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recurance

Adrian Smith

16 Oct 2015 · Coroner Louise Hunt · Birmingham and Solihull

The coroner's concerns

  1. 1. failure to follow specialist advice

    “Clear instruction was given by the Queen Elizabeth hospital to undertake an MRI scan to confirm the possible diagnosis”

Responses

2015-0378-Response.pdf ↗· Heart of England NHS Trust

Stated action

“In the circumstances where a consultant radiologist does not believe that a requested radiological investigation is likely to identify new clinical information or lead to clinical intervention, before the request is declined they will now discuss the case with a HEFT peer consultant radiologist to seek a second opinion and ensure that their assessment is both reasonable and logical.”
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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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Adrian Smith · Recurance