Liverpool & Wirral

Coroner Area
Reports: 78 Earliest: Oct 2013 Latest: 7 Apr 2026

76% response rate (above 63% average).

78 results
Isabella Hope Hill
All Responded
2013-0281 23 Oct 2013
Liverpool Womens Hospital
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Hospital guidelines for umbilical venous catheter insertion, specifically requiring an X-ray to confirm position, were not followed, indicating sub-optimal practice and a need for improved guidelines and staff training.
Action Taken (AI summary) The Trust has enhanced local education for staff on the Neonatal Unit regarding revised guidelines, reviewed and clarified the Service Level Agreement for Radiology to ensure X-rays are performed within 60 minutes, and is working to increase the use of the electronic patient administration system (Badger) through additional education sessions.
Rosa Anderson
All Responded
2013-0263 17 Oct 2013
Aintree Hospitals NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The patient was discharged without a summary, written information on her operation, critical advice, or emergency contact numbers.
Action Taken (AI summary) Aintree University Hospital has implemented a discharge advice sheet for laparoscopic procedures and is providing generic leaflets for all discharged patients, with specialties developing individualized discharge information sheets by March 2014.
Yousef Shokri-Gharab
All Responded
2013-0239-wp23943 14 Oct 2013
Mersey Care, NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) An outdated and unreviewed policy for informal patient leave failed to reflect current practice, risking patient safety due to lack of multidisciplinary consensus and proper documentation.
Action Taken (AI summary) • The Corporate Governance Team have been tasked with ensuring that all policies are received and updated to ensure that reflect national best practice. • Of the 120 Corporate Policies and Procedures currently in place , 117 are now in date. • The policy that provided concern at the Inquest on 11th October 2013 was one of the first to be reviewed and updated.