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recurance

Pardeep Plahe

4 Jan 2021 · Coroner Emma Brown · Birmingham and Solihull

The coroner's concerns

  1. 1. missed telephone consultation leading to fatal injury

    “1. On the 10th August at 17:30, hours before he inflicted the fatal wound to his neck, Mr. [name redacted] had a telephone consultation scheduled with his GP at the Ashfield Surgery. The appointment had been booked by his sister that afternoon. Due to a technical issue with the EMIS system the consultation list of the GP due to speak to Mr. [name redacted] did not update so he did not realise the appointment had been added to his list and did not call Mr. [name redacted]. Practitioners at the surgery had realised that the system”

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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