Omarian Brooks
29 May 2020 · Coroner Andrew Harris · London Inner South
The coroner's concerns
1. lack of timely GP awareness of deterioration
“had the GP been informed of the boy's deterioration either 4 days before the antibiotic was started or soon after, he would have been admitted to hospital with a real prospect of the infection being successfully treated”
2. ambulance transport disagreement
“There was also a distressing dispute between the ambulance crew and parents as to which hospital [the deceased] should be taken, in the event he was not taken to the nearest hospital at the insistence of his parents”