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recurance

Monica Wood

23 Jul 2026 · Coroner Adrian Farrow · Manchester South

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of provision to review fitness for travel

    “There appears to have been no provision or mechanism to review the fitness of a patient for travel where the transfer from the Royal London Hospital to another hospital had been delayed by a number of days.”
  2. 2. lack of mechanism to review transport suitability

    “There appears to have been no mechanism to review the suitability of the chosen transport and crew for a patient whose condition has materially changed from the point of booking to the point of transfer.”

Linked reports

Repeats an earlier warningMoses Boardman11 Aug 2020 · 5 years 11 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The failure of RLH transport staff to properly assess the suitability of the venue that a patient is being taken to.”
Original on judiciary.uk ↗

This report

“There appears to have been no mechanism to review the suitability of the chosen transport and crew for a patient whose condition has materially changed from the point of booking to the point of transfer.”
Full chain: Lack of transport suitability assessment for changing patient conditions

Responses

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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