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recurance

Kelly Willis

30 Mar 2015 · Coroner Rachel Redman · Kent (Central & South East)

The coroner's concerns

  1. 1. failure to contact tertiary centre about prior procedure

    “Those caring for Mr [name redacted] at William Harvey Hospital recognised the need to contact St Thomas' Hospital about the procedure that he had undergone there but failed to liaise with the tertiary centre before 29'" October, even though this was well documented in the medical records on the first and third admissions that it should be.”

Responses

2015-0122-Response-by-East-Kent-Hospitals-University.pdf ↗· East Kent Hospitals University NHS Foundation Trust

Stated action · 07 May 2015

“The Trust recognises that earlier contact should have been made with ae =: St Thomas' Hospital following Mr [name redacted]' admission to the William Harvey Hospital, particularly because his diagnosis was unconfirmed. It is not uncommon for patients to undergo treatment at tertiary centres and for their care to subsequently be referred back to that of the Trust either as a direct referral or following readmission to hospital from the community setting, as in Mr [name redacted]' case.”
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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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Kelly Willis · Recurance