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recurance

Katherine Derbyshire

16 Jun 2017 · Coroner Timothy Brennard · Manchester (West)

The coroner's concerns

  1. 1. delayed transfer to dialysis unit

    “No transfer to Salford Royal Infirmary, in fact, took place”
  2. 2. poor communication

    “The quality of communication between the 14th-20th November 2016 raises a fundamental issue of concern in the appropriateness of her treatment and care”
  3. 3. information gap

    “There was no evidence received at the Inquest as to when the Royal Albert Edward Infirmary was informed by the Salford Royal Infirmary that a bed was or would have been available for the patient”

Responses

2017-0199-Response-by-Salford-Royal-NHS-Trust.pdf ↗· Salford Royal Hospital

Stated action · September 2017

“SRFT are developing an inter-hospital online referral system which aims to standardise advice and guidance as well as providing prompts for specific information. The system will automate the following: e explicit request to provide date of last organ support with automatic alert to consider options if >72 hours”
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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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