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recurance

Judith Marsland

10 Jun 2026 · Coroner Anna Morris · Manchester South

The coroner's concerns

  1. 1. failure to review abnormal blood results promptly

    “that Mrs. [name redacted] deterioration and death followed an error in not escalating the abnormal blood results that were available for clinical review during her admission to Tameside Hospital on 7th November 2025”
  2. 2. lack of structured cross-team handover and named responsible clinicians

    “key aspects of the PSII action plan that are intended to mitigate the risk of future deaths are yet to be implemented by the Trust”

Responses

No published response was found on judiciary.uk.

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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