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recurance

Muluembet Yohanes

17 Jun 2026 · Coroner Melanie Lee · Inner North London

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of dedicated pathway for neurosurgery

    “During the course of the inquest I heard evidence giving rise to concern.”

Linked reports

Repeats an earlier warningTeresa Dennett18 Jan 2017 · 9 years 5 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“absence of a clear pathway for referral for life-saving neurosurgery”
Original on judiciary.uk ↗

This report

“neurosurgery is not a specified Pathways category, nor is it part of the”
Full chain: Delayed referral for neurosurgical care

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.

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