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recurance

Kevin McDonald

16 May 2019 · Coroner Geraint Williams · Worcestershire

The coroner's concerns

  1. 1. inconsistent discharge paperwork

    “During the inquest the clinician giving evidence indicated that the discharge paperwork from the clinical decision-making unit is different to that from other wards/departments and it is not clear what a follow-up or advice/guidance is given to patients”
  2. 2. lack of post-discharge advice

    “The family of the deceased contend that there was no advice or follow-up and that the deceased was left not knowing what to do about his increasing pain”
  3. 3. missing discharge documentation

    “It appears that no documentation has been found within the hospital about this”
  4. 4. non-standardised discharge processes

    “The standardisation of discharge documentation would appear to be in need of review”

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.

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Kevin McDonald · Recurance