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recurance

Pauline Russell

4 Aug 2020 · Coroner Yvonne Blake · Norfolk

The coroner's concerns

  1. 1. lack of literacy assessment for patients

    “no-one checked whether Mrs [name redacted] could read, her admission pack has a long section on communication but not once is the question asked can you read/write or something of that nature. Mrs [name redacted] would have been given menus to select from and been expected to read other things whilst in hospital, but nobody checked that she could do this. On discharge no one checked that could read and understand the discharge summary.”

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.

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