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recurance

John Ioannou

10 Mar 2026 · Coroner Graeme Irvine · East London

The coroner's concerns

  1. 1. lack of investigation into death

    “The Barts Health Trust chose not to investigate this case as part of NHS England's Patient Safety Framework. Mr [name redacted] death ought to have been subject to such an investigation.”
  2. 2. unexplained fatal infection

    “despite an autopsy, the aetiology and precise timing of Mr [name redacted] fatal infection was not fully understood”
  3. 3. missed learning opportunity

    “a valuable learning opportunity was missed”

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.

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John Ioannou · Recurance