Recurance · prevention of future deaths reports
Pre-inquest brief
Inconsistent allergy action plans fail to communicate anaphylaxis symptoms
The earlier warning
Karanbir Cheema · 10 May 2019 · ME Hassell, London Inner (North)
“Allergy action plans are not standardised across hospitals and schools, so messages are not as clearly delivered as they could be.”
judiciary.uk/prevention-of-future-death-reports/karanbir-cheema
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 20 Aug 2024 · Hannah Jacobs: Prevention of Future Deaths Report (1) · Shirley Radcliffe · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Karanbir Cheema · 10 May 2019
“Allergy action plans are not standardised across hospitals and schools, so messages are not as clearly delivered as they could be.”
Later · Hannah Jacobs: Prevention of Future Deaths Report (1) · 20 Aug 2024
“The evidence at the inquest referred to allergy action plans discussed in the healthcare settings and given to parents and patients. [the deceased] displayed what appeared to be excessive salivation at the dentist”
What happened next
No web check of the stated actions has been published for this chain.