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Gwendoline Halfpenny

5 Dec 2017 · Coroner Andrew Haigh · Staffordshire (South)
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The coroner's concerns

  1. 1. lack of surgical cover at County Hospital

    “Soon after her arrival at County Hospital Mrs [name redacted] would have benefitted from surgical input. There was no surgical cover at County Hospital. Remote advice from RSUH is not the same as a surgical presence and | wonder if there should be a mid-grade surgical doctor at County Hospital.”

  2. 2. inconsistent policies and equipment between County Hospital and RSUH

    “Back in September 2016 when this death occurred the MEWS systems operated at County Hospital and RSUH differed. This has subsequently been remedied. However | was told at the Inquest that there are still different policies and equipment at County Hospital than those at RSUH. The hospitals have been part of the same Trust for a considerable period now and | wonder if there should be greater efforts to achieve consistency.”

Responses

2017-0353-Response-by-University-Hospitals-of-North-Midlands-NHS-Trust.pdf ↗

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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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