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recurance

Stuart Aaron Collins

18 Nov 2013 · Coroner Clare Bailey · Teesside

The coroner's concerns

  1. 1. lack of assessment upon arrival

    “There appeared to be a degree of uncertainty as to whether Mr [name redacted] was assessed upon his arrival at the A&E department at James Cook University Hospital”
  2. 2. absence of hourly nursing observations

    “It was stated that Mr [name redacted] should have had hourly nursing observations taken during his first admission to A&E on 9.10.12”
  3. 3. incomplete nursing documentation

    “Evidence was given that the nursing notes in A&E were not fully completed and were not kept up to date”
  4. 4. hand sanitiser gel accessible near patient

    “the hand sanitiser gel was collected from the A&E department.”

Responses

2013-0300-Response-by-South-Tees-Hospitals-NHS-Foundation-Trust.pdf ↗· Tees Esk and Wear Valley NHS Foundation 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.

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Stuart Aaron Collins · Recurance