Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Norma Bradbury

27 Jan 2021 · Coroner Andrew Bridgman · Manchester City Area
Check this reportOriginal

The coroner's concerns

  1. 1. delayed GP review of post-discharge blood pressure and medication

    “The discharge letter to her GP instructed a review within 1 week to check Mrs [name redacted] bloods and blood pressure, and to restart Losartan, and titrate the dose to her blood pressure”

  2. 2. delayed receipt of discharge communication

    “the discharge letter was not received until 25.02.19”

  3. 3. inadequate timing of required GP follow-up

    “the discharging hospital requires GP involvement within 1 week of discharge a delay of 3 days in requesting or advising that involvement is not acceptable”

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