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recurance

Esma Guzel

1 Jun 2022 · Coroner Dominic Bell · Hull and East Riding of Yorkshire

The coroner's concerns

  1. 1. delayed urgent hospitalisation for child with vomiting

    “I have been presented with evidence prior to and at inquest, that diligent questioning as to the nature of vomitus in a five-year-old patient, would have alerted a competent practitioner to the requirement for urgent hospitalisation”

Responses

2022-0233-Response-from-NHS-Digital.pdf ↗· NHS Pathways

Stated action · 1st November 2021

“The 111 algorithm has been subject to modification in the light of these events, but I remain concerned that there is: a. no detailed assessment of the degree of parental concern”

2022-0233-Response-from-Royal-College-General-Practitioners.pdf ↗· Royal College of General Practitioners

Stated action

“us. We will continue to review our e learning offer for our members and if national guidance changes, update them accordingly.”

2022-0233-Response-from-Royal-College-of-Paediatrics-and-Child-Health.pdf ↗· Royal College of Paediatrics and Child Health

Stated action

“consider the facts of the case”
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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