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recurance

Derrick Stanmore

1 May 2015 · Coroner Lydia Brown · Leicester (City & South)

The coroner's concerns

  1. 1. abnormal observations not escalated

    “Observations were taken on the morning of Mr. [name redacted] death by a registered nurse. The observations were abnormal and required further action to be taken but this was not recognised. A system similar to the hospital "Early Warning Score" (EWS) may assist the healthcare staff in recognising this and escalating care accordingly”

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.

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Derrick Stanmore · Recurance