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recurance

George Townsend

4 Jun 2020 · Coroner Alison Mutch · Greater Manchester South

The coroner's concerns

  1. 1. insufficient GPs to see patients

    “The inquest heard that Mr [name redacted] should have seen a GP and had further tests prior to his admission to Salford Royal Hospital. The inquest heard that at the GP practice in question there were insufficient GPs to see patients. In addition there was no evidence of a clear escalation process from the Nurse to a Doctor within the practice.”
  2. 2. unrecognised risks due to background health issues

    “The particular risks he presented with his background health issues were not recognised when he showed signs of being unwell”
  3. 3. poor quality written medical notes

    “The quality of the written medical notes at the GP practice was poor”
  4. 4. local concerns about GP practice

    “The inquest heard that there had been concerns locally within the area about the GP practice. They were now being acted upon by the CCG but the situation had been an issue for some time before there was intervention”

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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