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recurance

Audrey Lambert

5 Nov 2024 · Coroner Alison Mutch · Manchester South

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. development of fatal DVT in elderly immobile patients

    “there was no national guidance that would assist clinicians in primary care in assessing whether they should consider prolonging the course of anti- coagulation prescribed in secondary care to reduce the ongoing risk of elderly immobile patients such as Mrs [name redacted] developing a fatal DVT in the community”

Linked reports

Repeats an earlier warningRebekah Mills15 May 2023 · 1 year 6 months earlier
Closely relatedConfidence 0.85 · high

Earlier report

“guidance for clinicians in relation to reducing the risk of DVT when dealing with patients such as Ms [name redacted] who are young and on oral contraception but are immobile following an accident and require surgery is unclear”
Original on judiciary.uk ↗

This report

“there was no national guidance that would assist clinicians in primary care in assessing whether they should consider prolonging the course of anti- coagulation prescribed in secondary care to reduce the ongoing risk of elderly immobile patients such as Mrs [name redacted] developing a fatal DVT in the community”
Full chain: Insufficient anticoagulation guidance for immobilised patients

Responses

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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Audrey Lambert · Recurance