Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate communication between clinical staff and families
The earlier warning
James Withers · 7 Jan 2014 · John Pollard, Manchester (South)
“There was generally poor communication between nursing and medical staff (inter se) and between medical/nursing staff and the family of the patient.”
judiciary.uk/prevention-of-future-death-reports/james-withers
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 27 Oct 2014 · Agnes Hannan · John Pollard · Closely related · confidence 0.90 (high)
- 23 Feb 2016 · Edith Kirkham · John Pollard · Closely related · confidence 0.80 (moderate)
- 4 Mar 2016 · Ranjan Mistry · John Pollard · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · James Withers · 7 Jan 2014
“There was generally poor communication between nursing and medical staff (inter se) and between medical/nursing staff and the family of the patient.”
Later · Agnes Hannan · 27 Oct 2014
“There was extremely poor communication between hospital staff and the patient (and her family), and between and amongst themselves.”
What happened next
No web check of the stated actions has been published for this chain.