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recurance

Sian Hollands

20 Apr 2017 · Coroner Roger Hatch · North West Kent

The coroner's concerns

  1. 1. inadequate scoring and training of nurses and doctors

    “The operating of the PAR scoring (now NEWS) and training of nurses and doctors”
  2. 2. doctors not receiving nurses medical notes

    “The failure of doctors to be provided with nurses medical notes”
  3. 3. misdiagnosis of pulmonary embolism

    “The failure of doctors to correctly diagnose pulmonary embolism”

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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Sian Hollands · Recurance