Blackpool and Fylde

Coroner Area
Reports: 57 Earliest: Nov 2013 Latest: 11 Mar 2026

61% response rate (below 63% average).

Response Status
Responded 35 No Response 2 Historic 20
AI Classification
Action Taken 65%
Action Planned 30%
Noted 2%
Disputed 2%
Based on 43 classified responses
Top Categories
Hospital Death (Clinical Procedure… (32) Other related deaths (12) Care Home Health related deaths (8) Community health care and emergenc… (7) Child Death (from 2015) (5)
Quarterly Trend
Category Breakdown
How does this area compare?
vs North West average: -63 reports · -2pp response rate
vs national average: -27 reports · -2pp response rate
57 results
Stephen Morris
Partially Responded
2014-0522 27 Nov 2014
Cheshire and Wirral Partnership NHS Fou… Lancashire Care NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Inadequate information exchange between mental health services when a patient moved areas led to a lack of detailed, up-to-date patient history, compromising risk assessment and response.
Disputed (AI summary) The MDU is responding on behalf of a member, arguing that the coroner's report was not based on clear evidence and that the doctor's actions were reasonable in the circumstances.
Freda Owens
Historic (No Identified Response)
2014-0559 27 Nov 2014
Blackpool Teaching Hospital NHS Foundat… Croft House Rest Home Lancashire Teaching Hospitals NHS Found…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) There was a significant breakdown in information gathering and exchange between medical professionals, leading to incorrect assumptions about patient injuries, delayed specialist involvement, and suboptimal care.
Mark Hudson
All Responded
2014-0478 4 Nov 2014
Blackpool Teaching Hospitals NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Hospital procedures for urgent specialist care requests through the switchboard are insufficiently robust, risking unanswered or delayed responses that could harm patients.
Action Taken (AI summary) The Trust has undertaken training with senior members of the CICU Team, who are now competent in the placement of iGel tubes. A policy of using end tidal carbon monoxide monitoring for all intubated patients has been adopted. A review of the Out of Hours Anaesthetic Service was commissioned from the Royal College of Anaesthetists.
Linda Lloyd
Historic (No Identified Response)
2014-0389 29 Aug 2014
Blackpool Teaching Hospital NHS Foundat…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Prior to review, concerns existed regarding triage being performed by non-senior nurses without adequate training, and departmental policy failing to consistently consider the effects of warfarin on patients.
Linda Fisher
All Responded
2014-0226 9 May 2014
Blackpool Teaching Hospitals NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Inaccurate medication dosages resulted from doctors relying on patient-reported weight, and critical family medical history was not obtained or effectively communicated among staff.
Action Taken (AI summary) Blackpool Teaching Hospitals states that staff now perform a Mid Upper Arm Circumference calculation in line with the Malnutrition Universal Screening Tool (MUST) to assist is establishing an accurate weight, if it is not possible to weigh the patient.
Roy Frank Fletcher
Historic (No Identified Response)
2013-0362 20 Dec 2013
Lancashire Care NHS Foundation Trust
Mental Health related deaths
Concerns summary (AI summary) The Trust's post-incident review was inadequate, failing to interview a key witness or assess if similar events were persistent issues, thus hindering learning and preventing future deaths.
Ethel Cross
Historic (No Identified Response)
2013-0362-wp25883 5 Nov 2013
Blackpool Teaching Hospitals NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Wheeled chairs accessible to elderly patients caused falls, and a shortage of alarms for high-risk patients meant they could mobilize unsupported.