Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed referral for neurosurgical care
The earlier warning
Teresa Dennett · 18 Jan 2017 · Heidi Connor, Nottinghamshire
“absence of a clear pathway for referral for life-saving neurosurgery”
judiciary.uk/prevention-of-future-death-reports/teresa-dennett
What was promised
Stated action 1 · response to Teresa Dennett (18 Jan 2017) · stated timescale: 31 March 2018
“The Neurosciences CRG are in the process of reviewing the Neurosurgery Service Specification and will require all services to meet the guidelines issued by the SBNS. This review will be complete by'31 March 2018.”
What recurred
- 17 Jun 2026 · Muluembet Yohanes · Melanie Lee · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Teresa Dennett · 18 Jan 2017
“absence of a clear pathway for referral for life-saving neurosurgery”
Later · Muluembet Yohanes · 17 Jun 2026
“neurosurgery is not a specified Pathways category, nor is it part of the”
What happened next
No web check of the stated actions has been published for this chain.