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recurance

East Sussex Healthcare NHS Trust

2
reports received
1
with a published response found
1
recurrence chains
2
reports in those chains
  • Coroner Rachel Redman · East Sussex · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Rachel Redman · East Sussex · in 1 recurrence link

    Response · 3 stated actions
    2024-0263-Response-from-East-Sussex-Healthcare-.pdf ↗
    “case. We recognise that the mouthcare received by Mrs [name redacted] was not of a standard we expect. Since 2022 the Malnutrition Universal Screening Tool (MUST) and Mouthcare assessment have been a central element of basic documentation. At the end of last year both documents were transferred to an electronic system, to enable staff to record and monitor the care provided to patients, with a decreased risk of losing manual recording. High risk patients now receive daily mouthcare reviews, medium risk patients”
    “We have now made changes to the rota for this service and since mid-May we now have a Saturday service for new assessments of patients who have sustained a fractured Neck of Femur. We have also increased staffing to include two full-time Physical Therapist Assistants (PTAs) in the period since this incident.”
    “We acknowledge the unacceptable delay in dealing with the pressure sore. We note that category 2 pressure damage was first documented in Mrs [name redacted] health records on 20 September 2022, ten days before the referral to the TVN. In order to strengthen the approach regarding managing pressure sores, the Tissue Viability Team are supporting the ward to undertake a quality improvement (QI) project in relation to the prevention and management of pressure ulcers including the recognition of potential”
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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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