Leicester City and South Leicestershire
Coroner Area
Reports: 75
Earliest: Sep 2013
Latest: 28 Jan 2026
92% response rate (above 62% average).
Jane Bruce
Historic (No Identified Response)
2021-0366
29 Oct 2021
Department of Health and Social Care
Community health care and emergency services related deaths
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
Inconsistent district nurse assignments, lack of photographic wound documentation, and inability to access electronic patient records at home hindered proper assessment of changing patient conditions.
Cherry Dunn
Historic (No Identified Response)
2021-0286
26 Aug 2021
NHS Quality
Safety and Investigations
Hospital Death (Clinical Procedures and medical management) related deaths
Mental Health related deaths
Concerns summary
National guidance is needed for VTE risk assessment when bilateral leg swelling obscures DVT, and inconsistencies exist in VTE assessment forms and discharge letters across trusts.
Margery Astill
Historic (No Identified Response)
2017-0440
11 Jul 2017
Leicestershire NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
Ineffective referral and incident reporting systems, poor communication with families, and significant delays in providing first aid after patient falls highlight systemic failures in care and oversight.
Gillian Crossley
Historic (No Identified Response)
2014-0394
4 Sep 2014
University Hospitals Leicester
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
Inadequate documentation, insufficient patient observation and monitoring, poor discharge planning, and a breakdown in communication between care providers were identified.