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recurance

Roger Saxby

8 Dec 2017 · Coroner Veronica Hamilton-Deeley · Brighton and Hove

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

The coroner's concerns

  1. 1. lack of staffing and resources at vascular hub

    “There are basic requirements for Staffing and resources for a vascular hub. Royal Sussex County Hospital does not meet these requirements.”
  2. 2. lack of structured post-thrombolysis discussion

    “After Mr [name redacted] received his thrombolysis at St George's, it became clear that the discussion about what should happen to him next was completely unstructured. None of those involved in his case demonstrated any sense of urgency. There was insufficient discussion with Mr [name redacted].”

Linked reports

Raised again laterJean Waghorn25 Oct 2019 · 1 year 11 months later
Closely relatedConfidence 0.80 · moderate

This report

“There are basic requirements for Staffing and resources for a vascular hub. Royal Sussex County Hospital does not meet these requirements.”

Later report

“Unnecessary and inappropriate transfers between the Royal Sussex County Hospital, the Princes Royal Hospital and the Royal Sussex County Hospital.”
Original on judiciary.uk ↗
Full chain: Unnecessary patient transfers without proper documentation

Responses

2017-0365-Response-by-St-Georges-Universty-Hospital.pdf ↗· St George's University Hospitals NHS Trust

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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