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recurance

Abdominal pain pathway lacks clear discriminatory criteria

Closely relatedConfidence 0.90 · high2 reports · 2021–2024 One-page brief (print or PDF)

NHS England received 2 coroners' reports about this hazard between 4 Oct 2021 and 30 Sept 2024.

They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 6 specific actions.

2
reports
2
different coroners
2021–2024
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Hannah Royle↗

    4 Oct 2021 · Karen Henderson · West Sussex

    “The NHS pathway for 'Abdominal Pain' is insufficiently robust or sufficiently discriminatory to effectively deal with the myriad of potential symptoms associated with this complaint.”
    Original on judiciary.uk ↗

    NHS England responded, stating 6 specific actions.Response (PDF) ↗

    “Our 111-service management team agree that this was a complex case and should have been transferred to a clinician. In order to ensure that call handlers fully understand the need to identify and refer such cases, the following actions have been taken: 1. Work has been undertaken on a focused area of learning known as a”

    Stated timescale: October 2021

    “Key skills is the name given to core training delivered to all members of staff quarterly. The content varies according to job role and is based upon required system updates, clinical updates and learning from incidents and events. The next key skills for Health Advisors and Emergency Medical Advisors will include a section on dealing with calls from or about patients who have a learning disability.”

    4 more stated actions in the Promises tab.

  2. 3 years later

    Raised again · 1st time

    Megan Williams↗

    30 Sept 2024 · James Dillon · Central and South East Kent

    Closely relatedConfidence 0.90 · higha different coroner
    “The inquest also examined East Kent Hospital's Acute Abdominal Pain Pathway (AAPP) including knowledge of this pathway among clinicians and the clarity of the pathway as it was documented”
    Original on judiciary.uk ↗

    Repeated from the earlier report:AbdominalPainPathway

  3. All reports to NHS England

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error