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recurance

Rita Paton

28 Apr 2015 · Coroner R Brittain · London North (Inner)

The coroner's concerns

  1. 1. lack of system to ensure requested blood tests are taken and reported back to GP practice

    “I am concerned that there is no system in place to ensure that requested blood tests are actually taken and reported back to the GP practice”
  2. 2. missed followup due to lack of family involvement when patient lacks capacity

    “Mrs [name redacted] family had concerns, which I share, that where a patient does not have capacity to make decisions about attending medical appointments they might be inadvertently missed when family members are not copied into correspondence”
  3. 3. lack of patient medical history information available to medical crews

    “The lack of information available to the attending medical crews on 7 December 2014 was also a concern of Mrs [name redacted] family, which I share”

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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Rita Paton · Recurance