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Recurance · prevention of future deaths reports

Pre-inquest brief

Untrained staff unable to manage pressure sores

Organisation: Department of Health and Social Care · Generated: 26 Oct 2026

Recurance · recurance.com/chains/73d303341deaf1c5

The earlier warning

Dorothy McDermott · 10 Jul 2015 · Simon Nelson, Manchester (North)

“Care staff at the home were not trained in either the examination for or care of pressure sores.”

judiciary.uk/…/dorothy-mcdermott

What was promised

No published response from Department of Health and Social Care was found for the earlier reports.

What recurred

  • 12 Mar 2026 · Albert Bellingham · Andrew Walker · Closely related · confidence 0.80 (moderate)

The clearest link, quoted from both reports:

Earlier · Dorothy McDermott · 10 Jul 2015

“Care staff at the home were not trained in either the examination for or care of pressure sores.”

Later · Albert Bellingham · 12 Mar 2026

“Consideration of guidance to support interventionalist, supervisory role with appropriate training for doctors working in care homes when dealing with pressure sore.”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.