Skip to content
recurance

Margaret Warwick

4 Aug 2022 · Coroner Alison Mutch · Manchester South

A similar concern from this report was raised again 2 times later. See the linked reports.

The coroner's concerns

  1. 1. delayed cardiology assessment for hip fracture patient

    “under the NICE guidance where a patient needs an operation for a hip fracture such as in Mrs [name redacted] case and needs optimising, that optimisation should be dealt with expeditiously”
  2. 2. theatre capacity shortage

    “further delay due to a shortage of theatre capacity at the Trust”
  3. 3. shortage of HDU beds

    “shortage of HDU beds at the Trust”

Linked reports

Raised again laterDavid Curry25 Jul 2024 · 2 years later
Identical hazardConfidence 0.95 · high

This report

“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”

Later report

“Due to a lack of theatre capacity, Mr [name redacted] did not receive a date for the proposed procedure at the NHS Trust and some five months following the initial procedure he approached Spire Norwich Hospital on 5 September 2023.”
Original on judiciary.uk ↗
Full chain: Theatre capacity shortage leading to delayed procedures
Raised again laterKaren Dack10 Dec 2024 · 2 years 4 months later
Closely relatedConfidence 0.90 · high

This report

“Even after the assessment the Inquest heard evidence that there was a further delay due to a shortage of theatre capacity at the Trust.”

Later report

“this lady's surgery was cancelled at the last minute on three separate occasions due to lack of theatre availability.”
Original on judiciary.uk ↗
Full chain: Theatre capacity shortage leading to delayed procedures

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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