Jennifer Birch
20 May 2026 · Coroner Laurinda Bower · Nottingham City & Nottinghamshire
The coroner's concerns
1. failure to retain relevant material post clinical events
“Failure to ensure an "inquiring mind" in satisfying the duty of candour”
2. risk of severe anaphylaxis from teicoplanin administration
“Roll out of the Penicillin Allery De-Labelling Pathway”