Skip to content
recurance

Cherry Dunn

26 Aug 2021 · Coroner Catherine Mason · Leicester City and South Leicestershire

The coroner's concerns

  1. 1. bilateral leg swelling

    “Bilateral leg swelling overshadowed the consideration for a DVT”
  2. 2. VTE risk assessment

    “The VTE risk assessment used at the time of Mrs [name redacted] death was not as comprehensive as it could have been”
  3. 3. confusing discharge letter

    “The discharge letter used when Mrs [name redacted] was transferred from one hospital setting to another (attached) was confusing.”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Cherry Dunn · Recurance