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recurance

Kathleen Booth

22 Nov 2023 · Coroner Emma Serrano · Staffordshire and Stoke on Trent

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. delayed surgery for hip fracture

    “There was a 4 day delay in her receiving surgery due to NHS wide under staffing and underfunding; and wards having to undertake elective and emergency work at the same time. Additionally, the fact that the injury happened on a Friday, meaning less staff and experience was available”
  2. 2. delayed surgery

    “Earlier intervention is associated with better outcomes”
  3. 3. injury on Friday

    “Patients can be disadvantaged by not receiving treatment if an injury is sustained on a Friday as cover over the weekend is limited”

Linked reports

Repeats an earlier warningMaureen Harrop14 Sept 2022 · 1 year 2 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“The evidence at the Inquest was that the NICE guidance promotes surgery within 36 hours. In Mrs [name redacted] case that was not achieved due to a lack of theatre capacity.”
Original on judiciary.uk ↗

This report

“There was a 4 day delay in her receiving surgery due to NHS wide under staffing and underfunding; and wards having to undertake elective and emergency work at the same time.”
Full chain: Delayed surgery beyond 36 hours

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.

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