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recurance

Thomas Barton

21 Jul 2023 · Coroner Alison Mutch · Manchester South

A similar concern from this report was raised again 3 times later. See the linked reports.

The coroner's concerns

  1. 1. delayed discharge of frail elderly patients

    “the inquest was that delayed discharges such as Mr [name redacted] put the lives of frail elderly patients at risk as it is far more likely that they will become deconditioned and develop and infection if they spend unnecessary time in hospital. The”
  2. 2. delayed discharge of elderly patients

    “The evidence was that speedier discharges would occur if there was improved availability of social care and that this would improve outcomes for elderly patients and reduce the risk of preventable deaths occurring”

Linked reports

Raised again laterGeorge Coulthard24 Sept 2024 · 1 year 2 months later
Closely relatedConfidence 0.90 · high

This report

“The evidence was that speedier discharges would occur if there was improved availability of social care”

Later report

“Mr [name redacted] was assessed as being suitable for discharge on 18th December. He remained in an acute hospital setting for a further 4 weeks due to challenges in identifying a suitable care home.”
Original on judiciary.uk ↗
Full chain: Delayed discharge due to insufficient social care placements
Raised again laterDoreen Swann10 Jul 2025 · 2 years later
Closely relatedConfidence 0.90 · high

This report

“The evidence was that speedier discharges would occur if there was improved availability of social care and that this would improve outcomes for elderly patients and reduce the risk of preventable deaths occurring.”

Later report

“Delayed discharges such as [the deceased]'s reduces the availability of beds for other patients and creates a knock-on impact across the hospital particularly in relation to the Emergency Department.”
Original on judiciary.uk ↗
Full chain: Delayed discharge due to insufficient social care placements
Raised again laterBarbara Wingate10 Feb 2026 · 2 years 7 months later
Closely relatedConfidence 0.90 · high

This report

“The evidence before the inquest was that delayed discharges such as Mr [name redacted] put the lives of frail elderly patients at risk as it is far more likely that they will become deconditioned and develop and infection if they spend unnecessary time in hospital.”

Later report

“patients are kept in hospital for longer and thus are more at risk of contracting hospital acquired illness”
Original on judiciary.uk ↗
Full chain: Delayed discharge increases infection risk for frail elderly patients

Responses

2023-0264-Response-from-Greater-Manchester-Integrated-Care.pdf ↗· Greater Manchester Integrated Care

Stated action

“we have connected with Trafford Local Authority”
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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