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recurance

Kalila Griffiths

18 Dec 2020 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. asthma management failure

    “Patients with asthma must be referred to a specialist asthma service if they have required more than two courses of systemic corticosteroids in the previous twelve months”
  2. 2. guideline confusion

    “Clinicians raised concerns in relation to the number of different guidelines relating to asthma (NICE Guidelines, BTS/SIGN Guidelines and GINA Guidelines)”
  3. 3. guideline ambiguity

    “It was noted that it is not clear to healthcare professionals which guidelines should be used for the management of acute asthma attacks”
  4. 4. training deficiency

    “further training is required for GPs and emergency departments in providing safe asthma care”

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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