Recurance · prevention of future deaths reports
Pre-inquest brief
Inaccurate discharge letters to primary care
The earlier warning
Margaret Dempsie · 24 Oct 2016 · Dianne Hocking, Leicester City and Leicestershire South
“The discharge letter from the University Hospitals of Leicester NHS Trust addressed to the primary care team contained inaccuracies. It stated that Mrs [name redacted] had been suffering from aspiration pneumonia when no pneumonia had been identified”
judiciary.uk/prevention-of-future-death-reports/margaret-dempsie
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 24 Jun 2019 · Lewis Doyle · Andre Rebello · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Margaret Dempsie · 24 Oct 2016
“The discharge letter from the University Hospitals of Leicester NHS Trust addressed to the primary care team contained inaccuracies. It stated that Mrs [name redacted] had been suffering from aspiration pneumonia when no pneumonia had been identified”
Later · Lewis Doyle · 24 Jun 2019
“When Mr [name redacted] was discharged from the Liverpool Heart and Chest Hospital the GP discharge letter was sent to his GP. Mr [name redacted] was receiving treatment for Acute Coronary Syndrome but also mental health care for a Recurrent Depressive Illness”
What happened next
No web check of the stated actions has been published for this chain.