Staffordshire South

Coroner Area
Reports: 59 Earliest: Aug 2013 Latest: 1 Oct 2021

71% response rate (above 62% average).

Clear 34 results
Irene Hamilton-Parker
All Responded
2015-0197 20 May 2015
Department of Business Innovation and S…
Product related deaths
Concerns summary Clothing made of easily flammable man-made fabrics poses a risk, and steps should be considered to reduce the flammability of manufactured or imported clothing.
Mark Groombridge
All Responded
2015-0142 17 Apr 2015
HM Prison and Probation Service
Other related deaths
Concerns summary Critical lack of communication between offender managers and hospital clinicians before recall, alongside widespread confusion among probation staff about the recall process, created systemic failures.
Peter Wright
All Responded
2015-0073 2 Mar 2015
South Staffordshire and Shropshire NHS …
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Severe hospital understaffing led to a single qualified nurse managing 16 patients, resulting in missed observations and policy-breaching drug rounds. Additionally, the hospital lacks adequate out-of-hours doctor cover, relying on paramedics.
Adam Williams
All Responded
2014-0324 14 Jul 2014
HMP Featherstone
State Custody related deaths
Concerns summary Concerns raised regarding the need for improved emergency communication training for nursing staff and a more robust dynamic assessment process for prisoner restraint, with potential for further CCTV installation.
Mitchell Clifton
All Responded
2014-0227 13 May 2014
Casualty Reduction Team
Road (Highways Safety) related deaths
Concerns summary The wide access way to a car park, shared by pedestrians and vehicles, has a potentially unsafe layout that could be improved with better markings or physical dividers.
Andrey Wakefield
All Responded
2014-0186 22 Apr 2014
University Hospital of North Staffordsh…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Poor communication of patient discharge information to GPs, especially for practices distant from the hospital, poses a significant risk to ongoing patient care.
Elsie May Treece
All Responded
2013-0376 16 Dec 2013
Burton Hospitals NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Hospital staff likely failed to report an incident where a patient fell during transfer, suggesting a need for better training and reminders on the requirement to report all inappropriate incidents.
Action taken summary The Trust has arranged additional incident reporting training for Ward 6 staff and recently linked with a university to raise awareness for student nurses. They clarified that paper-based incident for
Joseph Drew Whiteside
All Responded
2013-0377 16 Dec 2013
East Staffordshire Borough Council
Alcohol, drug and medication related deaths
Concerns summary Numerous drownings of intoxicated individuals in the River Trent highlight the need for improved safety measures, such as fencing and warning signs, at main access points.
Action taken summary The Council appointed the Royal Society for the Prevention of Accidents (RoSPA) to conduct inland water safety reviews across Burton-upon-Trent and Uttoxeter, which was completed in late 2013. The Cou
Ronald Ellwood
All Responded
2013-0222 15 Aug 2013
Queen’s Hospital
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary The provided concerns text is too truncated to identify specific safety issues.
Action taken summary Burton Hospitals NHS Foundation Trust disputes the need for fresh air from open windows in critical care, stating it would compromise patient safety and the existing air conditioning system designed …