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recurance

Joan Read

4 Feb 2026 · Coroner Rachel Knight · South Wales Central

The coroner's concerns

  1. 1. missed urgent test results

    “single medical consultant is responsible for geriatric perioperative care (POPS). There is no cross-cover during periods of expected and unexpected absence. There is a risk that deranged test results or other urgent results will be missed when that doctor is absent”

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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Joan Read · Recurance