Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of VTE assessment and missing anticoagulation documentation
The earlier warning
Francoise Snape · 13 Feb 2015 · Geraint Williams, Worcestershire
“No VTE assessment was ever made of Mrs [name redacted]. The explanation given oy was that staff were too busy to complete the form”
judiciary.uk/prevention-of-future-death-reports/francoise-snape
What was promised
No published response from Worcestershire Acute Hospitals NHS Trust was found for the earlier reports.
What recurred
- 17 Jan 2025 · Vauna Leeming · David Reid · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · 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”
Later · Vauna Leeming · 17 Jan 2025
“(a) on 2 days ( 10 and 13.2.24 ) no documentation was completed by nurses to show whether Enoxaparin had in fact been administered;”
What happened next
No web check of the stated actions has been published for this chain.