Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Melissa Kerr · 13 Sept 2023 · Jacqueline Lake, Norfolk
“I am concerned that patients travelling to Turkey for this procedure are not being made aware of the risks and the high mortality rate associated with this surgery”
judiciary.uk/…/melissa-kerr-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Melissa Kerr (13 Sept 2023) · stated timescale: shortly
“My officials will also be visiting Türkiye shortly to meet with their counterparts. The intention is to discuss the regulatory framework, and the protections that are in place for UK nationals, and to identify concrete areas where the UK and Turkish authorities should work together to reduce the risks to patients in the future.”
judiciary.uk/…/2023-0330-Response-from-Department-of-Health-and…
What recurred
- 10 Feb 2025 · Anne Towlson · Isobel Thistlethwaite · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Melissa Kerr · 13 Sept 2023
“I am concerned that patients travelling to Turkey for this procedure are not being made aware of the risks and the high mortality rate associated with this surgery”
Later · Anne Towlson · 10 Feb 2025
“I am concerned about the fact that we have no evidence to confirm whether Mrs [name redacted] was made aware of the risks and mortality rates associated with any of the surgical procedures she underwent in Turkey.”
What happened next
No evidence found either way · stated action 1
“Turkey publishes the Regulation on the Provision of Distance Health Services and the Regulation on the Cascading of Health Service Providers”
Turkey publishes the Regulation on the Provision of Distance Health Services and the Regulation on the Cascading of Health Service Providers · esin.av.tr/…/turkey-publishes-the-regulation-on-the-provision-o…
“The Regulation on International Health Tourism and Tourist Health of 26 April 2025 repealed the former 2017 framework and introduced enhanced rules on authorisation, quality assurance, reporting, advertising, inspection and sanctions”
International Medical and Health Tourism Law in Türkiye | Bicak Law · bicakhukuk.com/…/international-medical-and-health-tourism-law-i…
No evidence found does not mean the action did not happen.