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recurance

Rebekah Mills

15 May 2023 · Coroner Alison Mutch · Manchester South

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. potentially fatal risk of DVT in young patients on oral contraception who are immobile after accident and require knee‑f

    “guidance for clinicians in relation to reducing the risk of DVT when dealing with patients such as Ms [name redacted] who are young and on oral contraception but are immobile following an accident and require surgery is unclear”

Linked reports

Raised again laterAudrey Lambert5 Nov 2024 · 1 year 6 months later
Closely relatedConfidence 0.85 · high

This report

“guidance for clinicians in relation to reducing the risk of DVT when dealing with patients such as Ms [name redacted] who are young and on oral contraception but are immobile following an accident and require surgery is unclear”

Later report

“there was no national guidance that would assist clinicians in primary care in assessing whether they should consider prolonging the course of anti- coagulation prescribed in secondary care to reduce the ongoing risk of elderly immobile patients such as Mrs [name redacted] developing a fatal DVT in the community”
Original on judiciary.uk ↗
Full chain: Insufficient anticoagulation guidance for immobilised patients

Responses

2023-0152-Response-from-Medicines-Healthcare-products-Regulatory-Agency.pdf ↗· NHS England

Stated action · as soon as possible

“We will request these be addressed as soon as possible”
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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