David Dugdale
8 Jan 2026 · Coroner Rachel Redman · East Sussex
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inadequate pain management
“Poor management of [the deceased]'s pain. In spite of sustaining a category 2 pressure sore and bilateral hip fractures whilst an in patient at EDGH, he was only receiving oral paracetamol. Not until ambulance crew raised their concerns about his inadequate pain relief prior to their transferring him to Conquest Hospital did he receive increased and more appropriate pain relief. His carers repeatedly tried to advise nursing staff that he was in pain, but their concerns were not listened to nor acted upon.”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“The RCA was insufficient and did not address all of the issues surrounding Mrs [name redacted] care”
This report
“Poor management of [the deceased]'s pain. In spite of sustaining a category 2 pressure sore and bilateral hip fractures whilst an in patient at EDGH, he was only receiving oral paracetamol.”