Pardeep Plahe
4 Jan 2021 · Coroner Emma Brown · Birmingham and Solihull
The coroner's concerns
1. missed telephone consultation leading to fatal injury
“1. On the 10th August at 17:30, hours before he inflicted the fatal wound to his neck, Mr. [name redacted] had a telephone consultation scheduled with his GP at the Ashfield Surgery. The appointment had been booked by his sister that afternoon. Due to a technical issue with the EMIS system the consultation list of the GP due to speak to Mr. [name redacted] did not update so he did not realise the appointment had been added to his list and did not call Mr. [name redacted]. Practitioners at the surgery had realised that the system”