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recurance

John Lee

19 Oct 2018 · Coroner Ian Wade QC · Mid Kent and Medway

The coroner's concerns

  1. 1. misinterpretation of referral expression

    “The use of the expression”
  2. 2. lack of direct input from clinical grade staff

    “There should be provision for the direct input of clinical grade staff in setting clinical especially urgent appointments”
  3. 3. absence of checking procedure

    “There should be consideration given to a checking procedure to guard against human error or misunderstanding of priority”

Responses

No published response was found on judiciary.uk.

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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