Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of public access to adrenaline auto-injectors
The earlier warning
Nasar Ahmed · 12 May 2017 · Mary Hassell, Inner North London
“generic adrenaline auto-injectors should be available, in much the same way as defibrillators, in public spaces.”
judiciary.uk/…/nasar-ahmed-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Nasar Ahmed (12 May 2017) · stated timescale: 1 October 2017
“I am hopeful that work underway to change the law to allow schools to hold spare auto-injectors without a named individual prescription, for use as emergency back- up to treat anaphylaxis in children registered by the school as being in receipt of a medical prescription for an auto-injector, will tackle some of the challenges which staff faced in this sad case, and which were set out in your determination.”
judiciary.uk/…/2023-0134-Response-from-Department-of-Health-and…
Stated action 2 · response to Nasar Ahmed (12 May 2017) · stated timescale: none stated
“Implementation of the Asthma Friendly Schools Project”
judiciary.uk/…/2023-0134-Response-from-Barts-Health-NHS-Trust-.…
What recurred
- 18 Dec 2020 · Ruben Bousquet · Andrew Harris · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Nasar Ahmed · 12 May 2017
“generic adrenaline auto-injectors should be available, in much the same way as defibrillators, in public spaces.”
Later · Ruben Bousquet · 18 Dec 2020
“[the deceased]'s parents have asked that the feasibility of food businesses being issued with AAIs.”
What happened next
No web check of the stated actions has been published for this chain.