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recurance

Stuart Clarke

6 Nov 2019 · Coroner Rachel Galloway · Manchester City

The coroner's concerns

  1. 1. delayed referral for valve disease patients

    “During the inquest, evidence was heard that: By the time that Mr [name redacted] underwent the TAVI procedure on the 25th June 2019 he had deteriorated and was significantly less well than he had been in the months following his initial presentation to his GP in February 2018. During the course of the inquest, I heard that steps are being taken at local level to ensure more timely intervention in similar cases. However, I was concerned that there remain no national guidelines for referral from primary care”

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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Stuart Clarke · Recurance