Lesley Krommendijk
25 Feb 2026 · Coroner Jyoti Gill · Manchester South
The coroner's concerns
1. unrealistic impression of patient mobility
“The current processes for assessing whether or not it is safe to discharge a patient appear to have led to an unrealistic impression of the patient's mobility.”
2. discharge without adequate mobility assessment
“Mrs [name redacted] was discharged home on 5th June”
3. fall at home due to inadequate mobility support
“Mrs [name redacted] had a fall at home where she slipped over her blanket”
4. inaccurate report of patient mobility
“The team that discharged Mrs [name redacted] reported that she was mobile and fit for discharge”
5. discrepancy between reported and observed mobility
“Mrs [name redacted] son stated he has never seen his mother as mobile as was described by the hospital or the subsequent teams who cared for his mum at home”
6. reliance on informal support for basic mobility tasks
“Mrs [name redacted] son explained how he would frequently, with the assistance of his partner and his mum's neighbours, assist his mother up from the bed to the commode, following her discharge home on 5 June 2025, as she was unable to do this alone”