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recurance

Herta Woods

26 Feb 2014 · Coroner Veronica Hamilton-Deeley · Brighton & Hove

The coroner's concerns

  1. 1. abandonment of elderly patient in acute medical unit

    “The apparent abandoment of this lady in AMU.”
  2. 2. incomplete documentation of medical review

    “The failure to record the timing and reason for the Doctor's visit (the reason was only illicited from evidence)”
  3. 3. delayed senior review of fluid charting

    “The failure to seek an early Senior Review for the failure to record the Fluid Chart correctly - this is important because it was fluid overload that was the immediate cause of Mrs. [name redacted] death”
  4. 4. inadequate response to clinical deterioration

    “Failure to act on the NEWS score and create a plan for Mrs [name redacted] and assist her”
  5. 5. inadequate intravenous access management

    “Failure to canulate her appropriately. Her cannula had initially been inserted by the ambulance crew, this tissued and needed to be replaced. The”

Responses

No published response was found on judiciary.uk.

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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