Dylan Hill
4 Jan 2018 · Coroner Tanyka Rawden · South Yorkshire (West)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. nut contamination in food served to allergic customers
“Evidence was given before the Court of an incident within the same premises in September 2014 where a curry containing nuts was given to a customer who had requested a nut free curry. That customer had an anaphylactic reaction and was taken to hospital where he made a full recovery.”
2. lack of communication to Trading Standards about nut-related incidents
“Evidence was also given that the Trading Standards department of the local council had not been told of this incident prior to the death of Mr [name redacted]. Had they known, they would have arranged a priority visit.”
3. unreported non-fatal anaphylaxis incidents in food businesses
“In my opinion there is a risk that future deaths may occur unless cases of non fatal anaphylactic reactions caused by the ingestion of purchases from food business operatives are reported to those regulatory authorities responsible for the supervision and monitoring of food safety and hygiene.”
4. delayed awareness of anaphylaxis incidents affecting commercial premises
“The question therefore arises as to whether the emergency services and health services within the area can work together to ensure that Trading Standards Departments are made aware of all anaphylaxis incidents relating to commercial premises so that the appropriate action can be taken as regards those premises.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Evidence was given that there are no procedures in place for such communications between the health services and Trading Standards in cases of non fatal anaphylactic reactions.”
Later report
“- To establish a robust system of capturing and recording cases of anaphylaxis, and specifically, fatal and near-fatal anaphylaxis, to provide an early warning of the risk posed to allergic individual by products with undeclared allergen content.”
Responses
2018-0004-Response-by-Barnsley-Hospital-NHS-Trust.pdf ↗· Department of Health and Social Care
Stated action · 23 March 2018
“Our revised anaphylaxis draft protocol includes a referral form to inform Trading Standards of cases of anaphylactic reaction as a result of consuming food from commercial premises.”
2018-0004-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care
2018-0004-Response-by-Food-Standards-Agency.pdf ↗· Food Standards Agency
Stated action · March
“In March, we will be meeting with representatives from other government departments (including the Department of Health and Social Care and Public Health England) and organisations involved in food allergy to discuss how we can better tackle the issue.”