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Elizabeth Lester

29 May 2015 · Coroner John Pollard · Manchester (South)
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The coroner's concerns

  1. 1. omission of chest pain question in breathing difficulties card

    “During the first call the call-handler asked the relevant questions and followed the "breathing difficulties" card. This card does not include any question as to whether the patient is suffering any chest pains.”

Responses

2015-0204-Response-by-Department-of-Health.pdf ↗

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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error