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Natalie Billingham

27 Jul 2018 · Coroner Zafar Siddique · Black Country
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The coroner's concerns

  1. 1. delayed assessment of blood results and missed opportunities to administer antibiotics and recognise sepsis

    “emerged during the inquest that there was inadequate communication [IL1: PROTECT] 3 and delays in assessing the blood results when available. There were also missed opportunities for administering antibiotics at an earlier stage and recognising the development of sepsis”

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