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recurance

Samantha Singh

2 Jul 2021 · Coroner Graeme Irvine · East London

The coroner's concerns

  1. 1. misinterpretation of RAST test results

    “Results of Miss [name redacted] RAST test were wrongly categorised by the surgery as normal. As such, no further action was indicated by the surgery. It was only Ms [name redacted] perseverance that led to a follow-up appointment being arranged to discuss the results with her GP where the mistake was discovered”
  2. 2. insufficient epinephrine auto-injector provision

    “At a GP appointment on 27 November 2019, Miss [name redacted] was prescribed a single EpiPen, NICE guidance at the time indicated that no fewer than two epi- pens should be prescribed to a patient”
  3. 3. lack of referral and follow-up for allergy management

    “Following the appointment on 27 November 2019 Miss [name redacted] was not referred to allergy clinic or offered a follow-up appointment to address issues arising from her allergy diagnosis”

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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