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recurance

June Parkes

23 Mar 2016 · Coroner Mary Burke · West Yorkshire (West)

The coroner's concerns

  1. 1. delayed urgent endoscopy

    “The provision and systems in place to identify and undertake urgent or emergency endoscopies at Calderdale royal hospital”
  2. 2. no out-of-hours endoscopy

    “There is no provision at Calderdale Royal Hospital to undertake urgent or emergency endoscopies”
  3. 3. no urgent surgery out-of-hours

    “There is presently no provision at Calderdale Royal Hospital to undertake urgent/ emergency surgery if deemed necessary”
  4. 4. inaccurate vital sign scoring

    “Nursing staff compliance with the news system both in respect of accurately scoring each of the various vital signs”
  5. 5. poor nursing record keeping

    “Record keeping of nursing staff”
  6. 6. poor doctor record keeping

    “Record keeping of doctors”

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