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recurance

Amanda Wood

7 Oct 2025 · Coroner Chris Morris · Manchester South

The coroner's concerns

  1. 1. lack of sepsis screening

    “there is no evidence of any sepsis screen being undertaken prior to Miss [name redacted] discharge from the Emergency Department on 28th December 2024”

Responses

2025-0495-Response-from-Tameside-and-Glossop-Integrated-Care-NHS-Foundation-Trust-.pdf ↗· Tameside and Glossop Integrated Care NHS Foundation Trust

Stated action · summer 2026

“the Trust has observed that improvements are required to documentation, which will be overseen through the bi-monthly Clinical Effectiveness Group which is chaired by myself and is attended by the Chief Nurse, Deputy Chief Nurse, Associate Medical Directors, Divisional Nursing Directors, Clinical Directors, Divisional Director's and the Deputy Chief Operating Officer. [name redacted] this group, I am commissioning a doctors' documentation audit that will cover all aspects of documentation including ward”
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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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