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recurance

William Beckwith

9 Jun 2014 · Coroner Robert Hunter · Derby & Derbyshire

The coroner's concerns

  1. 1. discharging frail elderly patient without assessment

    “A 91 year old patient, with a history of falls and who had attended A&E due to a fall was discharged home at 04:17 hours in the early morning to his elderly wife. There was no formal assessment as to his abilities, the home environment or his wife's abilities to look after him. No consideration was given to post discharge planning or assessment of needs such as district nurse or social care follow up. The Department, at that time, did not have in place any formal policy or procedure for risk”
  2. 2. lack of post discharge planning

    “No consideration was given to post discharge planning or assessment of needs such as district nurse or social care follow up”
  3. 3. absence of formal discharge policy

    “The Department, at that time, did not have in place any formal policy or procedure for risk assessing the safety of discharging a frail, elderly patient to home in the early hours of the morning”

Responses

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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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William Beckwith · Recurance