Undeclared allergens leading to anaphylaxis in food businesses
Food Standards Agency received 2 coroners' reports about this hazard between 4 Jan 2018 and 21 Nov 2022.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“Evidence was given that there are no procedures in place for such communications between the health services and Trading Standards in cases of non fatal anaphylactic reactions.”
Original on judiciary.uk ↗ Food Standards Agency responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“In March, we will be meeting with representatives from other government departments (including the Department of Health and Social Care and Public Health England) and organisations involved in food allergy to discuss how we can better tackle the issue.”
Stated timescale: March
“Our revised anaphylaxis draft protocol includes a referral form to inform Trading Standards of cases of anaphylactic reaction as a result of consuming food from commercial premises.”
Stated timescale: 23 March 2018
- 4 years 11 months laterClosely relatedConfidence 0.90 · higha different coroner
“- To establish a robust system of capturing and recording cases of anaphylaxis, and specifically, fatal and near-fatal anaphylaxis, to provide an early warning of the risk posed to allergic individual by products with undeclared allergen content.”
Original on judiciary.uk ↗ Repeated from the earlier report:casesfatal
Food Standards Agency responded.Response (PDF) ↗
- All reports to Food Standards Agency
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2018 → 2022Celia Marsh4 years 11 months after Dylan Hill · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports concern the risk of undeclared allergens causing anaphylactic reactions and the need for better reporting of such incidents to authorities.
Dylan Hill · 4 Jan 2018
“Evidence was given that there are no procedures in place for such communications between the health services and Trading Standards in cases of non fatal anaphylactic reactions.”
Original on judiciary.uk ↗ Celia Marsh · 21 Nov 2022
“- To establish a robust system of capturing and recording cases of anaphylaxis, and specifically, fatal and near-fatal anaphylaxis, to provide an early warning of the risk posed to allergic individual by products with undeclared allergen content.”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“Our revised anaphylaxis draft protocol includes a referral form to inform Trading Standards of cases of anaphylactic reaction as a result of consuming food from commercial premises.”
Stated action · timescale: March
“In March, we will be meeting with representatives from other government departments (including the Department of Health and Social Care and Public Health England) and organisations involved in food allergy to discuss how we can better tackle the issue.”
Stated action · timescale: 23 March 2018
“Our revised anaphylaxis draft protocol includes a referral form to inform Trading Standards of cases of anaphylactic reaction as a result of consuming food from commercial premises.”
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Food Standards Agency at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2018 → 2022 | 0.65 | 0.15 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.