Finding into death of Fatima Lay

47y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis

Fatima Lay, a 47-year-old woman with schizophrenia and developmental disability living in supported residential accommodation, died from pulmonary thromboembolism secondary to deep vein thrombosis. She collapsed in the bathroom while under the care of facility staff who promptly initiated CPR and called emergency services. Post-mortem examination confirmed pulmonary thromboembolism and DVT as the cause of death. The coroner found no relationship between her death and her care status, and no evidence of third-party involvement. The death was attributed to natural causes. While risk factors for thromboembolism (immobility, previous surgery) may have been present given her mobility limitations and prior neurosurgery, the coroner made no findings suggesting preventable clinical errors or inadequate care.