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recurance

Macloud Nyeruke

18 Sept 2020 · Coroner Kevin McLoughlin · West Yorkshire (East)

The coroner's concerns

  1. 1. unreported medical conditions of staff

    “Mr [name redacted] medical conditions were not made known to the Trust. In consequence, he had worked on wards where patients had infections involving multi-resistant organisms. Given his compromised immune state, this situation involved risk to both patients and Mr [name redacted] himself. In the absence of information concerning a particular staff member's medical condition there is an increased risk of transmission of infections either to or from the staff member.”
  2. 2. inadequate PPE training for support workers

    “There is scant evidence as to whether Mr [name redacted] underwent appropriate training in respect of PPE such as masks before being permitted to work on a ward involving infectious diseases. The difficulties involved (where a support worker supplied by a nursing agency is only in the hospital for a brief period) are acknowledged. Nonetheless, the risk of an adverse transmission of infection either to, or from, the staff member necessitates stringent standards being enforced, with appropriate records”
  3. 3. lack of health vulnerability information for support workers

    “Nursing agencies which supply support workers to hospitals without knowledge of their particular health vulnerabilities, or where they will be working, give rise to a risk that they may be adversely affected or may give rise to adverse effects on patients or colleagues.”

Responses

2020-0177-Response-from-Employment-Agency-Standards_Redacted.pdf ↗· Leeds Teaching Hospitals NHS Trust

Stated action

“We will investigative this matter further in accordance with the legislative framework of the Employment Agencies Act 1973 and associated Conduct Regulations.”

2020-0177-Response-from-Reed-Specialist-Recruitment-Ltd-Redacted.pdf ↗· Leeds Teaching Hospitals NHS Trust

Stated action

“I will share a copy of this letter with the EAS, CCS, CQC, and Leeds Teaching Hospital”
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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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