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recurance

Audrey Newman

29 Aug 2025 · Coroner Andrew Bridgman · Manchester South

The coroner's concerns

  1. 1. delay in lumbar puncture for diagnostic testing

    “The evidence of the Trust was that CSF analysis was CRUCIAL for diagnosing meningitis or encephalitis when infection is suspected. Further, acyclovir is well recognised as a drug giving rise to renal injury. In its LLO the Trust stated that, in recognition of the lack of training to enable ward doctors to undertake lumbar puncture a series of training sessions were held and are to continue. Within the LLO it is stated, There is learning in relation to escalation by doctors when a lumbar puncture”

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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Audrey Newman · Recurance