Recurance · prevention of future deaths reports
Pre-inquest brief
Theatre capacity shortage leading to delayed procedures
The earlier warning
Margaret Warwick · 4 Aug 2022 · Alison Mutch, Manchester South
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
judiciary.uk/…/margaret-warwick-prevention-of-future-deaths-rep…
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 25 Jul 2024 · David Curry · Jacqueline Lake · Identical hazard · confidence 0.95 (high)
- 10 Dec 2024 · Karen Dack · Dianne Hocking · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Margaret Warwick · 4 Aug 2022
“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”
Later · David Curry · 25 Jul 2024
“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023.”
What happened next
No web check of the stated actions has been published for this chain.