Skip to content
recurance

Raymond Woodhouse

21 Oct 2020 · Coroner Andrew Cox · Cornwall and the Isles of Scilly

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

The coroner's concerns

  1. 1. inadequate staff listening to family concerns

    “The family complained they were unable to get staff on Karenza ward to listen to them”
  2. 2. inadequate cleanliness leading to soiled bedding and clothing

    “A lack of cleanliness with Mr [name redacted] being left in soiled bedding and clothes”
  3. 3. delay in antibiotic administration

    “Potential delay in the administration of antibiotics”
  4. 4. delays or omissions of Parkinson's medication

    “Delays or omissions of prescribed Parkinson's medication”
  5. 5. inconsistent administration of Parkinson's medication

    “multiple' occasions when medication was given late and three occasions when it was not given at all”

Linked reports

Raised again laterTracey Oldfield11 Nov 2025 · 5 years 1 month later
Closely relatedConfidence 0.80 · moderate

This report

“'multiple' occasions when medication was given late and three occasions when it was not given at all”

Later report

“need for patients who are admitted late and unexpectedly (of which the PSII recorded there are over 1,000 annually) to have their usual medication prescribed in timely fashion.”
Original on judiciary.uk ↗
Full chain: Inconsistent medication administration timing

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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