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recurance

Jordanne Roberts

26 Jun 2025 · Coroner David Reid · Worcestershire

The coroner's concerns

  1. 1. locum doctor not reading full CT scan report

    “"On 10.8.24 [the deceased] was assessed in the Emergency Department of the Alexandra Hospital, Redditch after falling down stairs at her home in Kidderminster. The locum doctor who assessed her discharged her home without waiting to read a full CT scan report, which identified that she had a pulmonary embolism. On the morning of 12.8.24 [the deceased] collapsed suddenly at home, and died a short time later. A post mortem examination confirmed the cause of death to be a pulmonary embolism. Her death would”

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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