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recurance

Judith Varley

21 Jun 2021 · Coroner Mary Burke · West Yorkshire Western Division

The coroner's concerns

  1. 1. inaccurate procedure coding

    “The computer coding entered by the practice in respect of Mrs [name redacted] 2013 procedures did not accurately describe the procedure undertaken.”
  2. 2. lack of override capability

    “It was unclear whether the operating coding computer system in 2013 had facility to be overrided to ensure an accurate description was entered on the system.”
  3. 3. absence of auditing system

    “It was unclear if there was /is an auditing / quality control system in place in the practice to ensure accurate inputting of information within the coding process.”

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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