Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of regular allergy review
The earlier warning
James Atkinson · 26 Jan 2024 · Karen Dilks, Newcastle and North Tyneside
“The evidence in this case unequivocally established that [the deceased] was not under regular review for his allergy, risk of anaphylaxis and the benefits of automatic adrenalin injectors.”
judiciary.uk/…/james-atkinson-prevention-of-future-deaths-report
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 0.90 (high)
The clearest link, quoted from both reports:
Earlier · James Atkinson · 26 Jan 2024
“The evidence in this case unequivocally established that [the deceased] was not under regular review for his allergy, risk of anaphylaxis and the benefits of automatic adrenalin injectors.”
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.”
What happened next
No web check of the stated actions has been published for this chain.