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recurance

Sheila Graham

16 Nov 2018 · Coroner Margaret Jones · Stoke-on-Trent & North Staffordshire

The coroner's concerns

  1. 1. prolonged social isolation of patients with Clostridioides difficile infection

    “the inquest it was evident that the deceased had suffered with clostridium difficile | diarrhoea. It was accepted by the patient and the family that she needed to be nursed in a single | room. However in her case it was for a very prolonged period. The social isolation had a very significant impact on her health and well-being and was a factor in her failure to recover. No policy appears to be in place for referral to mental health services in such circumstances. Referral in this case was”
  2. 2. discrepancy between recorded nutrition and actual meal service

    “There was evidence that meals were delivered by an independent company called Sodex. The family frequently observed this company giving out and collecting meal trays. Despite this medical records appeared to have been completed daily by nursing and health care staff recording adequate nutrition. Given this situation how is it possible to reconcile the nursing records with the practice of the catering team distributing and collecting meal trays?”
  3. 3. delayed dietary intervention leading to weight loss

    “The deceased lost weight. There was no referral to a dietician until prompted by the {family”

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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Sheila Graham · Recurance