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recurance

Francis Hodge

24 Sept 2019 · Coroner Briony Ballard · London Inner (South)

The coroner's concerns

  1. 1. inadequate discharge advice

    “on discharge Mr [name redacted] was given inadequate discharge advice”
  2. 2. lack of warning signs education

    “patient should have been told to be concerned about and to look out for: breathlessness, pus or redness, and / or pain which would not settle”
  3. 3. absence of patient information leaflet

    “no patient information leaflet existed for this type of surgery”

Responses

2019-0338-Response-by-Lewisham-and-Greenwich-NHS-Trust.pdf ↗· University Hospital Lewisham

Stated action · December 2019

“The Trust has commenced a communication exercise to remind staff in preoperative assessment to ensure that the appropriate information leaflet is handed to patients and to document that this has been done. An audit of the provision of these leaflets will be completed by December 2019 to ensure that the communication strategy has been effective.”
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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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Francis Hodge · Recurance