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Colin Brooks

5 Jun 2025 · Coroner Simon Brenchley · Birmingham and Solihull
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The coroner's concerns

  1. 1. insufficient perfusionist staffing

    “The minimum safe number of accredited clinical perfusion scientists to cover operating theatres for any CPB procedure is deemed as N+1, where N equals the number of operating theatres in use at any given time on a single site. The plus one shall be available onsite”

Responses

2025-0276-Response-from-Department-of-Health-and-Social-Care.pdf ↗

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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error