Carole McQuinn
19 Jul 2023 · Coroner Catherine Cundy · North Yorkshire and York
The coroner's concerns
1. discharge without documentation or follow-up
“The deceased was discharged from hospital on the evening of 20th April 2022 with no discharge note, medications or follow-up appointment”
2. lack of documentation of infection concerns
“Trust staff interacting with the deceased and her daughter regarding infection concerns arising in the post-discharge period between 21/4/22 and 3/5/22 made no records of the same”
3. communication failure between hospitals
“The deceased had an emergency admission to York Hospital on 4/5/22 with suspected intra-abdominal sepsis”