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recurance

George Richardson

15 May 2015 · Coroner Derek Winter · Sunderland

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. inconsistent catheterisation record keeping

    “Catheterisation was carried out including attempts/manipulation on several occasions by different individuals without recourse to a consolidated catheterisation record”

Linked reports

Repeats an earlier warningStephen Widman29 Apr 2014 · 1 year 1 month earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“The deceased was catheterised too frequently without the management of a urologist.”
Original on judiciary.uk ↗

This report

“Catheterisation was carried out including attempts/manipulation on several occasions by different individuals without recourse to a consolidated catheterisation record.”
Full chain: Repeated catheterisation without oversight or documentation

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.

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