Phillip Pratt

PFD Report Historic (No Identified Response) Ref: 2013-0174
Date of Report 30 July 2013
Coroner Elisabeth Bussey-Jones
Coroner Area West Sussex
Response Deadline est. 24 September 2013
Coroner's Concerns (AI summary)
A Root Cause Analysis Investigation Report identified a number of areas of concern arising from the investigation.
View full coroner's concerns
During the course of the inquest, , Head of Nursing for St Richards Hospital, gave evidence in relation to a “Root Cause Analysis Investigation Report”. The stated purpose of the report was “To identify the root causes and key learning from an incident and use this information”. The report covered a number of areas of concern arising from the investigation. gave

[Page 3]
Sent To
  • Western Sussex Hospitals NHS Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 24 Sep 2013
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

HIV Eligibility Start Date
Infected Blood Inquiry
Clinical negligence harms learning
Interferon Treatment Impacts
Infected Blood Inquiry
Clinical negligence harms learning
Special Category Mechanism
Infected Blood Inquiry
Clinical negligence harms learning
Effective Treatment - Earnings Floor
Infected Blood Inquiry
Clinical negligence harms learning
Deeming of Severity Bands
Infected Blood Inquiry
Clinical negligence harms learning
Evidence of Diagnosis Date
Infected Blood Inquiry
Clinical negligence harms learning
Financial Loss and Care
Infected Blood Inquiry
Clinical negligence harms learning
Exceptional Loss Evidence
Infected Blood Inquiry
Clinical negligence harms learning
Unethical Research Award
Infected Blood Inquiry
Clinical negligence harms learning
Wider Definition of Unethical Research
Infected Blood Inquiry
Clinical negligence harms learning

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.