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recurance

Anne Hawkes

2 Apr 2024 · Coroner Sarah Slater · South Yorkshire East

The coroner's concerns

  1. 1. delayed cardiology referral

    “The delayed cardiology referral whilst Mrs [name redacted] was on an orthopaedic ward led to sub optimal management of her cardiac failure which in turn is implicated in her death”
  2. 2. lack of communication between services

    “The lack of communication between services within the Trust (surgery, cardiology and tissue viability) led to a delayed and incohesive approach to the wound management”

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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