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recurance

Derek Brierley

20 Aug 2013 · Coroner Simon Nelson · Manchester North

The coroner's concerns

  1. 1. suprapubic catheter insertion site too high

    “Although the consultant performing the suprapubic procedure had done so successfully on nine previous occasions the last such occasion was twelve months earlier. The family overheard instructions for the procedure being read out to the consultant whilst it was being carried out. More likely than not the site of the insertion was too high.”

Responses

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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.

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Derek Brierley · Recurance