Skip to content
recurance

David Bendell

5 Jun 2025 · Coroner Nigel Parsley · Suffolk

The coroner's concerns

  1. 1. discharged patients unable to walk unaided

    “At inquest it was heard in evidence [the deceased] was discharged from hospital once he was able to transfer from a hospital bed to a commode, and back to the bed. It was acknowledged that [the deceased] could not walk unaided.”
  2. 2. insufficient physiotherapy support at home

    “[the deceased] was discharged on the 8th July 2024 under the Stroke Early Supported Discharge Team, that was to provide physiotherapy support in his home on a daily basis. [the deceased] also had carers to attend four times a day (this being the maximum support available).”
  3. 3. no specialist rehabilitation facility

    “[the deceased]'s condition was such that he was not a candidate for hospital-based rehabilitation on a specialist stroke rehabilitation ward. This meant that the only available treatment option for [the deceased] was to treat him at home.”
  4. 4. risk to similar patients discharged home

    “I am therefore concerned that with the current rehabilitation options available being either in a specialist hospital ward or at home, other individuals in [the deceased]'s situation who are not deemed suitable for in- patient hospital, will also be placed at risk by being sent home when it is not safe to do so.”

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

David Bendell · Recurance