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recurance

Margaret Sales

11 Nov 2020 · Coroner Jacqueline Lake · Norfolk

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. incomplete clinical records

    “Records were not always completed as required”
  2. 2. delayed medical response

    “Nurses had difficulty in contacting front line on call medical staff on two occasions”

Linked reports

Raised again laterBonnie Webster25 Nov 2022 · 2 years later
Closely relatedConfidence 0.90 · high

This report

“Nurses had difficulty in contacting front line on call medical staff on two occasions.”

Later report

“Evidence was heard that staff alerted the paediatric team on foot, rather than using the emergency "bleep" system”
Original on judiciary.uk ↗
Full chain: Delayed medical response due to bleep system failures

Responses

2020-0233-Response-from-Queen-Elizabeth-Hospital-Kings-Lynn-Redacted.pdf ↗· Queen Elizabeth Hospital

Stated action · 25 January 2021

“I attach the latest audit on medical records carried out across the Trust's wards. The wards involved were Oxborough and Marham for the admission in question. With medical record completion, action taken is taken on a regular basis and I set out the detail of this process below.”
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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