Skip to content
recurance

Millie Hook

15 Jul 2026 · Coroner Stephen Simblet · Essex

The coroner's concerns

  1. 1. inadequate emergency department systems

    “There is a concern that the systems for dealing with patients in the Emergency Department at Basildon Hospital presenting with acute physiological derangement and who are clearly unwell, is inadequate”
  2. 2. unqualified consultants in substantive posts

    “There is a concern that those working in substantive consultancy posts at Basildon Hospital and other hospitals in the Trust, including in departments to which critically ill patients may be taken and where the care that such patients receive might affect whether they survive or not, do not hold the appropriate consultant registration standard”
  3. 3. ineffective incident investigation arrangements

    “There is a concern over the effectiveness and sufficiency of the Trust's arrangements for investigating cases where patients have died or where there have been other serious outcomes, including not properly obtaining and considering additional clinical opinion, not investigating promptly and seeking to sufficiently to implement learning from such incidents”
  4. 4. uncertain sepsis protocol deployment

    “There is a concern as to whether there is a pro- forma sepsis protocol in use at Basildon Hospital, and if there is, how this protocol is being deployed and whether clinical interventions pursuant to this protocol are being adequately recorded”

Responses

  • 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

Millie Hook · Recurance