Bruce Caulfield
5 Feb 2026 · Coroner Chris Morris · Manchester South
The coroner's concerns
1. delay in medical review following family concerns
“how long transpired between a family member expressing concerns about a significant change in his condition and requesting a review by a doctor, and any medical review actually taking place”
2. inadequate intentional rounding and nursing practices
“the approach to intentional rounding at Wythenshawe hospital in conjunction with other relevant nursing practices is insuƯicient to ensure vulnerable patients (such as those with cognitive impairment or the inability to eat or drink without assistance) receive adequate hydration and nutrition whilst on the wards;”
3. lack of consistent fall communication practices across trust
“comparable measures may not be in place across the Trust as a whole”