Jason Clemens
2 Jul 2025 · Coroner Guy Davies · Cornwall & the Isles of Scilly
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
No concerns could be extracted with a verified quote. Read the original report.
Linked reports
Closely relatedConfidence 0.85 · high
This report
“There were no applicable standard operating procedures for worsening patients in the renal unit at the date of [the deceased]'s death and none had been implemented by the date of Inquest.”
Later report
“There was insufficient evidence before the court to indicate that the above failings found at Inquest had been addressed by the hospital.”
Responses
2025-0336-Response-from-Royal-Cornwall-Hospitals.pdf ↗· Royal Cornwall Hospital
Stated action
“Standard Operating Procedure (SOP): This (SOP) is now completed and has been uploaded onto the Trust's intranet page for all staff to have access to. A copy of the SOP is attached to the response as 'Enclosure”