East London
Coroner Area
Reports: 183
Earliest: Sep 2013
Latest: 10 Mar 2026
70% response rate (above 63% average).
Awa Jeng
All Responded
2015-0015
20 Jan 2015
Barts Health
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
A high-risk patient for renal failure was not closely monitored, and critical blood tests and checks directed by a consultant were not performed, indicating failures in monitoring, task handover, and medical review.
Action Taken
(AI summary)
The trust is implementing a revised early warning score system (NEWS and CREWS), has been awarded funding to implement a vital signs monitoring process (Vitalslink), has a full complement of middle grade doctors, holds regular mortality and morbidity meetings, sent instructions to junior doctors regarding trauma sheet completion, and discusses all renal dialysis patients with the renal team.
Mr Pether
Historic (No Identified Response)
2014-0432
2 Oct 2014
Barking, Havering and Redbridge Univers…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Inadequate monitoring and assessment of a patient's wound, delayed identification of infection, and insufficient re-consideration of treatment options despite deteriorating clinical condition.
Joseph Godfrey
Historic (No Identified Response)
2014-0143
31 Mar 2014
BUPA Care Homes
BUPA UK Provision
Care Home Health related deaths
Concerns summary (AI summary)
Care staff and paramedics lacked awareness of warfarin-related bleeding risks in elderly fall patients. Care home staff failed to follow observation protocols, document checks, or access medical history, and BUPA's investigation was insufficient.
Stephen Tilbury
Historic (No Identified Response)
2014-0109
12 Mar 2014
London Borough of Havering
Road (Highways Safety) related deaths
Concerns summary (AI summary)
Excessive vehicle speed in a residential area, despite an existing trief curb, poses a significant risk as the curb can deflect speeding vehicles onto the pavement. Physical speed reduction measures are needed.
Peter Jeffrey
All Responded
2013-0313
27 Nov 2013
Guys & St Thomas'NHS Foundation Trust (…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Hospital staff failed to consider alternative diagnoses or treatments, did not take cultures from an infected blister, and overlooked intravenous antibiotics after negative DVT scans.
Noted
(AI summary)
The Trust reviewed records but states it is unable to respond fully to the concerns due to a lack of clarity regarding the patient's condition in the months before his death. They offer to remind medical teams about antibiotic administration options.
Kuldip Singh Dhillon
Historic (No Identified Response)
2013-0254
8 Oct 2013
Department for Transport
Road (Highways Safety) related deaths
Concerns summary (AI summary)
Widespread common practice of unrestrained palletised loads on vehicles poses significant safety risks, compounded by insufficient enforcement and auditing of transport regulations by the Department of Transport.
Douglas Grey
Historic (No Identified Response)
2013-0253
3 Oct 2013
Consumer Relations and Legal Affairs
Floron Residential Home
Care Home Health related deaths
Concerns summary (AI summary)
Lack of clear written procedures for equipment delivery, installation, and review. Carers also failed to recognise and report faulty equipment despite a written policy, compromising resident safety.
Tripta Rani Kumar
Historic (No Identified Response)
2013-0235
19 Sep 2013
Queen’s Hospital
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
A patient with a documented penicillin allergy was prescribed penicillin-containing medication after a critical allergy note was incorrectly overwritten without authorisation, creating a serious risk of anaphylaxis.