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recurance

Lucy Kilvert

21 Oct 2013 · Coroner Robin John Balmain · Black Country

The coroner's concerns

  1. 1. office opening hours

    “This Office is open Monday to Thursday 8am to 4pm. Friday 8am to 3pm”
  2. 2. delayed CT scan

    “Mrs. [name redacted] was not initially at the hospital given a CT scan of the head. It was not performed until about 8 hours after presentation at hospital and revealed an intracranial bleed.”
  3. 3. intracranial bleed

    “The medical cause of death was :- la) Intracranial bleed, II Chronic Kidney Failure Hypertension Heart Valve Replacement”

Responses

No published response was found on judiciary.uk.

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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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Lucy Kilvert · Recurance