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recurance

Alex Shaw

7 May 2021 · Coroner Sarah Murphy · Stoke-on-Trent & North Staffordshire Coroner's Court

The coroner's concerns

  1. 1. poor communication of clinical observations between hospitals

    “There was poor communication of the patient's clinical condition/observations between the Registrar at the Royal Stoke University Hospital and the Consultant at the Birmingham Children's Hospital when advice was sought by telephone. There was also poor documentation of the contents of the information that had been provided during that conversation and the timing of when the call was made. The evidence of the Consultant at the Birmingham Children's Hospital was that her advice would have been”

Responses

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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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