Recurance · prevention of future deaths reports
Pre-inquest brief
Absence of national register for fatal food allergic reactions
The earlier warning
Owen Carey · 30 Sept 2019 · Briony Ballard, London Inner (South)
“there is therefore no national register recording the circumstances of these deaths which could then be analysed and learnt from by allergy specialists”
What was promised
Stated action 1 · response to Owen Carey (30 Sept 2019) · stated timescale: none stated
“The BSACTI believes that there is a need for 2 distinct registries. The first is a national register for all anaphylactic reactions, that can be contributed to by any health care professional and would provide invaluable data on emerging patterns of reactions and their circumstances and effectively operate as an early warning signal for new risks and highlight specific situations where risk is higher so that they can be actively mitigated. Such a registry already exists in Europe and the Food St”
Stated action 2 · response to Owen Carey (30 Sept 2019) · stated timescale: early 2020
“The FSA will be hosting an Allergy Symposium in”
judiciary.uk/…/2019-0335-Joint-response-from-FSA-DEFRA-and-DHSC…
What recurred
- 18 Dec 2020 · Ruben Bousquet · Andrew Harris · Identical hazard · confidence 0.96 (high)
The clearest link, quoted from both reports:
Earlier · Owen Carey · 30 Sept 2019
“there is therefore no national register recording the circumstances of these deaths which could then be analysed and learnt from by allergy specialists”
Later · Ruben Bousquet · 18 Dec 2020
“It would welcome improved appropriate sharing of information on fatalities as they are not routinely notified in a timely manner when there is a report of a fatality by the local authority or coroner.”
What happened next
No web check of the stated actions has been published for this chain.