Staffordshire and Stoke on Trent
Coroner Area
Reports: 55
Earliest: Feb 2014
Latest: 3 Feb 2026
80% response rate (above 63% average).
Arthur Fry
All Responded
2015-0258
7 Jul 2015
University Hospital of North Staffordsh…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
A communication breakdown between the MRI department and the consultant's team led to a critical MRI scan being cancelled due to unknown consent requirements, potentially impacting patient care. Tighter controls are needed for procedure requisitions.
Action Planned
(AI summary)
University Hospitals of North Midlands NHS Trust is incorporating a phrase into the MRI safety questionnaire about MRI compatibility. The Department of Imaging has applied for transformation funding for Imaging Assistants to visit patients on the ward pre-scan. Escort nurses have a written handover on return to the ward from MRI.
John Bartle
Historic (No Identified Response)
2015-0232
18 Jun 2015
am Margaret
CORONER
Jones, Assistant Coroner, for Stoke-on-…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Concerns were raised about a perceived lack of staff over a bank holiday leading to delayed interventions, alongside poor nutritional support, inadequate pain control, and poor communication from nursing staff.
Nicholas Rowley
Partially Responded
2015-0138
15 Apr 2015
Department of Health and Social Care
G4S
National Police Chiefs’ Council
+2 more
Police related deaths
Concerns summary (AI summary)
Insufficient verbal consultation between medical practitioners and custody staff, coupled with inadequate joint training, led to unclear observation levels and poor management of drug/alcohol risks in detainees.
Noted
(AI summary)
The College of Policing will incorporate guidance on verbal consultation between medical practitioners and custody sergeants and will make additions to the Detention and Custody Authorised Professional Practice providing advice on observation levels; updated guidance will be published circa summer 2015. Guidance has been issued to custody staff and the medical services provider to ensure verbal updates are given by medical practitioners to the Custody Sergeant. A Custody Training sub-group has been created and further guidance issued regarding levels of observation, and training secured regarding drug and alcohol abuse. G4S no longer provides Detention Officer Services to Staffordshire Police as of June 2015. They state they always have and continue to provide mandatory training regarding setting levels of observation and first aid, and will write to contracting police forces to recommend joint ventures as best practice.
Harold Henshall
Historic (No Identified Response)
2014-0217
12 May 2014
Staffordshire County Council
Road (Highways Safety) related deaths
Concerns summary (AI summary)
Inadequate street lighting and crossing facilities on Church Street, especially near St Edwards Church, increased the risk to elderly pedestrians crossing the road.
Neil Blood
Historic (No Identified Response)
2014-0183
4 Feb 2014
Department for Transport
Shimano Inc
Other related deaths
Product related deaths
Concerns summary (AI summary)
A lack of regulatory oversight, risk assessment, and consumer warnings for pedal cycle cleats and shoes raises concerns about potential dangers to users.