Recurance · prevention of future deaths reports
Pre-inquest brief
Continuing medication for VTE risk after discharge
The earlier warning
Brenda McWilliams · 29 Nov 2019 · Peter Sigee, Manchester (North)
“I am concerned that the various medical practitioners who attended upon Mrs [name redacted] did not consider continuing prescribing Mrs [name redacted] medication to minimise the risk of VTE after her discharge from hospital on 21st December 2018”
What was promised
No published response from National Institute for Health and Care Excellence was found for the earlier reports.
What recurred
- 27 Oct 2023 · Andrew Nichols · Nicholas Lane · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Brenda McWilliams · 29 Nov 2019
“I am concerned that the various medical practitioners who attended upon Mrs [name redacted] did not consider continuing prescribing Mrs [name redacted] medication to minimise the risk of VTE after her discharge from hospital on 21st December 2018”
Later · Andrew Nichols · 27 Oct 2023
“There seems to be a lack of clarity amongst health and care professionals (certainly those who gave evidence at this inquest) as to whether community organisations receiving patients following discharge from hospital”
What happened next
No web check of the stated actions has been published for this chain.