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recurance

John Mellor

14 Feb 2019 · Coroner Nicholas Flanagan · Manchester (North)

The coroner's concerns

  1. 1. lack of blood testing for renal patients

    “systematic failure to ensure that blood tests are conducted, where required, for individuals under specialist, secondary care for renal failure”
  2. 2. insecure shared care for drug monitoring

    “failure to establish a shared care arrangement, or at least to ensure that an organisation was identified in order to undertake blood sampling for drug monitoring”
  3. 3. communication breakdown in referral updates

    “responses or updates to referrals, as well as requests for tests in the community, have not been communicated to primary care directly, with the sole reliance on a patient to pass vital documentation on to his primary healthcare provider”

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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