currently the subject of an internal review where the team are in the process of identifying workable solutions.”
    “4) The Trust has a VTE policy based on NICE guidelines and we are currently reviewing the policy to encompass the technical changes made to the VTE assessment and prescribing process. We will hold a Trust wide clinical symposium in the autumn to ensure staff have the opportunity to discuss current issues regarding the management of patients at risk of VTE.”
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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.

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