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recurance

Peter Carroll

11 Mar 2019 · Coroner Jean Harkin · Manchester (City)

The coroner's concerns

  1. 1. lack of leading physician sign off

    “I am concerned that there is no leading physician signing off these reports in addition to processing by input on it systems thus reducing the effectiveness of the reporting”
  2. 2. delayed biopsy reporting

    “I am concerned that a 6 month delay in reporting, on the evidence, meant that a curable treatment was not an option however if reported in a timely manner, would most likely have resulted in a favourable outcome”

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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