Lillian Robinson
PFD Report
Historic (No Identified Response)
Ref: 2014-0041
Coroner's Concerns (AI summary)
The report text did not detail specific concerns, only indicating that matters giving rise to a risk of future deaths were identified.
View full coroner's concerns
During the course of the inquest the evidence revealed a matter that gave rise to concern and which, in my opinion, there is a risk that future deaths could occur by reason thereof unless action is taken.
The MATTER OF CONCERN is as follows. –
RT3848
The MATTER OF CONCERN is as follows. –
RT3848
Sent To
- Surrey County Council
Response Status
Linked responses
0 of 1
56-Day Deadline
23 Mar 2014
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 22/1/13 I opened an inquest into the death of Lillian Rose Robinson who, at the date of her death was aged 89 years. The inquest was resumed and concluded on 15th and 16th January 2014. I found that the cause of death to be: ‐ 1a. Bronchopneumonia I concluded with a Narrative finding
Circumstances of the Death
On 31/10/12, Lillian Rose Robinson was admitted to Brockhurst Care Home for intermediary care. On 27/10/12 she was transferred to Upper Halliford nursing home where she was found to have deteriorated and she succumbed and died from bronchopneumonia on 28/12/12.
Copies Sent To
I have sent a copy of this report to
Chief Coroner
Coroners Society for England and Wales
Similar PFD Reports
Reports sharing organisations, categories, or themes
Related Inquiry Recommendations
Public inquiry recommendations addressing similar themes
Communication strategy for patients and families
Scottish Hospitals Inquiry
Coroner family information gaps
Clinician Attendance at Post-Mortem Discussions
Hyponatraemia Inquiry
Coroner family information gaps
Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.